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KMID : 0387320210310010091
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Korean Journal of Health Policy and Administration
2021 Volume.31 No. 1 p.91 ~ p.99
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The Impact of Time-to-Treatment for Outcome in Cancer Patients, and Its Differences by Region and Time Trend
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Kim Woo-Rim
Han Kyu-Tae
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Abstract
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Background: The Korean government introduced National Cancer Control Program and strengthening national health insurancecoverage for cancer patients. Although many positive effects have been observed, there are also many concerns about cancermanagement such as patient concentration or time-to-treatment. Thus, we investigated the association between thetime-to-treatment and survival of cancer patients, and compared regional differences by time trend.
Methods: The data used in this study were national health insurance claims data that included patients diagnosed with lung cancerand received surgical treatment between 2005 and 2015. We conducted survival analysis with Cox proportional hazard model for theassociation between time-to-treatment and survival in lung cancer. Additionally, we compared the regional differences fortime-to-treatment by time trend.
Results: A total of 842 lung cancer patients were included, and 52.3% of lung cancer patients received surgical treatment within 30days. Patients who received surgical treatment after 31 days had higher 5-year or 1-year mortality compared to treatment within 30days (5-year: hazard ratio [HR], 1.566; 1-year: HR, 1.555; p<0.05). There were some regional differences for time-to-treatment, butit was generally reduced after 2010.
Conclusion: Delayed surgical treatment after diagnosis can negatively affect patient outcomes in cancer treatment. To improvecancer control strategies, there are needed to analyze the healthcare delivery system for cancer care considering the severity andtypes of cancer.
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KEYWORD
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Time-to-treatment, Cancer care, Survival, Patient care management
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