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Article

Factors Influencing Care Pathways for Breast and Prostate Cancer in a Hospital Setting

1
eVida Laboratory, University of Deusto, Avenida Universidades 24, 48007 Bilbao, Spain
2
UCD Beacon Hospital Academy, Beacon Hospital, Sandyford, D18 AK68 Dublin, Ireland
3
Deusto Business School Health, University of Deusto, Avenida Universidades 24, 48007 Bilbao, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: María M. Morales Suárez-Varela and Agustín Llopis-González
Int. J. Environ. Res. Public Health 2021, 18(15), 7913; https://doi.org/10.3390/ijerph18157913
Received: 28 May 2021 / Revised: 11 July 2021 / Accepted: 23 July 2021 / Published: 26 July 2021
(This article belongs to the Special Issue Clinical and Epidemiological Research: Focus on Cancer Care)
Breast cancer (BCa) and prostate cancer (PCa) are the most prevalent types of cancers. We aimed to understand and analyze the care pathways for BCa and PCa patients followed at a hospital setting by analyzing their different treatment lines. We evaluated the association between different treatment lines and the lifestyle and demographic characteristics of these patients. Two datasets were created using the electronic health records (EHRs) and information collected through semi-structured one-on-one interviews. Statistical analysis was performed to examine which variable had an impact on the treatment each patient followed. In total, 83 patients participated in the study that ran between January and November 2018 in Beacon Hospital. Results show that chemotherapy cycles indicate if a patient would have other treatments, i.e., patients who have targeted therapy (25/46) have more chemotherapy cycles (95% CI 4.66–9.52, p = 0.012), the same is observed with endocrine therapy (95% CI 4.77–13.59, p = 0.044). Patients who had bisphosphonate (11/46), an indication of bone metastasis, had more chemotherapy cycles (95% CI 5.19–6.60, p = 0.012). PCa patients with tall height (95% CI 176.70–183.85, p = 0.005), heavier (95% CI 85.80–99.57, p < 0.001), and a BMI above 25 (95% CI 1.85–2.62, p = 0.017) had chemotherapy compared to patients who were shorter, lighter and with BMI less than 25. Initial prostate-specific antigen level (PSA level) indicated if a patient would be treated with bisphosphonate or not (95% CI 45.51–96.14, p = 0.002). Lifestyle variables such as diet (95% CI 1.46–1.85, p = 0.016), and exercise (95% CI 1.20–1.96, p = 0.029) indicated that healthier and active BCa patients had undergone surgeries. Our findings show that chemotherapy cycles and lifestyle for BCa, and tallness and weight for PCa may indicate the rest of treatment plan for these patients. Understanding factors that influence care pathways allow a more person-centered care approach and the redesign of care processes. View Full-Text
Keywords: breast cancer; prostate cancer; care pathways; treatment lines; lifestyle data breast cancer; prostate cancer; care pathways; treatment lines; lifestyle data
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MDPI and ACS Style

Bardhi, O.; Garcia-Zapirain, B.; Nuño-Solinis, R. Factors Influencing Care Pathways for Breast and Prostate Cancer in a Hospital Setting. Int. J. Environ. Res. Public Health 2021, 18, 7913. https://doi.org/10.3390/ijerph18157913

AMA Style

Bardhi O, Garcia-Zapirain B, Nuño-Solinis R. Factors Influencing Care Pathways for Breast and Prostate Cancer in a Hospital Setting. International Journal of Environmental Research and Public Health. 2021; 18(15):7913. https://doi.org/10.3390/ijerph18157913

Chicago/Turabian Style

Bardhi, Ornela, Begonya Garcia-Zapirain, and Roberto Nuño-Solinis. 2021. "Factors Influencing Care Pathways for Breast and Prostate Cancer in a Hospital Setting" International Journal of Environmental Research and Public Health 18, no. 15: 7913. https://doi.org/10.3390/ijerph18157913

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