Appropriate Delivery Of Care In American Patients With Hepatocellular Carcinoma: A Systematic Review

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dc.contributor.advisorKristine Lukens
dc.creatorTan, Debra
dc.date.accessioned2019-08-22T21:47:37Z
dc.date.available2019-08-22T21:47:37Z
dc.date.issued2013-05-01
dc.date.submitted2013-05-10T13:48:04-07:00
dc.description.abstractObjective: To assess and provide in-depth analysis of appropriate delivery of care in patients with hepatocellular carcinoma (HCC) based on time of diagnosis within Americans in the United States. Design: Meta-analysis of retrospective cohort studies describing receipt of appropriate treatment utilization and delivery of care for HCC. Results: Among all twenty-three included studies, a total of 7,986 of 17,286 (44.4%, 95% CI 43.7-45.1%) patients received overall treatment. Of 48,200 patients with HCC, only 10,518 (21.8%, 95% CI 21.5-22.2%) patients received curative treatment and 6,810 of 11,776 (57.8%, 95% CI 56.9-58.7%) patients who were within early stage HCC received curative treatment. Conclusion: HCC treatment is underutilized in the United States. Although the pooled treatment rate for early HCC patients receiving curative treatment is somewhat better, only about four-sevenths receive appropriate care. There are significant socio-demographic disparities with the lowest treatment rates in non-Caucasians and non-private insurance patients.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29588
dc.language.isoen
dc.provenance.legacyDownloads68
dc.subjectNursing
dc.subjectOncology
dc.subjectPublic Health
dc.subjectCancer
dc.subjectcare
dc.subjectsystematic review
dc.subjectamerican patients
dc.titleAppropriate Delivery Of Care In American Patients With Hepatocellular Carcinoma: A Systematic Review
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Public Health

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