Systematic Review: Geographic accessibility to health services as a determinant of clinical outcomes in patients with colorectal cancer

2018 – 2020

    • Projects, Chronic Cancer Projects, Projects of the Center of Excellence in Cardiovascular Health for the Southern Cone (CESCAS), Chronic Diseases Projects
    • Concluded

Period: 2018 – 2020

Financier: National Cancer Institute, Ministry of Health of the Nation.

Participating institutions: IECS

Researchers: Vilma Irazola, Rosana Poggio, Carolina Prado, Agustín Ciapponi, Santiago Melendi, Paula Chavero, Samanta Straminsky
Summary:

Within the framework of funding provided by the National Cancer Institute, the IECS is conducting a systematic review of the scientific literature whose main objective is to determine the impact of geographic accessibility on the health outcomes of the population with colorectal cancer.

Primary or secondary studies published in the last 10 years will be included, between July 1, 2009 and July 1, 2019, without design restrictions, that established comparisons between groups based on some measure of geographic accessibility to diagnostic centers. and treatment in patients with colorectal cancer or that included any intervention or initiative designed to address geographic differences in one or more health outcomes following colorectal cancer diagnosis.

A search strategy will be developed using Boolean operators for the main regional and international electronic databases. A search of gray literature and manual search will also be carried out in the main national and international sites that address the topic.

The risk of bias of individual studies was assessed with the NIH (National Institute of Health) study quality assessment tool.

The main expected result of this study is the determination of the impact of geographic accessibility on the health outcomes of the population with colorectal cancer. It is intended to provide essential information for decision-making regarding the direction of future research on migratory flows, allowing the correct prioritization of effective strategies aimed at increasing the quality of care and reducing mortality from cancer.