Factors influencing care pathways for breast and prostate cancer in a hospital setting

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dc.contributor.authorBardhi, Ornela
dc.contributor.authorGarcía-Zapirain, Begoña
dc.contributor.authorNuño Solinís, Roberto
dc.date.accessioned2025-08-11T10:39:25Z
dc.date.available2025-08-11T10:39:25Z
dc.date.issued2021-07-26
dc.date.updated2025-08-11T10:39:25Z
dc.description.abstractBreast 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.en
dc.description.sponsorshipO.B. received funding from the European Union’s Horizon 2020 CATCH ITN project under the Marie Sklodowska-Curie grant agreement no. 722012.en
dc.identifier.citationBardhi, O., Garcia-Zapirain, B., & Nuño-Solinis, R. (2021). Factors influencing care pathways for breast and prostate cancer in a hospital setting. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/IJERPH18157913
dc.identifier.doi10.3390/IJERPH18157913
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttps://hdl.handle.net/20.500.14454/3348
dc.language.isoeng
dc.publisherMDPI
dc.rights© 2021 by the authors
dc.subject.otherBreast cancer
dc.subject.otherCare pathways
dc.subject.otherLifestyle data
dc.subject.otherProstate cancer
dc.subject.otherTreatment lines
dc.titleFactors influencing care pathways for breast and prostate cancer in a hospital settingen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.issue15
oaire.citation.titleInternational Journal of Environmental Research and Public Health
oaire.citation.volume18
oaire.licenseConditionhttps://creativecommons.org/licenses/by/4.0/
oaire.versionVoR
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