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[General practitioner density is not associated with survival in patients with hepatocellular carcinoma]

Fabien Barrault, Moustapha Dramé, Alexandra Heurgue

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |February 16, 2019
    PubMed

    Insights

    General practitioner (GP) density did not impact hepatocellular carcinoma (HCC) patient survival or diagnosis stage in a French region. This study found no significant difference in outcomes based on proximity to healthcare providers for HCC patients.

    Area of Science:

    • Oncology
    • Public Health
    • Health Services Research

    Background:

    • Hepatocellular carcinoma (HCC) is a significant global health concern.
    • Access to primary care, indicated by general practitioner (GP) density, may influence cancer patient outcomes.
    • Understanding geographic healthcare disparities is crucial for improving cancer care delivery.

    Purpose of the Study:

    • To investigate the association between general practitioner (GP) density and overall survival in hepatocellular carcinoma (HCC) patients.
    • To determine if GP density affects the stage of HCC at initial diagnosis.
    • To analyze the impact of primary care accessibility on HCC patient outcomes in a specific French region.

    Main Methods:

    • Retrospective analysis of 246 consecutive HCC patients from 2012-2016.
    • Data collected included clinico-biological, radiological, GP density in residence area, and HCC stage.
    • Survival analysis performed using Kaplan-Meier method and log-rank test.

    Main Results:

    • No statistically significant difference in overall survival between patients in low GP density areas (median 11.7 months) and high GP density areas (median 14.8 months).
    • Tumor stage at initial diagnosis and time to multidisciplinary meeting presentation were similar across different GP density levels.
    • 20.7% of patients resided in low GP density areas (2.2-6.8 GPs/10000 inhabitants).

    Conclusions:

    • General practitioner density in a patient's residential area does not significantly influence overall survival for hepatocellular carcinoma (HCC) patients.
    • GP density did not correlate with the stage of HCC at the time of initial diagnosis in this cohort.
    • Healthcare accessibility, as measured by GP density, may not be a determining factor for HCC outcomes in this specific North-Eastern French region.
    Abstract

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