title: Travel times and radiotherapy uptake in two English counties.
abstract: OBJECTIVE
  To examine whether longer travel times for radiotherapy are associated with reduced overall uptake of radiotherapy treatment, or with reduced uptake of palliative as opposed to radical radiotherapy.
  
  
  METHODS
  Correlations of weighted average travel times for radiotherapy with overall radiotherapy uptake, and of travel times to one cancer centre with the ratio of palliative to radical radiotherapy at that centre.
  
  
  METHODS
  The fourteen local authority (county) Districts of Bedfordshire and Hertfordshire.
  
  
  METHODS
  Residents of Bedfordshire and Hertfordshire registered by the Cancer Registries as attending hospital with a diagnosis of cancer, and registered as receiving radiotherapy treatment. Residents recorded by single cancer centre as receiving radical or palliative radiotherapy at that centre.
  
  
  RESULTS
  There was no significant correlation between travel times for treatment and overall radiotherapy uptake (r = 0.40, P = 0.18), or with the ratio of palliative to radical radiotherapy at a single centre (r = -0.29, P = 0.34). Both measures of uptake showed considerable variability. Longest travel times were about one hour.
  
  
  CONCLUSIONS
  Travel times up to one hour do not appear to reduce radiotherapy uptake, and the variability observed is likely to be due to other factors. The recommendation of the Chief Medical Officer's expert advisory group on cancers, that radiotherapy should be provided in larger cancer centres, is unlikely to result in lower radiotherapy uptake with travel times of this order.
authors.affiliation: North Thames Regional Health Authority, London, UK.
authors.forename: P
authors.initials: P
authors.lastname: Cosford
authors.forename: C
authors.initials: C
authors.lastname: Garrett
authors.forename: K
authors.initials: K
authors.lastname: Turner
mesh_terms: D004739:England; D006297:Health Services Accessibility; D006801:Humans; D009369:Neoplasms / Q000532:radiotherapy*; D012042:Registries; D013997:Time Factors; D014195:Travel