6 results match your criteria: "ICES at Queen's University[Affiliation]"
Factors associated with the melanoma diagnostic interval in Ontario, Canada: a population-based study.
Br J Cancer
February 2024
Department of Public Health Sciences, Queen's University, Kingston, ON, Canada.
Article Synopsis
- Prolonged cancer diagnosis times can increase patient anxiety and lead to worse outcomes; this study examined melanoma diagnostic times in Ontario, Canada from 2007-2019.
- The study analyzed 33,371 melanoma patients, finding the median diagnostic interval was 36 days with variations based on comorbidities, socioeconomic status, and patient history.
- Results showed significant differences in diagnostic times among health regions, indicating that system-level factors play a critical role in the diagnosis process for melanoma.
Changes in Health Care Costs, Survival, and Time Toxicity in the Era of Immunotherapy and Targeted Systemic Therapy for Melanoma.
JAMA Dermatol
November 2023
ICES at Queen's University, Kingston, Ontario, Canada.
Importance: Melanoma treatment has evolved during the past decade with the adoption of adjuvant and palliative immunotherapy and targeted therapies, with an unclear impact on health care costs and outcomes in routine practice.
Objective: To examine changes in health care costs, overall survival (OS), and time toxicity associated with primary treatment of melanoma.
Design, Setting, And Participants: This cohort study assessed a longitudinal, propensity score (PS)-matched, retrospective cohort of residents of Ontario, Canada, aged 20 years or older with stages II to IV cutaneous melanoma identified from the Ontario Cancer Registry from January 1, 2018, to March 31, 2019.
A population-based study of administrative data linkage to measure melanoma surgical and pathology quality.
PLoS One
March 2022
ICES at Queen's University, Kingston, Ontario, Canada.
Background: Continuous quality improvement is important for cancer systems. However, collecting and compiling quality indicator data can be time-consuming and resource-intensive. Here we explore the utility and feasibility of linked routinely collected health data to capture key elements of quality of care for melanoma in a single-payer, universal health care setting.
View Article and Find Full Text PDFImpact of the COVID-19 pandemic on skin cancer diagnosis: A population-based study.
PLoS One
April 2021
Division of Cancer Care and Epidemiology, Cancer Research Institute at Queen's University, Kingston, ON, Canada.
Background: The COVID-19 pandemic has been unprecedented and has led to drastic reductions in non-urgent medical visits. Deferral of these visits may have critical health impact, including delayed diagnosis for melanoma and other skin cancers. We examined the influence of the pandemic on skin biopsy rates in a large population-based cohort.
View Article and Find Full Text PDFComprehensive preventive care assessments for adults with intellectual and developmental disabilities: Part 2: 2003 to 2014.
Can Fam Physician
April 2019
Professor in the Department of Public Health Sciences and the Department of Family Medicine, Head of the Department of Family Medicine, Senior Adjunct Scientist with ICES, past Director of the Centre for Health Services and Policy Research, and Associate Director of the Centre for Studies in Primary Care, all at Queen's University.
Objective: To determine if there has been an increase in preventive care among adults with intellectual and developmental disabilities (IDD) as a result of the publication of the Canadian consensus guidelines on the care of adults with IDD in 2006 and 2011.
Design: Ecological study.
Setting: Ontario.
Problem Addressed: Adults with intellectual and developmental disabilities (IDD) are a complex population that could benefit from improved care coordination across health and social sectors, as they experience poorer health and have higher rates of emergency department use and hospitalization due to ambulatory care-sensitive conditions.
Objective Of Program: To pilot a novel, enhanced model of care coordination for complex patients with IDD.
Program Description: Health Links is a provincial care-coordination program for patients with complex health care needs.