Date of Award

1-1-2014

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College/School/Department

Department of Epidemiology and Biostatistics

Program

Epidemiology

Content Description

1 online resource (x, 135 pages) : illustrations (some color)

Dissertation/Thesis Chair

David S Strogatz

Committee Members

Francis P Boscoe, Recai M Yucel, Benjamin A Shaw, Steven C Stain

Keywords

adjuvant chemotherapy, cancer, colorectal, completion, initiation, Colon (Anatomy), Rectum, Patient compliance

Subject Categories

Epidemiology | Public Health

Abstract

Introduction: For regionally advanced colorectal cancers resection followed by adjuvant chemotherapy (ACT) is the recommended treatment. Despite consensus on benefits, studies have shown that a significant proportion of patients do not initiate it. Among those who initiate the survival benefits of chemotherapy cannot be fully realized without completed treatment. Without supplementing treatment information from insurance claims cancer registries are inadequate for assessment of ACT utilization. This study was aimed at measuring the initiation and completion of ACT among colorectal cancer patients and identifying the associated factors.

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