Journal articles
Inequity in access to personalized medicine in France: Evidences from analysis of geo variations in the access to molecular profiling among advanced non-small-cell lung cancer patients: Results from the IFCT Biomarkers France Study
Abstract : In this article, we studied geographic variation in the use of personalized genetic testing for advanced non-small cell lung cancer (NSCLC) and we evaluated the relationship between genetic testing rates and local socioeconomic and ecological variables. We used data on all advanced NSCLC patients who had a genetic test between April 2012 and April 2013 in France in the frame of the IFCT Biomarqueurs-France study (n = 15814). We computed four established measures of geographic variation of the sex-adjusted rates of genetic testing utilization at the "départment" (the French territory is divided into 94 administrative units called 'départements') level. We also performed a spatial regression model to determine the relationship between département-level sex-adjusted rates of genetic testing utilization and economic and ecological variables. Our results are the following: (i) Overall, 46.87% lung cancer admission patients obtained genetic testing for NSCLC; département-level utilization rates varied over 3.2-fold. Measures of geographic variation indicated a relatively high degree of geographic variation. (ii) there was a statistically significant relationship between genetic testing rates and per capita supply of general practitioners, radiotherapists and surgeons (negative correlation for the latter); lower genetic testing rates were also associated with higher local poverty rates. French policymakers should pursue effort toward deprived areas to obtain equal access to personalized medicine for advanced NSCLC patients.
Cited literature [25 references]
https://hal-amu.archives-ouvertes.fr/hal-02888579
Contributor : l'Houcine Ouafik Connect in order to contact the contributor
Submitted on : Friday, July 3, 2020 - 10:17:06 AM
Last modification on : Wednesday, November 3, 2021 - 4:07:28 AM
Long-term archiving on: : Thursday, September 24, 2020 - 6:52:32 AM
Contributor : l'Houcine Ouafik Connect in order to contact the contributor
Submitted on : Friday, July 3, 2020 - 10:17:06 AM
Last modification on : Wednesday, November 3, 2021 - 4:07:28 AM
Long-term archiving on: : Thursday, September 24, 2020 - 6:52:32 AM
File
journal.pone.0234387.pdf
Publisher files allowed on an open archive
Licence
Distributed under a Creative Commons Attribution 4.0 International License