Travel-log. Autumn 1993. Statistics Canada, Ottawa, Ontario, Canada K1A 0T6. $50 annual subscription for U.S. residents

Background: The treatment of hepatocellular carcinoma (HCC) includes different therapeutic modalities and multidisciplinary tumor board reviews. The impact of geography and treatment center type (quaternary vs. non-quaternary) on access to care is unclear. Methods: A retrospective chart review was performed on HCC patients who received sorafenib in British Columbia from 2008 to 2016. Patients were grouped by Statistics Canada population center (PC) size criteria: large PC (LPC), medium PC (MPC), and small PC (SPC). Access to specialists, receipt of liver-directed therapies, and survival outcomes were compared between the groups. Results: Of 286 patients, the geographical distribution was: LPC: 75%; MPC: 16%; and SPC: 9%. A higher proportion of Asians (51% vs. 9% vs. 4%; p < 0.001), Child–Pugh A (94% vs. 83% vs. 80%; p = 0.022), and hepatitis B (37% vs. 15% vs. 4%; p < 0.001) was observed in LPC vs. MPC vs. SPC, respectively. LPC patients were more likely referred to a hepatologist (62% vs. 48% vs. 40%; p = 0.031) and undergo transarterial chemoembolization (TACE) (43% vs. 24% vs. 24%; p = 0.018). Sixty percent were treated at a quaternary center, and the median overall survival (OS) was higher for patients treated at a quaternary vs. non-quaternary center (28.0 vs. 14.6 months, respectively; p < 0.001) but similar when compared by PC size. Treatment at a quaternary center predicted an improved survival on multivariate analysis (hazard ratio (HR): 0.652; 95% confidence interval (CI): 0.503–0.844; p = 0.001). Conclusions: Geography did not appear to impact OS but patients from LPC were more likely to be referred to hepatology and undergo TACE. Treatment at a quaternary center was associated with an improved survival.

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Technologies of Democracy: Participation and Access in the University Environment

Proceedings of the Annual Conference of CAIS / Actes du congrès annuel de l'ACSI ◽

10.29173/cais519 ◽

2013 ◽

Author(s):

Stephanie Hall ◽

Naida Caidi

Keyword(s):

Digital Divide ◽

Internet Use ◽

Access To Information ◽

Canadian Government ◽

University Environment ◽

Per Capita ◽

Statistics Canada ◽

The University ◽

Physical Access

Although Canada globally ranks among the top ten countries for per capita Internet use (ITU, 2001; Statistics Canada, 2002), roughly one half of the population is till not online. The Canadian government has supported numerous initiatives aimed at bridging the 'digital divide' between technological haves and have-nots, recognizing, at the same time, that simple physical access to information. . .

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Colonoscopy and Flexible Sigmoidoscopy Practice Patterns in Ontario: A Population-Based Study

Canadian Journal of Gastroenterology ◽

10.1155/2007/817810 ◽

2007 ◽

Vol 21 (7) ◽

pp. 431-434 ◽

Cited By ~ 10

Author(s):

Susan E Schultz ◽

Chris Vinden ◽

Linda Rabeneck

Keyword(s):

Flexible Sigmoidoscopy ◽

Practice Patterns ◽

Age Groups ◽

Population Based ◽

Insurance Plan ◽

Ontario Health Insurance Plan ◽

Population Based Study ◽

The North ◽

General Surgeons ◽

Statistics Canada

OBJECTIVE: To conduct a population-based study on the provision of large bowel endoscopic services in Ontario.METHODS: Data from the following databases were analyzed: the Ontario Health Insurance Plan, the Institute for Clinical Evaluative Sciences Physicians Database and Statistics Canada. The flexible sigmoidoscopy and colonoscopy rates per 10,000 persons (50 to 74 years of age) by region between April 1, 2001, and March 31, 2002, were calculated, as well as the numbers and types of physicians who performed each procedure.RESULTS: In 2001/2002, a total of 172,108 colonoscopies and 43,400 flexible sigmoidoscopies were performed in Ontario for all age groups. The colonoscopy rate was approximately five times that of flexible sigmoidoscopy; rates varied from 463.1 colonoscopies per 10,000 people in the north to 286.8 colonoscopies per 10,000 people in the east. Gastroenterologists in all regions tended to perform more procedures per physician, but because of the large number of general surgeons, the total number of procedures performed by each group was almost the same.CONCLUSION: Population-based rates of colonoscopies and flexible sigmoidoscopies are low in Ontario, as are the procedure volumes of approximately one-quarter of physicians.

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