Geographic and sociodemographic access to systemic anticancer therapies for secondary breast cancer: a systematic review

ConclusionsTreatment receipt varied depending upon type of SACT. A number of factors were associated with treatment receipt. Barriers included older age, non-White race, lower socioeconomic status, significant comorbidities, hospital setting and geographical location. Findings should however be interpreted with caution given the limitations in overall methodological quality of included studies and significant heterogeneity in measures of exposure and outcome. Generalisability was limited due to included study populations.Findings have practical implications for the development and piloting of targeted interventions to address specific barriers in a socioculturally sensitive manner. Addressing geographical variation and place of care may require intervention at a commissioning policy level. Further qualitative research is required to understand the experience and of women and clinicians.Systematic review registrationPROSPERO CRD42020196490
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research