Lack of access to a vehicle was associated with the underuse of chemotherapy. Even in non-rural populations, transportation barriers are associated with the underuse of chemotherapy. Given the effectiveness of modern chemotherapy for palliation and prolonged survival, patients without reliable transportation may not have lived as long as those with reliable transportation.
CitationR.G. Salloum, T.J. Smith, G.A. Jensen, and J.E. Lafata. (2011). Factors associated with adherence to chemotherapy guidelines in patients with non-small cell lung cancer. Lung cancer (Amsterdam, Netherlands), 75(2), 255-60. doi: 10.1016/j.lungcan.2011.07.005
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