ArticleDisaster medicine and public health preparedness2024
Treatment Interruptions and Mortality Among Puerto Rican Women With Gynecologic Cancers in Puerto Rico After Hurricanes Irma and María: A Retrospective Cohort Study.
Article in Disaster medicine and public health preparedness, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Community Dynamics in a Changing World: highlights from the 1st Puerto Rico & Caribbean Microbiome Symposium and vision for a new microbiome hub.Sustainable microbiology · 2026Article
- Environmental exposures, microbiome dynamics and chronic disease risk in climate-vulnerable regions: interdisciplinary perspectives from Puerto Rico.Frontiers in public health · 2026Review
- Excess mortality and associated community risk factors related to hurricane Maria in Puerto Rico.Environmental research, health : ERH · 2025Article
- Post-hurricane related flooding and essential services interruptions, and their impact on the quality of life of women with gynecological cancer in Puerto Rico.The journal of climate change and healthArticle
- Climate concerns and extreme weather event impacts on people with cancer and cancer caregivers in Puerto Rico.The journal of climate change and healthArticle
- Single-institution Experience for Interrupted Radiotherapy in Magnetic Resonance Guided Accelerator.Journal of medical physicsArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveCancer patients are among the most vulnerable populations during and after a disaster. We evaluated the impact of treatment interruption on the survival of women with gynecologic cancer in Puerto Rico following Hurricanes Irma and María.
methodsA retrospective cohort study among a clinic-based sample of women with gynecological cancer diagnosed between January 2016 and September 2017 (n = 112) was done. Women were followed from their diagnosis until December 2019, to assess vital status. Kaplan-Meier survival curves and Cox proportional hazards models were performed.
resultsMean age was 56 (± 12.3) years; corpus uteri (58.9%) was the most common gynecologic cancer. Predominant treatments were surgery (91.1%) and chemotherapy (44.6%). Overall, 75.9% were receiving treatment before the hurricanes, 16.1% experienced treatment interruptions, and 8.9% died during the follow-up period. Factors associated with treatment interruption in bivariate analysis included younger age (≤55 years), having regional/distant disease, and receiving > 1 cancer treatment (
conclusionsFindings underscore the detrimental impact of treatment interruption on cancer survival in the aftermath of hurricanes, emphasizing the need for emergency response plans for this vulnerable population.
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Registered trials
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