NEPA Vital Signs - Winter Spring 2019 - 8

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where you are traveling, such a trip might already increase one's
risk of infection, regardless of a cancer diagnosis. Busy, crowded
places such as airport terminals and bus stations can increase
the chance of catching an illness by contacting an infected person or something that they have had contact with. Some more
region-specific considerations may include water/food-borne
illness or diseases spread by insects. Travelers headed to some
destinations are recommended to receive vaccinations against
diseases that are not necessarily a threat in the United States. For
some people with compromised immune systems, these vaccines
may not effectively produce the desired immunity or may even
be unable to be administered depending on the type of vaccine.5
It is important to consult with a travel medicine specialist and/
or an infectious disease specialist for overseas travel to develop
an appropriate strategy.

920 Viewmont Drive, Dickson City

Talk to your doctors!

570-346-1464

* Open NIGHTS and WEEKENDS for Well & Urgent Care
* We now have walk in* sick hours Monday - Friday,
7:45 - 9 am & 4 - 5 pm. (*established patients only)
* Proud to be Serving Our Community Since 1977
* Prenatal Visits *Accepting New Patients

Visit us at www.pedsofnepa.com

In summary, there are a wide variety of factors to consider
when deciding if it is reasonable to travel after receiving a
cancer diagnosis. Although the information provided here may
help inform some of your questions and thinking, there really is
no substitute for an open discussion with your physicians who
understand your unique circumstances and condition.

* Timothy D. Welby M.D.
* Kate A. Tigue M.D.
* John H. Marx M.D.
* Debra S. Georgetti M.D.
* April Troy M.D.
* Kathryn Horutz PA-C
* Dawn Strong PA-C

References
1. De Ruysscher D, Pijls-Johannesma M, Bentzen SM, et al. Time Between the First Day of Chemotherapy
and the Last Day of Chest Radiation Is the Most Important Predictor of Survival in Limited-Disease
Small-Cell Lung Cancer. Journal of Clinical Oncology. 2006;24(7):1057-1063.
2. Dong Y, Li T, Churilla TM, et al. Effects of Time to Treatment on Biochemical and Clinical Outcomes for
Patients With Prostate Cancer Treated With Definitive Radiation. Clinical Genitourinary Cancer. 2016;14(5).
3. Girinsky T, Rey A, Roche B, et al. Overall treatment time in advanced cervical carcinomas: A critical
parameter in treatment outcome. International Journal of Radiation Oncology*Biology*Physics.
1993;27(5):1051-1056.
4. Graf R, Wust P, Hildebrandt B, et al. Impact of Overall Treatment Time on Local Control of Anal
Cancer Treated with Radiochemotherapy. Oncology. 2003;65(1):14-22.
5. Mikati T, Taur Y, Seo SK, Shah MK. International Travel Patterns and Travel Risks of Patients Diagnosed
With Cancer. Journal of Travel Medicine. 2013;20(2):71-77.
6. Murphy CT, Galloway TJ, Handorf EA, et al. Survival Impact of Increasing Time to Treatment
Initiation for Patients With Head and Neck Cancer in the United States. Journal of Clinical Oncology.
2016;34(2):169-178.
7. Olivotto IA, Lesperance ML, Truong PT, et al. Intervals Longer Than 20 Weeks From Breast-Conserving
Surgery to Radiation Therapy Are Associated With Inferior Outcome for Women With Early-Stage Breast
Cancer Who Are Not Receiving Chemotherapy. Journal of Clinical Oncology. 2009;27(1):16-23.

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VITAL SIGNS
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NEPA Vital Signs - Winter Spring 2019

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