Travel burden and bypassing closest site for surgical cancer treatment for urban and rural oncology patients
Most Medicare beneficiaries with lung, colon, rectal, or pancreatic cancer bypassed the closest facility providing surgical cancer care, especially rural patients. Bypassing was associated with a lower likelihood of 90-day postoperative, and 1-year mortality. Understanding determinants of bypassing, particularly among rural patients, may reveal potential mechanisms to improve cancer outcomes and reduce rural cancer disparities.
Authors
- Qianfei Wang (ORCID: https://orcid.org/0000-0002-6297-3954)
- Anna N.A. Tosteson (ORCID: https://orcid.org/0000-0001-7718-8943)
- Andrew P. Loehrer (ORCID: https://orcid.org/0000-0001-7747-224X)
- Taressa Fraze (ORCID: https://orcid.org/0000-0002-8346-6425)
- Sandra L. Wong (ORCID: https://orcid.org/0000-0002-8594-6086)
- A. James O’Malley (ORCID: https://orcid.org/0000-0001-8389-6217)
- Gabriel A. Brooks (ORCID: https://orcid.org/0000-0003-3984-9995)
- Tracy Onega (ORCID: https://orcid.org/0000-0002-1633-3040)
- Niveditta Ramkumar (ORCID: https://orcid.org/0000-0002-4165-7426)
- Rebecca E. Smith (ORCID: https://orcid.org/0000-0001-6015-400X)
- Nirav S. Kapadia (ORCID: https://orcid.org/0000-0001-7230-5784)
Institutions
- Dartmouth College (US)
- Dartmouth Institute for Health Policy and Clinical Practice (US)
- Dartmouth–Hitchcock Medical Center (US)
- Emory University (US)
- University of California, San Francisco (US)
- University of Utah (US)
- Huntsman Cancer Institute (US)
- Dartmouth Cancer Center
Publication Details
- Journal
- The Journal of Rural Health
- Published
- 2024-10-12
- DOI
- https://doi.org/10.1111/jrh.12890
- Citations
- 5
- Primary Topic
- COVID-19 and healthcare impacts
- Type
- article
- Field-Weighted Citation Impact
- 1.41
Funders
- National Cancer Institute