Is long travel distance a barrier to surgical cancer care in the United States? A systematic review - 26/07/21

Doi : 10.1016/j.amjsurg.2020.12.005

Joshua Herb ^a,^b,^⁎ , Mary Shell ^c, Rebecca Carlson ^d, Karyn Stitzenberg ^a,^e
^a Department of Surgery, University of North Carolina at Chapel Hill, 4001 Burnett-Womack Building, CB#7050, Chapel Hill, NC, 27599, United States
^b Cecil G. Sheps Center for Health Services Research, 725 Martin Luther King Jr. Blvd, Chapel Hill, NC, 27516, United States
^c School of Medicine, University of North Carolina at Chapel Hill, 321 South Columbia St, Chapel Hill, NC, 27516, United States
^d Health Sciences Library, University of North Carolina at Chapel Hill, 335 South Columbia St, Chapel Hill, NC, 27599, United States
^e Lineberger Comprehensive Cancer Center, 101 Manning Drive, Chapel Hill, NC, 27514, United States

^∗Corresponding author. Division of Surgical Oncology, CB#7213 UNC Department of Surgery Chapel Hill, NC, 27599, United States.Division of Surgical OncologyCB#7213 UNC Department of Surgery Chapel HillNC27599United States

Abstract

Background

Travel distance to surgical cancer care is increasing. The relationship between increased travel distance and receipt of surgical cancer care in the United States is not well characterized.

Methods

A systematic review of studies examining travel distance and receipt of surgery for adult patients in the United States was performed. Literature searches were conducted using PubMed and EMBASE.

Results

Seven studies were included. Only one found lower likelihood of surgery with increasing travel distance. Three studies, all based on hospital-based data, found that increased travel distance was associated with a higher likelihood of receiving surgery. Two studies found no association and one study had mixed findings.

Conclusion

We were unable to identify a consistent relationship between travel distance and receipt of surgery. Our results highlight the need for additional research examining how increasing travel distance impacts receipt of surgical cancer care.

Le texte complet de cet article est disponible en PDF.

Highlights

•	No clear relationship between patient travel distance and receipt of cancer surgery.
•	Large database analyses heterogenous and limited.
•	Other methodologies needed to further understand this relationship.

Le texte complet de cet article est disponible en PDF.

Keywords : Travel distance, Travel time, Surgery, Cancer

Plan

Introduction

Methods

Design and study sources

Inclusion and exclusion criteria

Study characteristics

Summary measures

Quality assessment and limitations

Discussion

Conclusion

Funding

Export

Vol 222 - N° 2

P. 305-310 - août 2021 Retour au numéro

Article précédent

Trends in blood pressure-related outcomes after adrenalectomy in patients with primary aldosteronism: A systematic review
Diederik P.D. Suurd, Wessel M.C.M. Vorselaars, Dirk-Jan Van Beek, Wilko Spiering, Inne H.M. Borel Rinkes, Gerlof D. Valk, Menno R. Vriens

| Article suivant

A systematic review and meta-analysis of surgery delays and survival in breast, lung and colon cancers: Implication for surgical triage during the COVID-19 pandemic
Brett A. Johnson, Anthony C. Waddimba, Gerald O. Ogola, James W. Fleshman, John T. Preskitt

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Is long travel distance a barrier to surgical cancer care in the United States? A systematic review - 26/07/21

Abstract

Background

Methods

Results

Conclusion

Highlights

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL