Rurality and cancer surgery in the United States - 08/11/12
Corresponding author. Tel.: +1-612-626-2991; fax: +1-612-625-4406Abstract |
Background |
Rurality adversely impacts the continuum of cancer care. However, investigations of rural cancer surgery are notably absent. We examined patterns and outcomes of oncologic resections at rural US hospitals.
Methods |
We identified 928,370 hospital admissions in which 1 of 20 oncologic resections was performed using the 1998 to 2009 Nationwide Inpatient Sample. Logistic regression examined predictors of rurality and the adjusted likelihood of in-hospital mortality at rural and urban hospitals.
Results |
The fraction of procedures performed at rural hospitals decreased from 12% to 6%. Older age, non-Hispanic white race, and fewer comorbidities predicted rurality. Rural hospitals did not have worse mortality, however, rurality significantly augmented mortality among recipients of complex cancer surgery.
Conclusions |
Rural hospitals had comparable mortality overall, but delivered poorer outcomes for certain groups. Future research should explore these variations as cancer care is increasingly centralized.
Le texte complet de cet article est disponible en PDF.Keywords : Cancer treatment, Surgical oncology, Patterns of care, Rural health care, Outcomes
Plan
| Supported by Enhancing Minority Participation in Clinical Trials (EMPaCT - 5RC2MD004797-02) and the Center for Health Equity, funded by the National Institute for Minority Health Disparities 1P60MD003422. |
Vol 204 - N° 5
P. 569-573 - novembre 2012 Retour au numéro
Article précédent
- Derivation and out-of-sample validation of a modeling system to predict length of surgery
- Panagiotis Kougias, Vikram Tiwari, Sonia Orcutt, Amber Chen, George Pisimisis, Neal R. Barshes, Carlos F. Bechara, David H. Berger
- The association between body mass index and severe biliary infections: a multivariate analysis
- Lygia Stewart, J. McLeod Griffiss, Gary A. Jarvis, Lawrence W. Way
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 ?