Rurality and cancer surgery in the United States

Abraham Markin; Elizabeth B. Habermann; Christopher J. Chow; Yanrong Zhu; Selwyn M. Vickers; Waddah B. Al-Refaie

doi:10.1016/j.amjsurg.2012.07.012

Rurality and cancer surgery in the United States

Abraham Markin, Elizabeth B. Habermann, Christopher J. Chow, Yanrong Zhu, Selwyn M. Vickers, Waddah B. Al-Refaie

Surgery

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26 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	569-573
Number of pages	5
Journal	American journal of surgery
Volume	204
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2012.07.012
State	Published - Nov 2012

Bibliographical note

Funding Information:
Supported by the 2008 Veterans of Foreign Wars and its Ladies Auxiliary Surgical Oncology Research Award, the Enhancing Minority Participation in Clinical Trials ( EMPaCT ; 5RC2MD004797-02 ) grant, and by the Center for Health Equity, funded by the National Institute for Minority Health Disparities 1P60MD003422 .

Keywords

Cancer treatment
Outcomes
Patterns of care
Rural health care
Surgical oncology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Rurality and cancer surgery in the United States",

abstract = "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.",

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AU - Zhu, Yanrong

AU - Vickers, Selwyn M.

AU - Al-Refaie, Waddah B.

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Rurality and cancer surgery in the United States

Abstract

Bibliographical note

Keywords

UN SDGs

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