Is long travel distance a barrier to surgical cancer care in the United States? A systematic review

被引：11

作者：

Herb, Joshua ^{[1
,2
]}

Shell, Mary ^{[3
]}

Carlson, Rebecca ^{[4
]}

Stitzenberg, Karyn ^{[1
,5
]}

机构：

[1] Univ N Carolina, Dept Surg, 4001 Burnett Womack Bldg,CB 7050, Chapel Hill, NC 27599 USA

[2] Cecil G Sheps Ctr Hlth Serv Res, 725 Martin Luther King Jr Blvd, Chapel Hill, NC 27516 USA

[3] Univ N Carolina, Sch Med, 321 South Columbia St, Chapel Hill, NC 27516 USA

[4] Univ N Carolina, Hlth Sci Lib, 335 South Columbia St, Chapel Hill, NC 27599 USA

[5] Lineberger Comprehens Canc Ctr, 101 Manning Dr, Chapel Hill, NC 27514 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2021年 / 222卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

Travel distance; Travel time; Surgery; Cancer; HOSPITAL VOLUME; MORTALITY; SURVIVAL; SURGERY; REGIONALIZATION;

D O I：

10.1016/j.amjsurg.2020.12.005

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：305 / 310

页数：6

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