Association of age with treatment at high-volume hospitals and distance traveled for care, in patients with rectal cancer who seek curative resection

被引：7

作者：

Lee, Grace C. ^{[1
,2
]}

Sell, Naomi M. ^{[1
,2
]}

Cavallaro, Paul M. ^{[1
,2
]}

Francone, Todd D. ^{[1
,2
]}

Bordeianou, Liliana G. ^{[1
,2
]}

Ricciardi, Rocco ^{[1
,2
]}

Lipsitz, Lewis A. ^{[3
,4
]}

Kunitake, Hiroko ^{[1
,2
,5
]}

机构：

[1] Newton Wellesley Hosp, Dept Surg, Div Gen & Gastrointestinal Surg, Sect Colon & Rectal Surg, Newton, MA 02462 USA

[2] Massachusetts Gen Hosp, Dept Surg, Div Gen & Gastrointestinal Surg, Sect Colon & Rectal Surg, Boston, MA 02114 USA

[3] Beth Israel Deaconess Med Ctr, Dept Med, Div Gerontol, Boston, MA 02215 USA

[4] Marcus Inst Aging Res, Hebrew Sr Life, Roslindale, MA 02131 USA

[5] Massachusetts Gen Hosp, Div Gen & Gastrointestinal Surg, 15 Parkman St,WAC 4-460, Boston, MA 02114 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2022年 / 223卷 / 05期

基金：

美国国家卫生研究院;

关键词：

Rectal cancer; Older patients; Hospital volume; Travel burden; SURGERY; PLEDGE; OUTCOMES; ACCESS;

D O I：

10.1016/j.amjsurg.2021.09.020

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The association between volume and outcomes has led to recommendations that patients undergo surgery at high-volume centers. We aimed to determine if older patients with rectal cancer are undergoing operations at high-volume centers.Methods: We identified patients >= 50 years old who underwent rectal cancer resection using the NCDB (2004-2015). Tertiles were used to categorize facility volume and distance traveled.Results: Higher facility volume was associated with improved outcomes. Patients >75 years old were less likely than patients 50-59 years old to be treated at high-volume centers. Traveling >16.8 miles was associated with treatment at high-volume facilities, however patients >75 years old were less likely to travel >16.8 miles. Conclusions: Higher facility volume is associated with improved outcomes after rectal cancer resection. However, older patients are less likely to be treated at high-volume facilities. Older patients travel shorter distances for care, suggesting that care integration across networks must be optimized.

引用

页码：848 / 854

页数：7

共 26 条

[1] Patient Mobility for Elective Secondary Health Care Services in Response to Patient Choice Policies: A Systematic Review [J].