ASO Author Reflections: Centralization of High-Risk Cancer Surgery and Implications for Vulnerable Communities.

Published on Jul 18, 2020in Annals of Surgical Oncology5.344
· DOI :10.1245/S10434-020-08875-Y
Adrian Diaz12
Estimated H-index: 12
(The Ohio State University Wexner Medical Center),
Timothy M. Pawlik121
Estimated H-index: 121
(The Ohio State University Wexner Medical Center)
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Abstract
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References5
Newest
#1Shaheen Kurani (Mayo Clinic)H-Index: 4
#2Rozalina G. McCoy (Mayo Clinic)H-Index: 23
Last. Nilay Shah (Mayo Clinic)H-Index: 118
view all 12 authors...
Importance Despite advances in cancer treatment and cancer-related outcomes, disparities in cancer mortality remain. Lower rates of cancer prevention screening and consequent delays in diagnosis may exacerbate these disparities. Better understanding of the association between area-level social determinants of health and cancer screening may be helpful to increase screening rates. Objective To examine the association between area deprivation, rurality, and screening for breast, cervical, and colo...
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#1Jonathan F. Finks (UM: University of Michigan)H-Index: 22
#2Nicholas H. Osborne (UM: University of Michigan)H-Index: 21
Last. John D. Birkmeyer (UM: University of Michigan)H-Index: 108
view all 3 authors...
Background There were numerous efforts in the United States during the previous decade to concentrate selected surgical procedures in high-volume hospitals. It remains unknown whether referral patterns for high-risk surgery have changed as a result and how operative mortality has been affected. Methods We used national Medicare data to study patients undergoing one of eight different cancer and cardiovascular operations from 1999 through 2008. For each procedure, we examined trends in hospital v...
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#1Karyn B. Stitzenberg (UNC: University of North Carolina at Chapel Hill)H-Index: 20
#2Elin R. SigurdsonH-Index: 46
Last. Neal J. MeropolH-Index: 64
view all 5 authors...
Purpose The volume-outcomes relationship has led many to advocate centralization of cancer procedures at high volume hospitals (HVH). We hypothesized that in response cancer surgery has become increasingly centralized and that this centralization has resulted in increased travel burden for patients. Patients and Methods Using 1996 to 2006 discharge data from NY, NJ, PA, all patients ≥ 18 years old treated with extirpative surgery for colorectal, esophageal, or pancreatic cancer were examined. Pa...
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#1John D. Birkmeyer (Dartmouth–Hitchcock Medical Center)H-Index: 108
#2Andrea E. SiewersH-Index: 16
Last. David C. GoodmanH-Index: 49
view all 4 authors...
ContextGiven the strong volume-outcome relationships observed with many surgical procedures, restricting some procedures to hospitals exceeding a minimum volume standard is advocated. However, such regionalization policies might cause unreasonable travel burdens for surgical patients.ObjectiveTo estimate how minimum volume standards for esophagectomy and pancreatic resection would affect how long patients must travel for these procedures.Design, Setting, and PatientsSimulated trial based on Medi...
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Cited By1
Newest
#1Rosevine A Azap (The Ohio State University Wexner Medical Center)H-Index: 4
#2J.M. Hyer (The Ohio State University Wexner Medical Center)H-Index: 2
Last. Timothy M. Pawlik (The Ohio State University Wexner Medical Center)H-Index: 121
view all 6 authors...
INTRODUCTION The objective of this study was to characterize time from cancer symptoms to diagnosis and time from diagnosis to surgical treatment among patients undergoing pancreatectomy for cancer. METHODS Medicare beneficiaries who underwent pancreatectomy for cancer between 2013 and 2017 were identified using the 100% Medicare Inpatient Standard Analytic Files. Mixed effects negative binomial regression models were utilized to determine which factors were associated with the number of weeks t...
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