Navigation Links
Does the distance a patient has to travel affect where they choose to get their care?
Date:8/31/2009

PHILADELPHIA (August 28, 2009)Do patients choose where to get their care based on how long it takes to them to get there? Researchers at Fox Chase Cancer Center have recently documented a growing trend in the centralization of cancer surgerymore patients seeking care at high volume centers, which are generally located in metropolitan areas. While trends like this should improve patient outcomes, a study published in the Journal of Clinical Oncology shows that there are still a good number of patients who will not travel a long distance to get their care.

"Based on results of previous studies, patient outcomes should be improved with centralization of cancer surgery, however, we are concerned that the long distances patients may need to travel will serve as a barrier to access to high volume centers," says Karyn Stitzenberg, M.D., M.P.H., who led the study while at Fox Chase and is currently adjunct assistant professor for the Department of Health Policy and Management at University of North Carolina. "Centralization at high volume centers comes with a cost, as some patients may need to travel long distances to reach high volume centers. These increased travel distances may pose a significant barrier to quality cancer care for some subsets of the population."

The study used discharge data from 1996-2006 for hospitals in New York, New Jersey and Pennsylvania. Patients ages 18 and over who were treated with surgery for colorectal, esophageal or pancreatic cancer were included. Over 272,000 procedures met criteria for inclusion in the study, specifically 5,273 esophageal, 13,472 pancreatic, 202,879 colon and 51,262 rectal procedures.

A shift from low volume to high volume centers occurred to varying degrees for esophageal, pancreatic and colon cancer procedures. The change was the greatest for esophageal and pancreatic cancer, which are less common than cancers of the colon and rectum. In contrast to 1996, the vast majority of procedures for these less common cancers are now performed at high volume centers.

Among the study population, travel distance increased for all patients, but more so for patients with less common cancers. For example, travel distance increased 72 percent for patients with esophageal cancer, compared to 17 percent for patients with colon cancer.

"Our study demonstrated that the increase in travel distance was a direct result of the trend toward centralization at high volume centers," adds Elin Sigurdson, M.D. Ph.D., F.A.C.S., head of surgical research at Fox Chase and co-author on the study. "This study also confirms what others have found, that disparities of cancer care exist. Since disadvantaged patients are more likely to remain at low volume centers, we worry that travel may increasingly serve as a barrier for these patients, especially during tough economic times."


'/>"/>

Contact: Diana Quattrone
Diana.Quattrone@fccc.edu
215-728-7784
Fox Chase Cancer Center
Source:Eurekalert

Related medicine news :

1. Study sees transient heart dysfunction in some long-distance runners
2. Distance No Bar to Kidney Transplants in Remote Areas
3. McGraw-Hill Higher Education Joins Forces with Hands-On Labs to Enhance Distance Science Learning
4. Marathoners Go the Distance on Heart Health
5. Not just a long-distance relationship: Immune cells in skin fight off infection better than the rest
6. The New Crystalens HD Gives Many Baby Boomers and Seniors an Opportunity to See Clearly at All Distances while Reducing or Eliminating the Need for Glasses
7. UQ research finds speech disorders can be assessed from a distance
8. Biofeedback Workshops & Distance Learning Offer Credits and Training Options
9. Scientists shed light on long-distance signaling in developing neurons
10. Increased distance to physician associated with thicker skin cancer at diagnosis
11. CPF Submits Comments to CMS to Save Only Effective Therapy Available to PF Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 2016 , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect ... videos a whole new perspective by using the title layers in ProSlice Levels ... , ProSlice Levels contains over 30 Different presets to choose from. FCPX ...
(Date:6/25/2016)... ... 2016 , ... Austin residents seeking Mohs surgery services, can now turn to ... Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to ... fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... recover from injury. Recently, he has implemented orthobiologic procedures as a method for ... is one of the first doctors to perform the treatment. Orthobiologics are substances ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort ... holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain ... Disease (SCD) is a disorder of the red blood cells, which can cause episodes ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, ... and the Road To Recovery® program to drive cancer patients to and from their ... to ensure the highest quality of life and ongoing independence. Getting to and ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
Breaking Medicine Technology: