ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2008
Access to cancer services for rural colorectal cancer patients.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
85 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The enablers, barriers and preferences of accessing radiation therapy facilities in the rural developed world - a systematic review.BMC cancer · 2017Pooled it
- Feasibility of a Remote Patient Video Education Intervention to Improve Care Coordination for Rural Cancer Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Trial
- Trial
- Trial
- The Role of Health Literacy in Gastrointestinal Cancer Patients' Surgical Journey: A Qualitative Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Rurality and Use of Metastasis-Directed Therapies for Medicare Beneficiaries with Metastatic Colon Cancer: A Retrospective Cohort Study.Annals of surgical oncology · 2026Article
- Patient Perspectives on Virtual vs In-Person Posttreatment Care for Brain Metastases.Advances in radiation oncology · 2025Article
- Patients' peri-operative experiences with non-pharmacologic pain care techniques: a secondary qualitative analysis of the NOHARM trial.BMC complementary medicine and therapies · 2025Observational
- Patient-Reported Barriers to Foregut Cancer Care in the Deep South.Annals of surgical oncology · 2025Article
- Barriers to Adherence to Standard of Care in Appalachia: A Qualitative Assessment in Gastrointestinal Cancers.Patient preference and adherence · 2025Article
- Geographic distance to Commission on Cancer-accredited and nonaccredited hospitals in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Review
- Impact of Location of Residence and Distance to Cancer Centre on Medical Oncology Consultation and Neoadjuvant Chemotherapy for Triple-Negative and HER2-Positive Breast Cancer.Current oncology (Toronto, Ont.) · 2024Article
- Providers' and survivors' perspectives on the availability and accessibility of surgery in gastrointestinal cancer care.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024Article
- Choreographed expansion of services results in decreased patient burden without compromise of outcomes: An assessment of the Ontario experience.Neuro-oncology practice · 2024Article
- Distance Traveled and Disparities in Patients Undergoing Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy.Annals of surgical oncology · 2024Article
- Rural and Urban Hispanic Patients of the Veterans Health Administration.Journal of racial and ethnic health disparities · 2023Article
- Article
- Influence of depression on breast cancer treatment and survival: A Kentucky population-based study.Cancer · 2023Article
- Access To Oncology Services In Rural Areas: Influence Of The 340B Drug Pricing Program.Health affairs (Project Hope) · 2023Article
25 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
contextCancer care requires specialty surgical and medical resources that are less likely to be found in rural areas. PURPOSE: To examine the travel patterns and distances of rural and urban colorectal cancer (CRC) patients to 3 types of specialty cancer care services--surgery, medical oncology consultation, and radiation oncology consultation.
methodsDescriptive cross-sectional study using linked Surveillance, Epidemiology, and End Results (SEER) cancer registry and Medicare claims data for 27,143 individuals ages 66 and older diagnosed with stages I through III CRC between 1992 and 1996.
findingsOver 90% of rural CRC patients lived within 30 miles of a surgical hospital offering CRC surgery, but less than 50% of CRC patients living in small and isolated small rural areas had a medical or radiation oncologist within 30 miles. Rural CRC patients who traveled outside their geographic areas for their cancer care often went great distances. The median distance traveled by rural cancer patients who traveled to urban cancer care providers was 47.8 miles or more. A substantial proportion (between 19.4% and 26.0%) of all rural patients bypassed their closest medical and radiation oncology services by at least 30 miles.
conclusionsRural CRC patients often travel long distances for their CRC care, with potential associated burdens of time, cost, and discomfort. Better understanding of whether this travel investment is paid off in improved quality of care would help rural cancer patients, most of whom are elderly, make informed decisions about how to use their resources during their cancer treatment.
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