Observational studyHealth services research2016
Location Isn't Everything: Proximity, Hospital Characteristics, Choice of Hospital, and Disparities for Breast Cancer Surgery Patients.
Observational study in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Value of Geographical Information Systems in Analyzing Geographic Accessibility to Inform Radiotherapy Planning: A Systematic Review.JCO global oncology · 2022Pooled it
- Inter-regional patient outmigration to Seoul in South Korea: the role of regional healthcare quality perceptions.BMC health services research · 2025Article
- Challenging selective contracting: reforms for enhancing patient empowerment in healthcare.Israel journal of health policy research · 2025Article
- Optimizing patient autonomy: a discrete choice experiment on preferences and disparities in healthcare provider selection.Health research policy and systems · 2025Article
- Structural Factors and Racial/Ethnic Inequities in Travel Times to Acute Care Hospitals in the Rural US South, 2007-2018.The Milbank quarterly · 2023Article
- Disparities in geospatial patterns of cancer care within urban counties and structural inequities in access to oncology care.Health services research · 2023Article
- Health service behaviors of migrants: A conceptual framework.Frontiers in public health · 2023Article
- African American Cancer Survivors' Perspectives on Cancer Clinical Trial Participation in a Safety-Net Hospital: Considering the Role of the Social Determinants of Health.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Breast Cancer Disparities in Asian Women: The Need for Disaggregated Research.International journal of environmental research and public health · 2022Article
- Improving Longitudinal Outcomes, Efficiency, and Equity in the Care of Patients With Congenital Heart Disease.Journal of the American College of Cardiology · 2021Article
- Evidence for racial/ethnic disparities in emergency department visits following breast cancer surgery among women in California: a population-based study.Breast cancer research and treatment · 2021Article
- Racial Disparities in Health Care Utilization at the End of Life Among New Jersey Medicaid Beneficiaries With Advanced Cancer.JCO oncology practice · 2020Article
- Hospital Characteristics and Breast Cancer Survival in the California Breast Cancer Survivorship Consortium.JCO oncology practice · 2020Article
- Patterns in Geographic Access to Health Care Facilities Across Neighborhoods in the United States Based on Data From the National Establishment Time-Series Between 2000 and 2014.JAMA network open · 2020Article
- Migration status and healthcare seeking behaviours among the Chinese labor-force: a nationally representative study.BMJ open · 2019Article
- Hospital Choice for Cataract Treatments: The Winner Takes Most.International journal of health policy and management · 2018Article
- Impacts of Neighborhood Characteristics on Treatment and Outcomes in Women with Ductal CarcinomaCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Caution Ahead: Research Challenges of a Randomized Controlled Trial Implemented to Improve Breast Cancer Treatment at Safety-Net Hospitals.Journal of oncology practice · 2018Article
- Low-Value Service Use in Provider Organizations.Health services research · 2018Article
- Hispanic Breast Cancer Patients Travel Further for Equitable Surgical Care at a Comprehensive Cancer Center.Health equity · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAssess the relative importance of proximity and other hospital characteristics in the choice of hospital for breast cancer surgery by race/ethnicity. DATA: SEER-Medicare data. STUDY
designObservational study of women aged >65 years receiving surgery for stage I/II/III breast cancer diagnosed in 1992-2007 in Detroit (N = 10,746 white/black), Atlanta (N = 4,018 white/black), Los Angeles (N = 9,433 white/black/Asian/Hispanic), and San Francisco (N = 4,856 white/black/Asian). We calculated the distance from each patient's census tract of residence to each area hospital. We estimated discrete choice models for the probability of receiving surgery at each hospital based on distance and assessed whether deviations from these predictions entailed interactions of hospital characteristics with the patient's race/ethnicity. We identified high-quality hospitals by rates of adjuvant radiation therapy and by survey measures of patient experiences, and we assessed how observed surgery rates at high-quality hospitals deviated from those predicted based on distance alone. PRINCIPAL
findingsProximity was significantly associated with hospital choice in all areas. Minority more often than white breast cancer patients had surgery at hospitals with more minority patients, those treating more Medicaid patients, and in some areas, lower quality hospitals.
conclusionsResidential location alone does not explain concentration of racial/ethnic-minority breast cancer surgery patients in certain hospitals that are sometimes of lower quality.
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