ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019
Impact of Travel Time on Health Care Costs and Resource Use by Phase of Care for Older Patients With Cancer.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.
What it found
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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.
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Who cites it
63 citing papers in PubMed.
- Trial
- Characterizing the Objective Time Spent on Health Care Activities in Clinic and at Home for Patients With Cancer.Cancer medicine · 2026Article
- Prioritizing radiotherapy infrastructure in depopulating societies: a 2050 blueprint from Akita, Japan.Journal of radiation research · 2026Article
- Crowding-out effect of out-of-pocket expenditure on non-communicable diseases in sub-Saharan Africa: a Nigerian case study.International health · 2026Article
- Trends and current status in anticancer therapy for older patients with non-small cell lung cancer in Japan, 2016-2021.International journal of clinical oncology · 2026Article
- Examining health system stakeholder-reported barriers and solutions to foregut cancer care.American journal of surgery · 2026Article
- Impact of linear programming-based optimization of pediatric hospital location and quantity on patient travel time in Germany.BMC health services research · 2026Article
- Travel Distance and Its Impact on Wait Time for Positron Emission Tomography-Computed Tomography in Patients with Cancers.International journal of environmental research and public health · 2025Article
- Factors Associated With Readmission to Index vs. Non-Index Hospitals After Major Cancer Surgery.Cancer medicine · 2025Article
- Assessing Healthcare Access in Rural Algeria: A Survey-Based Cross-Sectional Analysis of Healthcare Utilization Based on Socioeconomic and Health Factors, Experiences, and Spatial Disparities.Health science reports · 2025Article
- Nurse-Directed coordination of cancer survivorship care in a tribal primary care clinic.BMC primary care · 2025Article
- Comparative Outcomes of Standard Radiation Therapy and 5-Fraction Adaptive Stereotactic Radiation Therapy in Newly Diagnosed Glioblastoma: A Propensity Score-Matched Analysis.Advances in radiation oncology · 2025Article
- Route and efficiency analysis of cancer health care (REACH): Investigating sociodemographic and rurality of metastatic breast cancer patients at an NCI-designated facility.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Children with medulloblastoma treated with modified ACNS0821 temozolomide, irinotecan, and bevacizumab: The Seattle Children's Hospital experience.Neuro-oncology practice · 2025Article
- "It really takes a village": perspectives on multi-level barriers to endometrial cancer care for rural patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Drive Time to Physicians and Outcomes for Bladder Cancer.JU open plus · 2025Article
- Impact of travel costs on disparities in precision oncology clinical trials.ESMO real world data and digital oncology · 2025Article
- Exploring access to critical health services for older adults in rural America from 1990 to 2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Sociodemographic Factors and Utilization of Pediatric Oncology Satellite Clinics in Ontario, Canada.JAMA network open · 2024Article
- Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeMany community cancer clinics closed between 2008 and 2016, with additional closings potentially expected. Limited data exist on the impact of travel time on health care costs and resource use.
methodsThis retrospective cohort study (2012 to 2015) evaluated travel time to cancer care site for Medicare beneficiaries age 65 years or older in the southeastern United States. The primary outcome was Medicare spending by phase of care (ie, initial, survivorship, end of life). Secondary outcomes included patient cost responsibility and resource use measured by hospitalization rates, intensive care unit admissions, and chemotherapy-related hospitalization rates. Hierarchical linear models with patients clustered within cancer care site (CCS) were used to determine the effects of travel time on average monthly phase-specific Medicare spending and patient cost responsibility.
resultsMedian travel time was 32 (interquartile range, 18-59) minutes for the 23,382 included Medicare beneficiaries, with 24% of patients traveling longer than 1 hour to their CCS. During the initial phase of care, Medicare spending was 14% higher and patient cost responsibility was 10% higher for patients traveling longer than 1 hour than those traveling 30 minutes or less. Hospitalization rates were 4% to 13% higher for patients traveling longer than 1 hour versus 30 minutes or less in the initial (61
conclusionAs health care locations close, patients living farther from treatment sites may experience more limited access to care, and health care spending could increase for patients and Medicare.
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