Evidence map›Paper›PMID 32075615›Full record

SynthesisBMC public health2020

Are patients willing to accept longer travel times to decrease their risk associated with surgical procedures? A systematic review.

Stefanie Bühn, Jakob Holstiege, Dawid Pieper

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2020. 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.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  16. National Economic Conditions May Impact the Financial Barriers to Travel for Cancer Operations.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Stefanie BühnInstitute for Research in Operative Medicine, Faculty of Health, School of Medicine, University Witten/Herdecke, Ostmerheimer Str. 200, Building 38, D-51109, Cologne, Germany. Stefanie.Buehn@uni-wh.de.
Jakob HolstiegeCentral Research Institute of Ambulatory Health Care in Germany (Zi), Salzufer 8, D-10587, Berlin, Germany.
Dawid PieperInstitute for Research in Operative Medicine, Faculty of Health, School of Medicine, University Witten/Herdecke, Ostmerheimer Str. 200, Building 38, D-51109, Cologne, Germany.
Witten/Herdecke University · DECentral Institute of Mental Health · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistance to a hospital is an influencing factor for patients´ decision making when choosing a hospital for surgery. It is unclear whether patients prefer to travel further to regional instead of local hospitals if the risk associated with elective surgery is lower in the farther hospital. The aim of our systematic review was to investigate patient preferences for the location of care, taking into consideration surgical outcomes and hospital distance.

methodsMEDLINE (PubMed), EconLit, PsycInfo and EMBASE were searched until November 2019. We included experimental choice studies in which participants were asked to make a hypothetical decision where to go for elective surgery when surgical risk and/or distance to the hospitals vary. There was no restriction on the type of intervention or study. Reviewers independently extracted data using a standardized form. The number and proportion of participants willing to accept additional risk to obtain surgery in the local hospital was recorded. We also extracted factors associated with the decision.

resultsFive studies exploring participants´ preferences for local care were included. In all studies, there were participants who, independently of a decreased mortality risk or a higher survival benefit in the regional hospital, adhered to the local hospital. The majority of the patients were willing to travel longer to lower their surgical risk. Older age and fewer years of formal education were associated with a higher risk tolerance in the local hospital.

conclusionsWhether patients were willing to travel for a lower surgery-associated risk could not be answered in a straightforward manner. The studies we identified showed that decision making also relies on factors other than on rational information on risk or distance to hospital.

trial registrationInternational prospective register of ongoing systematic reviews (PROSPERO): CRD42016033655. Registered 1 January 2016.

Indexed as

Decision MakingElective Surgical ProceduresHospitalsHumansPatient PreferenceRisk AssessmentTravel

Identifiers

PMID32075615
PMCPMC7031936
OpenAlexW3012810686

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.