ArticleCancer medicine2020
Spatial access to primary care providers and colorectal cancer-specific survival in Cook County, Illinois.
Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Area-level socioeconomic status is associated with colorectal cancer screening, incidence and mortality in the US: a systematic review and meta-analysis.Social science & medicine (1982) · 2025Pooled it
- Spatial Access to Cancer Care Providers in National Cancer Institute-Designated Cancer Center Catchment Areas.JCO clinical cancer informatics · 2026Article
- Impact of spatial accessibility to primary care physicians on health care outcomes and costs.International journal of health geographics · 2025Article
- Spatial patterns of colorectal cancer survival rates in Malaysia, 2013-2018.Cancer causes & control : CCC · 2025Article
- Temporal-Spatial Evolution and Trend Prediction of the Supply Efficiency of Primary Medical Health Service-An Empirical Study Based on Central and Western Regions of China.International journal of environmental research and public health · 2023Article
- Association of Community Economic Distress and Breast and Colorectal Cancer Screening, Incidence, and Mortality Rates Among US Counties.Annals of surgical oncology · 2022Article
- Spatial accessibility assessment of COVID-19 patients to healthcare facilities: A case study of Florida.Travel behaviour & society · 2021Article
- Spatial Variation of Survival for Colorectal Cancer in Malaysia.International journal of environmental research and public health · 2021Article
- Mapping of Female Breast Cancer Incidence and Mortality Rates to Socioeconomic Factors Cohort: Path Diagram Analysis.Frontiers in public health · 2021Observational
- Rapidly measuring spatial accessibility of COVID-19 healthcare resources: a case study of Illinois, USA.International journal of health geographics · 2020Article
- Spatial access to primary care providers and colorectal cancer-specific survival in Cook County, Illinois.Cancer medicine · 2020Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSpatial access to primary care has been associated with late-stage and fatal breast cancer, but less is known about its relation to outcomes of other screening-preventable cancers such as colorectal cancer. This population-based retrospective cohort study examined whether spatial access to primary care providers associates with colorectal cancer-specific survival.
methodsApproximately 26 600 incident colorectal cancers diagnosed between 2000 and 2008 in adults residing in Cook County, Illinois were identified through the state cancer registry and georeferenced to the census tract of residence at diagnosis. An enhanced two-step floating catchment area method measured tract-level access to primary care physicians (PCPs) in the year of diagnosis using practice locations obtained from the American Medical Association. Vital status and underlying cause of death were determined using the National Death Index. Fine-Gray proportional subdistribution hazard models analyzed the association between tract-level PCP access scores and colorectal cancer-specific survival after accounting for tract-level socioeconomic status, case demographics, tumor characteristics, and other factors.
resultsIncreased tract-level access to PCPs was associated with a lower risk of death from colorectal cancer (hazard ratio [HR], 95% confidence interval [CI]) = 0.87 [0.79, 0.96], P = .008, highest vs lowest quintile), especially among persons diagnosed with regional-stage tumors (HR, 95% CI = 0.80 [0.69, 0.93], P = .004, highest vs lowest quintile).
conclusionsSpatial access to primary care providers is a predictor of colorectal cancer-specific survival in Cook County, Illinois. Future research is needed to determine which areas within the cancer care continuum are most affected by spatial accessibility to primary care such as referral for screening, accessibility of screening and diagnostic testing, referral for treatment, and access to appropriate survivorship-related care.
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