Evidence map›Paper›PMID 33969822›Full record

ArticleAmerican journal of surgery2021

Patterns and characteristics of patients' selection of cancer surgeons.

Natalie J Del Vecchio, Natoshia M Askelson, Knute D Carter, Elizabeth Chrischilles, Charles F Lynch, Mary E Charlton

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
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

6 authors at 1 institution in 1 country.

Natalie J Del VecchioDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA. Electronic address: natalie-delvecchio@uiowa.edu.
Natoshia M AskelsonDepartment of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, USA.
Knute D CarterDepartment of Biostatistics, University of Iowa College of Public Health, Iowa City, IA, USA.
Elizabeth ChrischillesDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA.
Charles F LynchDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA; Iowa Cancer Registry, University of Iowa, Iowa City, IA, USA.
Mary E CharltonDepartment of Epidemiology, University of Iowa College of Public Health, Iowa City, IA, USA; Iowa Cancer Registry, University of Iowa, Iowa City, IA, USA.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
NCI NIH HHS HHSN261201300020INCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

objectiveDespite evidence of volume-outcome relationships for cancer surgery, treatment at low-volume hospitals remains common. Our objective was to evaluate whether individuals actively involved in selecting their cancer surgeon were more likely to go to hospitals recognized for quality cancer care.

methodsIndividuals diagnosed with breast, prostate and colorectal cancer in 2015 completed online surveys in 2017-2018. Participants were categorized as "directed" to a surgeon (relied on referral) or "active" (sought additional information), and hospitals were categorized by NCI-designation, CoC accreditation, and academic affiliation.

resultsOf 299 participants, 42% were active. Individuals with breast cancer were more active (aOR = 2.46,95%CI:1.32-4.59). Active participants had nonsignificantly higher odds of surgery at NCI-designated facilities (aOR = 2.04,95%CI:0.95-4.38), or academic centers (aOR = 1.51,95%CI:0.86-2.64).

conclusionsWhile most participants were directed to their cancer surgeon, active participants tended to select NCI-designated/academic hospitals. Although centralization of cancer care would require altering referral patterns, decision-support resources may help patients make informed choices.

Indexed as

AgedBreast NeoplasmsColorectal NeoplasmsDecision MakingFemaleHealth LiteracyHospitalsHumansMaleMiddle AgedPatient PreferenceProstatic NeoplasmsSEER ProgramSocioeconomic FactorsSurgical OncologyCancer surgeryDecision-makingHigh-volume hospitalsReferral patternsSurgeon selection

Identifiers

PMID33969822
PMCPMC8110945
OpenAlexW3092915994

What OpenQuestion holds

Textmetadata
LicenceTDM
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.