ArticleCancer medicine2023
Availability of cancer care services and the organization of care delivery at critical access hospitals.
Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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
10 citing papers in PubMed.
- Declining rural oncologist supply in the United States: a workforce analysis from 2014 to 2025.The oncologist · 2026Article
- How did exposure to critical access hospitals change Medicare's effect on cancer survival?Cancer causes & control : CCC · 2026Article
- Spatial Access to Cancer Care Providers in National Cancer Institute-Designated Cancer Center Catchment Areas.JCO clinical cancer informatics · 2026Article
- Application of MODIFI to the adaptation of a complex, multilevel intervention to enhance access to high-quality cancer services in rural cancer hospitals.Implementation science communications · 2025Article
- Digital divides in telehealth accessibility for cancer care in the United States.NPJ digital medicine · 2025Article
- Real-World Clinical Characteristics, Treatment Patterns, and Clinical Outcomes in US Patients with Stage I-III Resected NSCLC Without Known EGFR Mutations: The RESECT Study.Drugs - real world outcomes · 2025Article
- Cancer Treatment Disruption by Residence Region in the Aftermath of Hurricanes Irma and María in Puerto Rico.International journal of environmental research and public health · 2024Article
- Review
- Availability of cancer care services and the organization of care delivery at critical access hospitals.Cancer medicine · 2023Article
- Cancer in rural America: Improving access to clinical trials and quality of oncologic care.CA: a cancer journal for cliniciansReview
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCritical access hospitals (CAHs) provide an opportunity to meet the needs of individuals with cancer in rural areas. Two common innovative care delivery methods include the use of traveling oncologists and teleoncology. It is important to understand the availability and organization of cancer care services in CAHs due to the growing population with cancer and expected declines in oncology workforce in rural areas.
methodsStratified random sampling was used to generate a sample of 50 CAHs from each of the four U.S. Census Bureau-designated regions resulting in a total sample of 200 facilities. Analyses were conducted from 135 CAH respondents to understand the availability of cancer care services and organization of cancer care across CAHs.
resultsAlmost all CAHs (95%) provided at least one cancer screening or diagnostic service. Forty-six percent of CAHs reported providing at least one component of cancer treatment (chemotherapy, radiation, or surgery) at their facility. CAHs that offered cancer treatment reported a wide range of health care staff involvement, including 34% of respondents reporting involvement of a local oncologist, 38% reporting involvement of a visiting oncologist, and 28% reporting involvement of a non-local oncologist using telemedicine.
conclusionGrowing disparities within rural areas emphasize the importance of ensuring access to timely screening and guideline-recommended treatment for cancer in rural communities. These data demonstrated that CAHs are addressing the growing need through a variety of approaches including the use of innovative models that utilize non-local providers and telemedicine to expand access to crucial services for rural residents with cancer.
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