Evidence map›Paper›PMID 38824070›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2024

Providers' and survivors' perspectives on the availability and accessibility of surgery in gastrointestinal cancer care.

Nathan C English, Nataliya V Ivankova, Burkely P Smith, Bayley A Jones, Ivan I Herbey, Brendan Rosamond, Dae Hyun Kim, Wendelyn M Oslock, Yu-Mei M Schoenberger-Godwin, Maria Pisu and 1 more

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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Unequal paths to care: a scoping review of access and cancer outcomes in Alabama.Journal of cancer survivorship : research and practice · 2026
    Review
  2. Article
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  4. Observational
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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

11 authors.

Nathan C EnglishDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States; Department of General Surgery, University of Cape Town, Cape Town, South Africa.
Nataliya V IvankovaDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, United States.
Burkely P SmithDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
Bayley A JonesDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
Ivan I HerbeyDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
Brendan RosamondDepartment of General Surgery, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.
Dae Hyun KimDepartment of Health Management and Policy, Georgetown University, DC, United States.
Wendelyn M OslockDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States; Department of Quality, Birmingham Veterans Affairs Medical Center, Birmingham, AL, United States.
Yu-Mei M Schoenberger-GodwinDivision of Preventive Medicine, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States.
Maria PisuDivision of Preventive Medicine, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States.
Daniel I ChuDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: dchu@uabmc.edu.

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
Designing a Plan of Action for Better Access and Quality of Surgery for African-Americans with Gastrointestinal Cancers in the Deep SouthR01MD013858 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I, PISU, MARIA · 2020 to 2024
$3.0M
Adapting Enhanced Recovery Programs (ERPs) through Health Literacy to Eliminate Surgical DisparitiesR01CA271303 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Daniel I Chu · 2023 to 2026
$2.1M
Enhancing Health Literacy in Surgery (EHLIS) to Eliminate Surgical Disparities for African-Americans with Inflammatory Bowel Disease (IBD)K23MD013903 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHU, DANIEL I · 2019 to 2021
$434k
AHRQ HHS K12 HS023009NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA271303NIMHD NIH HHS K23 MD013903NIMHD NIH HHS R01 MD013858
6 · The paper itself

Abstract

backgroundSurgery is essential for gastrointestinal (GI) cancer treatment. Many patients lack access to surgical care that optimizes outcomes. Scarce availability and/or low accessibility of appropriate resources may be the reason for this, especially in economically disadvantaged areas. This study aimed to investigate providers' and survivors' perspectives on barriers and facilitators to the availability and accessibility of surgical care.

methodsSemistructured interviews informed by surgical disparities and access-to-care conceptual frameworks with purposively selected GI cancer providers and survivors in Alabama and Mississippi were conducted. Survivors were within 3 years of diagnosis of stage I to III esophageal, pancreatic, or colorectal cancer. Transcripts were analyzed using inductive thematic and content analysis techniques. Intercoder agreement was reached at 90 %.

resultsThe 27 providers included surgeons (n = 11), medical oncologists (n = 2), radiation oncologists (n = 2), a primary care physician (n = 1), nurses (n = 8), and patient navigators (n = 3). This study included 36 survivors with ages ranging from 44 to 87 years. Of the 36 survivors, 21 (58.3 %) were male, and 11 (30.6 %) identified as Black. Responses were grouped into 3 broad categories: (i) transportation/geographic location, (ii) specialized care/testing, and (iii) patient-/provider-related factors. The barriers included lack and cost of transportation, reluctance to travel because of uneasiness with urban centers, low availability of specialized care, overburdened referral centers, provider-related referral biases, and low health literacy. Facilitators included availability of charitable aid, centralizing multidisciplinary care, and efficient appointment scheduling.

conclusionIn the Deep South, barriers and facilitators to the availability and accessibility of GI surgical cancer care were identified at the health system, provider, and patient levels, especially for rural residents. Our data suggest targets for improving the use of surgery in GI cancer care.

Indexed as

Cancer SurvivorsGastrointestinal NeoplasmsHealth Services AccessibilityAdultAgedAged, 80 and overAlabamaAttitude of Health PersonnelFemaleHealthcare DisparitiesHumansMaleMiddle AgedMississippiPancreatic NeoplasmsPatient NavigationDisparitiesGastrointestinal cancerRuralSocioecological determinants of health

Identifiers

PMID38824070
PMCPMC11298309

What OpenQuestion holds

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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.