Evidence map›Paper›PMID 39730266›Full record

ArticleSurgery2025

Patient preferences for location of cancer surgery in a community cancer affiliate network.

Kristy K Broman, Ivan Herbey, Britany Hollenquest, Elissa Dykes, Smita Bhatia, Nataliya Ivankova

Abstract read
In one paragraph

Article in Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

6 authors.

Kristy K BromanInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, AL; Department of Surgery, University of Alabama at Birmingham, AL; Department of Veterans Affairs, Birmingham VA Medical Center, AL. Electronic address: kristybroman@uabmc.edu.
Ivan HerbeyUniversity of Alabama at Birmingham Heersink School of Medicine, AL.
Britany HollenquestInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, AL.
Elissa DykesUniversity of Alabama at Birmingham Heersink School of Medicine, AL.
Smita BhatiaInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, AL.
Nataliya IvankovaUniversity of Alabama at Birmingham Heersink School of Medicine, AL.

Funding

DEEP SOUTH TRANSLATIONAL RESEARCH MENTORED CAREER DEVELOPMENT PROGRAMKL2TR003097 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2019 to 2023
$5.2M
Leveraging Health Systems to Increase Implementation of Evidence-Based Surgical Cancer CareK08CA283001 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BROMAN, KRISTY KUMMEROW · 2023 to 2025
$592k
NCATS NIH HHS KL2 TR003097NCI NIH HHS K08 CA283001
6 · The paper itself

Abstract

purposeCancer centers are increasingly affiliating with regional hospitals, creating hub-spoke models for care delivery. Patient perspectives on accessing surgical cancer care within these systems are not well understood. The study purpose was to understand patient perceptions of hub-spoke models of care delivery and how they influence decisions regarding where to seek surgical care for cancer. PATIENTS AND

methodsWe conducted semistructured interviews with patients from a rural catchment area who underwent surgery for breast cancer at a hub cancer center or its rural affiliate spoke hospital. We performed collaborative coding using both inductive and deductive coding strategies. Within- and cross-case analyses were performed, emphasizing factors in participants' choice of location for surgery and their impressions of the hub-spoke network affiliation.

resultsThere were 18 participants who underwent breast cancer surgery at the hub (n = 8) or spoke (n = 10). Participants had universally favorable impressions of the hub hospital brand while they expressed mixed opinions about the spoke hospital. When choosing a hospital for surgery, participants considered their medical condition, access, and perceived quality. Although some were not influenced by the affiliate relationship (either because they would seek local care regardless or because they preferred to travel to the high-volume hub), for others the affiliate relationship provided excellent synergy, enabling them to access hub-quality care within their own community.

conclusionFindings highlight unique patient perspectives that require distinct considerations when designing affiliate network models for surgical cancer care.

Indexed as

Breast NeoplasmsCancer Care FacilitiesHealth Services AccessibilityPatient PreferenceAdultAgedFemaleHumansMiddle Aged

Identifiers

PMID39730266
PMCPMC11936722

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Registered trials

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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.