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01-07-2019 | Original Article

Determinants of Rectal Cancer Patients’ Decisions on Where to Receive Surgery: a Qualitative Analysis

Authors: Mary E. Charlton, Ariana F. Shahnazi, Irena Gribovskaja-Rupp, Lisa Hunter, Michele A. Mengeling, Elizabeth A. Chrischilles, Charles F. Lynch, Marcia M. Ward

Published in: Journal of Gastrointestinal Surgery | Issue 7/2019

Abstract

Background

Current literature suggests surgeons who perform large volumes of rectal cancer resections achieve superior outcomes, but only about half of rectal cancer resections are performed by high-volume surgeons in comprehensive hospitals. Little is known about the considerations of patients with rectal cancer when deciding where to receive surgery.

Methods

A purposive sample of stage II/III rectal adenocarcinoma survivors diagnosed 2013–2015 were identified through the Iowa Cancer Registry and interviewed by telephone about factors influencing decisions on where to receive rectal cancer surgery.

Results

Fifteen survivors with an average age of 63 were interviewed: 60% were male, 53% resided in non-metropolitan areas, and 60% received surgery at low-volume facilities. Most patients considered surgeon volume and experience to be important determinants of outcomes, but few assessed it. Recommendation from a trusted source, usually a physician, appeared to be a main determinant of where patients received surgery. Patients who chose low-volume centers noted comfort and familiarity as important decision factors.

Conclusion

Most rectal cancer patients in our sample relied on physician referrals to decide where to receive surgery. Interventions facilitating more informed decision-making by patients and referring providers may be warranted.

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Title: Determinants of Rectal Cancer Patients’ Decisions on Where to Receive Surgery: a Qualitative Analysis
Authors: Mary E. Charlton
Ariana F. Shahnazi
Irena Gribovskaja-Rupp
Lisa Hunter
Michele A. Mengeling
Elizabeth A. Chrischilles
Charles F. Lynch
Marcia M. Ward
Publication date: 01-07-2019
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 7/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-018-3830-x

2024 ASCO Annual Meeting

Springer Medicine

Determinants of Rectal Cancer Patients’ Decisions on Where to Receive Surgery: a Qualitative Analysis

Abstract

Background

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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