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01-06-2020 | Breast Cancer | Health Services Research and Global Oncology

Rural Cancer Care: The Role of Space and Place in Care Delivery

Authors: Andrew P. Loehrer, MD, MPH, Carrie H. Colla, PhD, Sandra L. Wong, MD, MS

Published in: Annals of Surgical Oncology | Issue 6/2020

Excerpt

The gap in life expectancy between rural and urban Americans has increased 500% since 1970, in part due to disparate access to and receipt of cancer care.1 In their publication, Obeng-Gyasi and colleagues describe the association between rural residence and patient presentation with, treatment for, and outcomes from care for women with breast cancer between 2004 and 2015.2 The study finds that rurality was associated with increased cancer stage at the time of diagnosis, decreased the odds of undergoing breast reconstruction (odds ratio [OR] 1.25, 95% confidence interval [CI] 1.19–1.30) and reduced overall survival (hazard ratio [HR] 0.92, 95%CI 0.89–0.95). …

Singh GK, Siahpush M. Widening rural-urban disparities in life expectancy, U.S., 1969–2009. Am J Prev Med. 2014;46(2):e19-e29.CrossRef

Obeng-Gyasi S, Timsina L, Bhattacharyya O, Fisher CS, Haggstrom DA. Breast cancer presentation, surgical management and mortality across the rural-urban continuum in the National Cancer Database. Ann Surg Oncol. 2020. https://doi.org/10.1245/s10434-020-08376-y.CrossRefPubMed

Ko NY, Hong S, Winn RA, Calip GS. Association of insurance status and racial disparities with the detection of early-stage breast cancer. JAMA Oncol. 2020;6(3):385–392. https://doi.org/10.1001/jamaoncol.2019.5672. CrossRef

Singh GK, Williams SD, Siahpush M, Mulhollen A. Socioeconomic, rural-urban, and racial inequalities in US cancer mortality: Part I-all cancers and lung cancer and part II-colorectal, prostate, breast, and cervical cancers. J Cancer Epidemiol. 2011;2011:107497. https://doi.org/10.1155/2011/107497.CrossRefPubMed

Nurgalieva ZZ, Franzini L, Morgan RO, Vernon SW, Liu CC, Du XL. Impact of timing of adjuvant chemotherapy initiation and completion after surgery on racial disparities in survival among women with breast cancer. Med Oncol. 2013;30(1):419. https://doi.org/10.1007/s12032-012-0419-1.CrossRefPubMed

U.S. Census Bureau (2016). U.S. Census Bureau QuickFacts: United States. https://www.census.gov/quickfacts/fact/table/US/PST045218. Accessed 3 Mar 2020.

U.S. Cancer Statistics Working Group. U.S. Cancer Statistics Data Visualizations Tool, based on November 2018 submission data (1999–2016): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; www.cdc.gov/cancer/dataviz, June 2019.

Title: Rural Cancer Care: The Role of Space and Place in Care Delivery
Authors: Andrew P. Loehrer, MD, MPH
Carrie H. Colla, PhD
Sandra L. Wong, MD, MS
Publication date: 01-06-2020
Publisher: Springer International Publishing
Keywords: Breast Cancer
Care
Breast Cancer
Published in: Annals of Surgical Oncology / Issue 6/2020
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-020-08392-y

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