American journal of surgery · 2025
Association between travel burden and surgical timeliness for women with breast cancer in Georgia.
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Rademacher Nicole, McLeod M Chandler, Williams Courtney P, Awan Sofia, McElroy Katherine E, Saini Geetanjali, Gogineni Keerthi, Luningham Justin M, Aneja Ritu, Gutnik Lily A
Аннотация
INTRODUCTION: This study evaluates associations between patient distance traveled to surgical care and receipt of timely breast cancer surgery in Georgia.
METHODS: This retrospective cohort study included electronic health record data from women diagnosed with stage I-III breast cancer from 2004 to 2020 who received upfront surgery. Race was self-reported. Distance from patient home address to surgical treatment facility was measured as crow-fly distance. Multivariable logistic regression models estimated associations between time to surgery, race, and distance.
RESULTS: Of 18,240 patients (White = 61 % and Black = 39 %) with a median distance to surgery of 11.4 miles (IQR: 5.9, 19.6), Black patients had approximately half the odds of receiving surgery within the recommended 60 days of diagnosis (OR: 0.52, 95 % CI: 0.47-0.56). Distance traveled was not associated with time to surgery.
CONCLUSION: Understanding mechanisms driving surgical care delays and their effects on breast cancer outcomes is critical to reducing inequities in breast cancer care.
METHODS: This retrospective cohort study included electronic health record data from women diagnosed with stage I-III breast cancer from 2004 to 2020 who received upfront surgery. Race was self-reported. Distance from patient home address to surgical treatment facility was measured as crow-fly distance. Multivariable logistic regression models estimated associations between time to surgery, race, and distance.
RESULTS: Of 18,240 patients (White = 61 % and Black = 39 %) with a median distance to surgery of 11.4 miles (IQR: 5.9, 19.6), Black patients had approximately half the odds of receiving surgery within the recommended 60 days of diagnosis (OR: 0.52, 95 % CI: 0.47-0.56). Distance traveled was not associated with time to surgery.
CONCLUSION: Understanding mechanisms driving surgical care delays and their effects on breast cancer outcomes is critical to reducing inequities in breast cancer care.