FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386318085> ?p ?o ?g. }

• W4386318085 abstract "Abstract Background Geographic access to care plays a large role in health disparities in esophageal cancer care, with rural individuals often travelling further to access complex healthcare services. We sought to characterize peri-operative outcomes in patients undergoing esophagectomy for loco-regional cancer at a single academic tertiary care center based on geographic home location. We hypothesize that rural patients will have worse peri-operative outcomes after esophagectomy, despite receiving care at the same high-volume hospital. Methods Prospectively collected data from patients with loco-regional esophageal cancer who underwent esophagectomy at a single academic medical center between 2003 to 2022 were analyzed based on county. The counties were aggregated into previously existing state-level ‘metropolitan’ versus ‘rural’ designations per the Rural Health Information Hub guidelines. Distance traveled by the patients were calculated using driving distance between the patient’s reported zip code and hospital address. Demographics, pre-operative treatment, surgical complications, post-operative outcomes, length of stay (LOS), and mortality of the two groups were analyzed using chi-squared, paired t-tests, and single-factor ANOVA. Results The cohort consisted of 1545 patients with 76.0% from metropolitan counties and 24.0% from rural counties. Patients were more likely to be male in both groups (p = 0.004), with no significant differences in pre-operative characteristics. Both groups had similar rates of pre-operative chemotherapy (p = 0.11) and pre-operative radiation (p = 0.58). Rural patients traveled greater distances for healthcare services compared to metropolitan patients (rural: 192.4 ± 101.2 miles; metropolitan: 63.4 ± 36.7 miles; p &lt; 0.001). Post-operatively rural patients had higher rates of pneumonia (p = 0.04) and more initial ICU visits (p &lt; 0.001). Rural patients had longer ICU LOS (p &lt; 0.001), but no difference in total hospital LOS (p = 0.28) or 30-day mortality (p = 0.35). Conclusion Rural patients tended to have a more complex inpatient recovery process after esophagectomy despite receiving surgery at the same high-volume institution and no differences in pre-operative characteristics (BMI, smoking history, and co-morbidities). It is unclear as to the reason for differences in pneumonia rates and ICU stays. Future studies should focus on the impact of rural location on disparities for individuals undergoing esophagectomy." @default.
• W4386318085 created "2023-09-01" @default.
• W4386318085 creator A5005499715 @default.
• W4386318085 creator A5017038589 @default.
• W4386318085 creator A5053814886 @default.
• W4386318085 creator A5063157880 @default.
• W4386318085 creator A5073837400 @default.
• W4386318085 creator A5082106342 @default.
• W4386318085 creator A5091311134 @default.
• W4386318085 date "2023-08-30" @default.
• W4386318085 modified "2023-09-27" @default.
• W4386318085 title "375. RURAL PATIENTS HAVE A PROLONGED INPATIENT RECOVERY PROCESS AFTER ESOPHAGECTOMY COMPARED TO NON-RURAL PATIENTS AT A HIGH-VOLUME ESOPHAGEAL PROGRAM" @default.
• W4386318085 doi "https://doi.org/10.1093/dote/doad052.180" @default.
• W4386318085 hasPublicationYear "2023" @default.
• W4386318085 type Work @default.
• W4386318085 citedByCount "0" @default.
• W4386318085 crossrefType "journal-article" @default.
• W4386318085 hasAuthorship W4386318085A5005499715 @default.
• W4386318085 hasAuthorship W4386318085A5017038589 @default.
• W4386318085 hasAuthorship W4386318085A5053814886 @default.
• W4386318085 hasAuthorship W4386318085A5063157880 @default.
• W4386318085 hasAuthorship W4386318085A5073837400 @default.
• W4386318085 hasAuthorship W4386318085A5082106342 @default.
• W4386318085 hasAuthorship W4386318085A5091311134 @default.
• W4386318085 hasBestOaLocation W43863180851 @default.
• W4386318085 hasConcept C121608353 @default.
• W4386318085 hasConcept C126322002 @default.
• W4386318085 hasConcept C129047720 @default.
• W4386318085 hasConcept C142724271 @default.
• W4386318085 hasConcept C144024400 @default.
• W4386318085 hasConcept C149923435 @default.
• W4386318085 hasConcept C158739034 @default.
• W4386318085 hasConcept C160735492 @default.
• W4386318085 hasConcept C162324750 @default.
• W4386318085 hasConcept C194828623 @default.
• W4386318085 hasConcept C2777297899 @default.
• W4386318085 hasConcept C2779742542 @default.
• W4386318085 hasConcept C2779958979 @default.
• W4386318085 hasConcept C2780084366 @default.
• W4386318085 hasConcept C50522688 @default.
• W4386318085 hasConcept C71924100 @default.
• W4386318085 hasConceptScore W4386318085C121608353 @default.
• W4386318085 hasConceptScore W4386318085C126322002 @default.
• W4386318085 hasConceptScore W4386318085C129047720 @default.
• W4386318085 hasConceptScore W4386318085C142724271 @default.
• W4386318085 hasConceptScore W4386318085C144024400 @default.
• W4386318085 hasConceptScore W4386318085C149923435 @default.
• W4386318085 hasConceptScore W4386318085C158739034 @default.
• W4386318085 hasConceptScore W4386318085C160735492 @default.
• W4386318085 hasConceptScore W4386318085C162324750 @default.
• W4386318085 hasConceptScore W4386318085C194828623 @default.
• W4386318085 hasConceptScore W4386318085C2777297899 @default.
• W4386318085 hasConceptScore W4386318085C2779742542 @default.
• W4386318085 hasConceptScore W4386318085C2779958979 @default.
• W4386318085 hasConceptScore W4386318085C2780084366 @default.
• W4386318085 hasConceptScore W4386318085C50522688 @default.
• W4386318085 hasConceptScore W4386318085C71924100 @default.
• W4386318085 hasIssue "Supplement_2" @default.
• W4386318085 hasLocation W43863180851 @default.
• W4386318085 hasOpenAccess W4386318085 @default.
• W4386318085 hasPrimaryLocation W43863180851 @default.
• W4386318085 hasRelatedWork W2027891549 @default.
• W4386318085 hasRelatedWork W2084845148 @default.
• W4386318085 hasRelatedWork W2241590531 @default.
• W4386318085 hasRelatedWork W2275543989 @default.
• W4386318085 hasRelatedWork W2314117528 @default.
• W4386318085 hasRelatedWork W2353164399 @default.
• W4386318085 hasRelatedWork W2360100840 @default.
• W4386318085 hasRelatedWork W3164191509 @default.
• W4386318085 hasRelatedWork W4298148879 @default.
• W4386318085 hasRelatedWork W4323058002 @default.
• W4386318085 hasVolume "36" @default.
• W4386318085 isParatext "false" @default.
• W4386318085 isRetracted "false" @default.
• W4386318085 workType "article" @default.