Association between travel distance and overall survival among patients with adrenocortical carcinoma.

ABSTRACT:

Background and objectives

Regionalization of care is associated with improved perioperative outcomes after adrenalectomy. However, the relationship between travel distance and treatment of adrenocortical carcinoma (ACC) is unknown. We investigated the association between travel distance, treatment, and overall survival (OS) among patients with ACC.

Methods

Patients diagnosed with ACC between 2004 and 2017 were identified with the National Cancer Database. Long distance was defined as the highest quintile of travel (≥42.2 miles). The likelihood of surgical management and adjuvant chemotherapy (AC) were determined. The association between travel distance, treatment, and OS was evaluated.

Results

Of 3492 patients with ACC included, 2337 (66.9%) received surgery. Rural re

SUBMITTER: Logan CD 

PROVIDER: S-EPMC10997292 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature