Travel to High-Volume Centers and Survival After Esophagectomy for Cancer.

ABSTRACT:

Importance

Ongoing efforts have encouraged the regionalization of esophageal adenocarcinoma treatment to high-volume centers (HVCs). Yet such centralization has been linked with increased patient travel burden and reduced postoperative continuity of care.

Objective

To determine whether traveling to undergo esophagectomy at HVCs is linked with superior overall survival compared with receiving care locally at low-volume centers (LVC).

Design, setting, and participants

This cohort study considered data for all patients diagnosed with stage I through III esophageal adenocarcinoma in the 2010-2021 National Cancer Database. Patients were stratified based on distance traveled to receive care and the annual esophagectomy volume at the treating hospital: the travel-HVC cohort

SUBMITTER: Sakowitz S 

PROVIDER: S-EPMC11561720 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature