Colorectal cancer disparities across the continuum of cancer care: A systematic review and meta-analysis

Syvyk, Solomiya; Roberts, Sanford E.; Finn, Caitlin; Wirtalla, Chris; Kelz, Rachel R.

doi:10.1016/j.amjsurg.2022.02.049

Cited by 18 publications

(12 citation statements)

References 61 publications

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“…Many countries have promoted the implementation of EoLC, to varying degrees, according to their economic status, resources, and energy [ 1 , 2 , 3 , 4 , 5 ]. Literature review studies have been accepted as an effectual means to map the existing intellectual territory [ 6 , 7 ]. The review works on EoLC research have been done from various perspectives.…”

Section: Introductionmentioning

confidence: 99%

“…et al [ 6 ] conducted a scoping review, to explore death doulas as supportive companions in EoLC. Syvyk, S. et al [ 7 ] also conducted a systematic review and meta-analysis of studies on colorectal cancer disparities across the continuum of cancer care. Most of these reviews were for synthesising practice directions in the available literature.…”

Section: Introductionmentioning

confidence: 99%

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Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Fordjour

Chow

2022

IJERPH

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The growing emphasis on evidence-based practice has led to a need for more research on healthcare disciplines, and for the synthesis and translation of that research into practice. This study explored the global research trend in regard to End-of-Life Care (EoLC), and assessed the impact and influence, on the scientific community, of relevant EoLC publications EoLC. Over 350,000 related publications on EoLC were retrieved from three databases (PubMed, Scopus, and Web of Science). Our analysis of the global research trend revealed an exponential rise in the number of related publications on EoLC since the year 1837. This study assessed the bibliometric information of 547 current journal publications on EoLC, sorted by relevance, from the three databases. The USA (47.3%) and the UK (16.1%) were the most productive countries, in terms of the number of relevant publications. The bibliometric analysis also revealed which EoLC research was most impactful and influential, from different parameters including documents, authors, sources, and organisations. The keyword analysis further suggested the growing importance of advance care planning and decision-making in regard to EoLC, as well as an episodic upsurge of EoLC publications related to the COVID-19 pandemic. There were few collaborations among the prolific research on EoLC. This study recommends increased research collaboration across the globe, for wider wisdom-sharing on EoLC issues.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Fordjour

Chow

2022

IJERPH

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“…We limited the cohort to Black and White patients to focus on established surgical disparities among Black patients. 25 , 26 , 27 …”

Section: Methodsmentioning

confidence: 99%

“…We excluded patients presenting emergently to focus on those with time to consider their choice of hospital. We limited the cohort to Black and White patients to focus on established surgical disparities among Black patients …”

Section: Methodsmentioning

confidence: 99%

“…We limited the cohort to Black and White patients to focus on established surgical disparities among Black patients. [25][26][27] Patients were divided into 2 cohorts according to treatment year to model future hospital performance based on previous risk-adjusted outcomes. Prior hospital performance was assessed using a training cohort treated from January 1, 2016, to December 31, 2018.…”

Section: Sample and Settingmentioning

confidence: 99%

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Comparison of Simulated Outcomes of Colorectal Cancer Surgery at the Highest-Performing vs Chosen Local Hospitals

et al. 2023

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ImportanceVariation in outcomes across hospitals adversely affects surgical patients. The use of high-quality hospitals varies by population, which may contribute to surgical disparities.ObjectiveTo simulate the implications of data-driven hospital selection for social welfare among patients who underwent colorectal cancer surgery.Design, Setting, and ParticipantsThis economic evaluation used the hospital inpatient file from the Florida Agency for Health Care Administration. Surgical outcomes of patients who were treated between January 1, 2016, and December 31, 2018 (training cohort), were used to estimate hospital performance. Costs and benefits of care at alternative hospitals were assessed in patients who were treated between January 1, 2019, and December 31, 2019 (testing cohort). The cohorts comprised patients 18 years or older who underwent elective colorectal resection for benign or malignant neoplasms. Data were analyzed from March to October 2022.ExposuresUsing hierarchical logistic regression, we estimated the implications of hospital selection for in-hospital mortality risk in patients in the training cohort. These estimates were applied to patients in the testing cohort using bayesian simulations to compare outcomes at each patient’s highest-performing and chosen local hospitals. Analyses were stratified by race and ethnicity to evaluate the potential implications for equity.Main Outcomes and MeasuresThe primary outcome was the mean patient-level change in social welfare, a composite measure balancing the value of reduced mortality with associated costs of care at higher-performing hospitals.ResultsA total of 21 098 patients (mean [SD] age, 67.3 [12.0] years; 10 782 males [51.1%]; 2232 Black [10.6%] and 18 866 White [89.4%] individuals) who were treated at 178 hospitals were included. A higher-quality local hospital was identified for 3057 of 5000 patients (61.1%) in the testing cohort. Selecting the highest-performing hospital was associated with a 26.5% (95% CI, 24.5%-29.0%) relative reduction and 0.24% (95% CI, 0.23%-0.25%) absolute reduction in mortality risk. A mean amount of $1953 (95% CI, $1744-$2162) was gained in social welfare per patient treated. Simulated reassignment to a higher-quality local hospital was associated with a 23.5% (95% CI, 19.3%-32.9%) relative reduction and 0.26% (95% CI, 0.21%-0.30%) absolute reduction in mortality risk for Black patients, with $2427 (95% CI, $1697-$3158) gained in social welfare.Conclusions and RelevanceIn this economic evaluation, using procedure-specific hospital performance as the primary factor in the selection of a local hospital for colorectal cancer surgery was associated with improved outcomes for both patients and society. Surgical outcomes data can be used to transform care and guide policy in colorectal cancer.

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Disparities in access to minimally invasive surgery for inflammatory bowel disease and outcomes by insurance status: analysis of the 2015 to 2019 National Inpatient Sample

Lee,

Andrew,

Hill

et al. 2023

Surg Endosc

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Colorectal cancer disparities across the continuum of cancer care: A systematic review and meta-analysis

Cited by 18 publications

References 61 publications

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care

Comparison of Simulated Outcomes of Colorectal Cancer Surgery at the Highest-Performing vs Chosen Local Hospitals

Disparities in access to minimally invasive surgery for inflammatory bowel disease and outcomes by insurance status: analysis of the 2015 to 2019 National Inpatient Sample

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