Journal article
Determinants of Rectal Cancer Patients’ Decisions on Where to Receive Surgery: a Qualitative Analysis
Journal of Gastrointestinal Surgery, Vol.23(7), pp.1461-1473
07/15/2019
DOI: 10.1007/s11605-018-3830-x
PMCID: PMC6409182
PMID: 30203231
Abstract
Current literature suggests surgeons who perform large volumes of rectal cancer resections achieve superior outcomes, but only about half of rectal cancer resections are performed by high-volume surgeons in comprehensive hospitals. Little is known about the considerations of patients with rectal cancer when deciding where to receive surgery.A purposive sample of stage II/III rectal adenocarcinoma survivors diagnosed 2013–2015 were identified through the Iowa Cancer Registry and interviewed by telephone about factors influencing decisions on where to receive rectal cancer surgery.Fifteen survivors with an average age of 63 were interviewed: 60% were male, 53% resided in non-metropolitan areas, and 60% received surgery at low-volume facilities. Most patients considered surgeon volume and experience to be important determinants of outcomes, but few assessed it. Recommendation from a trusted source, usually a physician, appeared to be a main determinant of where patients received surgery. Patients who chose low-volume centers noted comfort and familiarity as important decision factors.Most rectal cancer patients in our sample relied on physician referrals to decide where to receive surgery. Interventions facilitating more informed decision-making by patients and referring providers may be warranted.
Details
- Title: Subtitle
- Determinants of Rectal Cancer Patients’ Decisions on Where to Receive Surgery: a Qualitative Analysis
- Creators
- Mary Charlton - 0000 0004 1936 8294 grid.214572.7 Iowa Cancer Registry University of Iowa College of Public Health Iowa City IA USAAriana Shahnazi - 0000 0004 1936 8294 grid.214572.7 Department of Communications University of Iowa College of Liberal Arts and Sciences Iowa City IA USAIrena Gribovskaja-Rupp - 0000 0004 1936 8294 grid.214572.7 Department of Surgery University of Iowa Carver College of Medicine Iowa City IA USALisa Hunter - 0000 0004 1936 8294 grid.214572.7 Iowa Cancer Registry University of Iowa College of Public Health Iowa City IA USAMichele Mengeling - 0000 0004 1936 8294 grid.214572.7 Department of Internal Medicine University of Iowa Carver College of Medicine Iowa City IA USAElizabeth Chrischilles - 0000 0004 1936 8294 grid.214572.7 Department of Epidemiology University of Iowa College of Public Health 145 N. Riverside Drive, Room S453 CPHB Iowa City IA 52242 USACharles Lynch - 0000 0004 1936 8294 grid.214572.7 Iowa Cancer Registry University of Iowa College of Public Health Iowa City IA USAMarcia Ward - 0000 0004 1936 8294 grid.214572.7 Department of Health Management and Policy University of Iowa College of Public Health Iowa City IA USA
- Resource Type
- Journal article
- Publication Details
- Journal of Gastrointestinal Surgery, Vol.23(7), pp.1461-1473
- DOI
- 10.1007/s11605-018-3830-x
- PMID
- 30203231
- PMCID
- PMC6409182
- NLM abbreviation
- J Gastrointest Surg
- ISSN
- 1091-255X
- eISSN
- 1873-4626
- Publisher
- Springer US; New York
- Grant note
- K07CA197067; HHSN261201300020I / National Cancer Institute (http://dx.doi.org/10.13039/100000054)
- Language
- English
- Date published
- 07/15/2019
- Academic Unit
- Pharmacy; Health Management and Policy; Epidemiology; Surgery; Internal Medicine
- Record Identifier
- 9983996187302771
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