Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands
Publication type: Journal Article
Publication date: 2022-02-01
scimago Q1
wos Q1
SJR: 1.153
CiteScore: 6.1
Impact factor: 2.9
ISSN: 07487983, 15322157
PubMed ID:
34366174
Oncology
General Medicine
Surgery
Abstract
This study aims to assess the impact of nationwide centralization of surgery on travel distance and travel burden among patients with oesophageal, gastric, and pancreatic cancer according to age in the Netherlands. As centralization of care increases to improve postoperative outcomes, travel distance and experienced burden might increase.All patients who underwent surgery between 2006 and 2017 for oesophageal, gastric and pancreatic cancer in the Netherlands were included. Travel distance between patient's home address and hospital of surgery in kilometres was calculated. Questionnaires were used to assess experienced travel burden in a subpopulation (n = 239). Multivariable ordinal logistic regression models were constructed to identify predictors for longer travel distance.Over 23,838 patients were included, in whom median travel distance for surgical care increased for oesophageal cancer (n = 9217) from 18 to 28 km, for gastric cancer (n = 6743) from 9 to 26 km, and for pancreatic cancer (n = 7878) from 18 to 25 km (all p < 0.0001). Multivariable analyses showed an increase in travel distance for all cancer types over time. In general, patients experienced a physical and social burden, and higher financial costs, due to traveling extra kilometres. Patients aged >70 years travelled less often independently (56% versus 68%), as compared to patients aged ≤70 years.With nationwide centralization, travel distance increased for patients undergoing oesophageal, gastric, and pancreatic cancer surgery. Younger patients travelled longer distances and experienced a lower travel burden, as compared to elderly patients. Nevertheless, on a global scale, travel distances in the Netherlands remain limited.
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Total citations:
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Citations from 2024:
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(66.67%)
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MLA
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GOST
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Luijten J. C. et al. Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands // European Journal of Surgical Oncology. 2022. Vol. 48. No. 2. pp. 348-355.
GOST all authors (up to 50)
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Luijten J. C., Nieuwenhuijzen G. A., Sosef M. N., de H., Rosman C., Ruurda J. P., van D., Heisterkamp J., de S., van L., Besselink M. G., Groot K., van S., Lemmens V. E., Vissers P. A. Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands // European Journal of Surgical Oncology. 2022. Vol. 48. No. 2. pp. 348-355.
Cite this
RIS
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TY - JOUR
DO - 10.1016/j.ejso.2021.07.023
UR - https://doi.org/10.1016/j.ejso.2021.07.023
TI - Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands
T2 - European Journal of Surgical Oncology
AU - Luijten, J C
AU - Nieuwenhuijzen, G A
AU - Sosef, M N
AU - de, Hingh
AU - Rosman, C
AU - Ruurda, J P
AU - van, Duijvendijk
AU - Heisterkamp, J
AU - de, Steur
AU - van, Laarhoven
AU - Besselink, M G
AU - Groot, Koerkamp
AU - van, Santvoort
AU - Lemmens, V E
AU - Vissers, P A
PY - 2022
DA - 2022/02/01
PB - Elsevier
SP - 348-355
IS - 2
VL - 48
PMID - 34366174
SN - 0748-7983
SN - 1532-2157
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2022_Luijten,
author = {J C Luijten and G A Nieuwenhuijzen and M N Sosef and Hingh de and C Rosman and J P Ruurda and Duijvendijk van and J Heisterkamp and Steur de and Laarhoven van and M G Besselink and Koerkamp Groot and Santvoort van and V E Lemmens and P A Vissers},
title = {Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands},
journal = {European Journal of Surgical Oncology},
year = {2022},
volume = {48},
publisher = {Elsevier},
month = {feb},
url = {https://doi.org/10.1016/j.ejso.2021.07.023},
number = {2},
pages = {348--355},
doi = {10.1016/j.ejso.2021.07.023}
}
Cite this
MLA
Copy
Luijten, J. C., et al. “Impact of nationwide centralization of oesophageal, gastric, and pancreatic surgery on travel distance and experienced burden in the Netherlands.” European Journal of Surgical Oncology, vol. 48, no. 2, Feb. 2022, pp. 348-355. https://doi.org/10.1016/j.ejso.2021.07.023.