Residential Distance to the Cancer Center and Outcomes after Robotic-Assisted Pulmonary Lobectomy

Allison O. Dumitriu Carcoana; Jenna C. Marek; William J. West, III; Cole R. Fiedler; William N. Doyle, Jr.; Kristie M. Labib; Lauren C. Ladehoff; Jose A. Malavet; Gregory Fishberger; Carla C. Moodie; Joseph R. Garrett; Jenna R. Tew; Jobelle J.A.R. Baldonado; Jacques P. Fontaine; Eric M. Toloza

Surgery in Practice and Science (Dec 2023)

Residential Distance to the Cancer Center and Outcomes after Robotic-Assisted Pulmonary Lobectomy

Allison O. Dumitriu Carcoana,
Jenna C. Marek,
William J. West, III,
Cole R. Fiedler,
William N. Doyle, Jr.,
Kristie M. Labib,
Lauren C. Ladehoff,
Jose A. Malavet,
Gregory Fishberger,
Carla C. Moodie,
Joseph R. Garrett,
Jenna R. Tew,
Jobelle J.A.R. Baldonado,
Jacques P. Fontaine,
Eric M. Toloza

Affiliations

Allison O. Dumitriu Carcoana: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Jenna C. Marek: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
William J. West, III: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Cole R. Fiedler: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
William N. Doyle, Jr.: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Kristie M. Labib: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Lauren C. Ladehoff: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Jose A. Malavet: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Gregory Fishberger: Department of Medical Education, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Carla C. Moodie: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA
Joseph R. Garrett: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA
Jenna R. Tew: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA
Jobelle J.A.R. Baldonado: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; Department of Surgery, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA; Department of Oncologic Sciences, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Jacques P. Fontaine: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; Department of Surgery, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA; Department of Oncologic Sciences, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA
Eric M. Toloza: Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; Department of Surgery, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA; Department of Oncologic Sciences, University of South Florida Health Morsani College of Medicine, Tampa, FL, USA; Corresponding author at: 12902 USF Magnolia Drive, Suite CSB-6 (ThorProg), Tampa, FL 33612 USA.

Journal volume & issue: Vol. 15
p. 100210

Abstract

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ABSTRACT: Background: Outcomes of lung cancer patients traveling greater distances for surgical oncology care are not well-described. We investigated the effects of increased travel burden after robotic-assisted pulmonary lobectomy (RAPL) for lung cancer. Methods: Clinical characteristics and surgical outcomes of 711 consecutive patients who underwent RAPL from September 2010 to March 2022 were compared, stratified by primary residential ZIP code <160 km or ≥160 km from the cancer center. Results: Of 711 study patients, 515 (72.4%) lived within 160 km and 196 (27.6%) lived ≥160 km away. There were no differences in Charlson Comorbidity Index scores or tumor characteristics. Those traveling ≥160 km experienced more unfavorable perioperative outcomes and postoperative complications, and had worse median survival time by 1.68 years, but this survival difference did not reach statistical significance. Conclusions: With the growing centralization of cancer care, travel burden may emerge as a predictor of surgical oncology outcomes.

Published in Surgery in Practice and Science

ISSN: 2666-2620 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/surgery-in-practice-and-science/

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