- •Higher facility volume is associated with improved rectal cancer resection outcomes.
- •However, older patients are less likely to be treated at high-volume facilities.
- •This may be partly because older patients tend to travel shorter distances for care.
The association between volume and outcomes has led to recommendations that patients undergo surgery at high-volume centers. We aimed to determine if older patients with rectal cancer are undergoing operations at high-volume centers.
We identified patients ≥50 years old who underwent rectal cancer resection using the NCDB (2004–2015). Tertiles were used to categorize facility volume and distance traveled.
Higher facility volume was associated with improved outcomes. Patients >75 years old were less likely than patients 50–59 years old to be treated at high-volume centers. Traveling >16.8 miles was associated with treatment at high-volume facilities, however patients >75 years old were less likely to travel >16.8 miles.
Higher facility volume is associated with improved outcomes after rectal cancer resection. However, older patients are less likely to be treated at high-volume facilities. Older patients travel shorter distances for care, suggesting that care integration across networks must be optimized.
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Published online: September 23, 2021
Accepted: September 20, 2021
Received in revised form: September 12, 2021
Received: July 26, 2021
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