Invited Commentary| Volume 223, ISSUE 5, P846-847, May 2022

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Disparities in rectal cancer care: A call to action for all

Published:November 15, 2021DOI:


      • Rectal cancer care is complicated with high variability between institutions.
      • While high-volume hospitals have improved outcomes, older patients and other high-risk groups are less likely to travel distances to have surgery at high volume centers.
      • Centralization of rectal cancer care may lead to inequities; conscious efforts must be undertaken to bring high quality care to all patients.
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        • Chioreso C.
        • Del Vecchio N.
        • Schweizer M.L.
        • et al.
        Association between hospital and surgeon volume and rectal cancer surgery outcomes in patients with rectal cancer treated since 2000: systematic literature review and meta-analysis.
        Dis Colon Rectum. 2018; 61: 1320-1332
        • Monson J.R.T.
        • et al.
        Failure of evidence-based cancer care in the United States.
        Ann Surg. 2014; 260: 625-632
        • Yeo H.L.
        • Ableson J.S.
        • Mao J.
        • et al.
        Surgeon annual and cumulative volumes predict early postoperative outcomes after rectal cancer resection.
        Ann Surg. 2017; 265: 151-157 01
        • Schrag D.
        • Panageas K.S.
        • Riedel E.
        • et al.
        Hospital and surgeon procedure volume as predictors of outcome following rectal cancer resection.
        Ann Surg. 2002; 236: 583-592
        • Aquina C.T.
        • Probost C.P.
        • et al.
        High volume improves outcomes: the argument for centralization of rectal cancer surgery.
        Surgery. 2016; 159: 736-748
        • Lee G.C.
        • Sell N.M.
        • et al.
        Association of age with treatment at high-volume hospitals and distance traveled for care, in patients with rectal cancer who seek curative resection.
        Am J Surg. 2022; 223: 848-854
        • Chioreso C.
        • Gao X.
        • Gribovskaja-Rupp I.
        • et al.
        Hospital and surgeon selection for medicare beneficiaries with stage II/III rectal cancer: the role of rurality, distance to care, and colonoscopy provider.
        Ann Surg. Oct 2021; 274: e336-e344
        • Versteeg S.E.
        • Ho V.K.Y.
        • Siesling S.
        • et al.
        Centralization of cancer surgery and the impact on patients' travel burden.
        Health Pol. 2018; 122: 1028-1034
        • Wexner S.D.
        • Berho M.E.
        The rationale for and reality of the new national accreditation program for rectal cancer.
        Dis Colon Rectum. 2017; 60: 595-602
        • Antunez A.G.
        • Kanters A.E.
        • Regenbogen S.E.
        Evaluation of access to hospitals Most ready to achieve national accreditation for rectal cancer treatment.
        JAMA Surg. 2019; 154: 516-523