Distance Bias and Surgical Outcomes
Bibliographic Data
| ID | 9103190 |
|---|---|
| Authors | David A Etzioni (Mayo Clinic in Florida, corresponding author), Richard J Fowl (Mayo Clinic in Florida, corresponding author), Nabil Wasif (0000-0001-7979-6766, WinnMed, corresponding author), John H Donohue (Mayo Clinic), Robert R Cima (0000-0002-9277-8535, Mayo Clinic) |
| Year | 2013 |
| Volume | 51 |
| Issue | 3 |
| Pages | 238-244 |
| Publication date | 2013-03-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e318270bbfa |
| PMID | 23047126 |
| OpenAlex | W2332640960 |
| Language | EN |
| Citations received | 5 |
| References cited | 10 |
BACKGROUND: A body of research has found that patients who travel a significant distance to obtain medical treatment experience better outcomes, a phenomenon termed "distance bias." This study uses risk-adjusted surgical outcomes data to analyze distance bias in a population of patients treated surgically at a tertiary care institution. METHODS: We used risk-adjusted surgical outcomes data from the National Surgical Quality Improvement Project at the Mayo Clinic to calculate observed and expected risk of a severe complication. Operations were stratified into quintiles based on the distance traveled by the patient. RESULTS: The average age of patients in our cohort was 56.7 years, and 59.2% were female; patients traveled an average of 226 miles for treatment. Patients living closest to the Mayo Clinic (quintile 1) had lower observed and expected risks of a severe complication relative to patients in quintiles 2-5. Patients from quintile 1 had outcomes which were better than predicted [observed:expected risk ratio of 0.82 (range, 0.63-0.99)]. Patients traveling intermediate distances (quintile 2) had outcomes which were worse than predicted [observed:expected risk ratio of 1.18 (range, 1.00-1.42)]. Operations performed on patients from greater distances (quintiles 3-5) had an observed risk of severe complications which was similar to expected. DISCUSSION: The phenomenon of distance bias which has previously been documented in medical and oncologic treatment is not demonstrated in this study. An opposite phenomenon may be more pertinent, where patients who are treated locally are less likely to have a severe complication and have outcomes which are better than predicted
Cohort · Cohort study · Complication · Confidence interval · Population · Relative risk · Demography · Emergency Medicine · Healthcare Operations and Scheduling Optimization · Internal Medicine · Medicine · Patient-Provider Communication in Healthcare · Surgery · Trauma and Emergency Care Studies
Is Evidence, Like Beauty, Only in the Eye of the Beholder
Travel Distance and Health Outcomes for Scheduled Surgery
Are differences in travel time or distance to healthcare for adults in global north countries associated with an impact on health outcomes? A systematic review
Association between Residential Distance from Home to Hospital and Amputation of a Lower Extremity among Peripheral Artery Disease Patients in Japan
The Impact of Rurality on 30‐Day Preventable Readmission, Illness Severity, and Risk of Mortality for Heart Failure Medicare Home Health Beneficiaries
| Citations per year | 0.38 |
|---|---|
| Citation span | 2013 - 2022 (10) |
| Highly cited | No |