Rural Women Have a Prolonged Recovery Process after Esophagectomy
dc.contributor.author | Schroeder, J | |
dc.contributor.author | Lagisetty, K | |
dc.contributor.author | Lynch, W | |
dc.contributor.author | Lin, J | |
dc.contributor.author | Chang, AC | |
dc.contributor.author | Reddy, RM | |
dc.coverage.spatial | Switzerland | |
dc.date.accessioned | 2024-05-12T13:18:28Z | |
dc.date.available | 2024-05-12T13:18:28Z | |
dc.date.issued | 2024-03-01 | |
dc.identifier.issn | 2072-6694 | |
dc.identifier.issn | 2072-6694 | |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pubmed/38539414 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/193143 | en |
dc.description.abstract | Background: Gender and geographic access to care play a large role in health disparities in esophageal cancer care. The aim of our study was to evaluate disparities in peri-operative outcomes for patients undergoing esophagectomy based on gender and geographic location. Methods: A retrospective cohort of prospectively collected data from patients who underwent esophagectomy from 2003 to 2022 was identified and analyzed based on gender and county, which were aggregated into existing state-level “metropolitan” versus “rural” designations. The demographics, pre-operative treatment, surgical complications, post-operative outcomes, and length of stay (LOS) of each group were analyzed using chi-squared, paired t-tests and single-factor ANOVA. Results: Of the 1545 patients, men (83.6%) and women (16.4%) experienced similar rates of post-operative complications, but women experienced significantly longer hospital (p = 0.002) and ICU (p = 0.03) LOSs as compared with their male counterparts, with no differences in 30-day mortality. When separated by geographic criteria, rural women were further outliers, with significantly longer hospital LOSs (p < 0.001) and higher rates of ICU admission (p < 0.001). Conclusions: Rural female patients undergoing esophagectomy were more likely to have a longer inpatient recovery process compared with their female metropolitan or male counterparts, suggesting a need for more targeted interventions in this population. | |
dc.format.medium | Electronic | |
dc.language | eng | |
dc.publisher | MDPI | |
dc.rights | Licence for published version: Creative Commons Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | esophageal cancer | |
dc.subject | esophagectomy | |
dc.subject | gender disparity | |
dc.subject | geographic access to care | |
dc.subject | health disparities | |
dc.subject | peri-operative outcomes and complications | |
dc.title | Rural Women Have a Prolonged Recovery Process after Esophagectomy | |
dc.type | Article | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/193143/2/Rural Women Have a Prolonged Recovery Process after Esophagectomy.pdf | |
dc.identifier.doi | 10.3390/cancers16061078 | |
dc.identifier.doi | https://dx.doi.org/10.7302/22788 | |
dc.identifier.source | Cancers | |
dc.description.version | Published version | |
dc.date.updated | 2024-05-12T13:18:27Z | |
dc.identifier.orcid | 0000-0002-7241-5227 | |
dc.identifier.orcid | 0000-0003-4733-0659 | |
dc.identifier.orcid | 0000-0001-9506-0425 | |
dc.identifier.orcid | 0000-0002-4337-5051 | |
dc.identifier.volume | 16 | |
dc.identifier.issue | 6 | |
dc.identifier.startpage | 1078 | |
dc.identifier.name-orcid | Schroeder, J | |
dc.identifier.name-orcid | Lagisetty, K; 0000-0002-7241-5227 | |
dc.identifier.name-orcid | Lynch, W | |
dc.identifier.name-orcid | Lin, J; 0000-0003-4733-0659 | |
dc.identifier.name-orcid | Chang, AC; 0000-0001-9506-0425 | |
dc.identifier.name-orcid | Reddy, RM; 0000-0002-4337-5051 | |
dc.working.doi | 10.7302/22788 | en |
dc.owningcollname | Surgery, Department of |
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