Disparities and Challenges in Surgical Cancer Care at Safety-Net Hospitals

Analyzing 37 studies covering January 2000 to October 2021, researchers explored surgical cancer care in US safety-net hospitals (SNHs). Breast cancer (43%), colorectal (30%), and hepatopancreatobiliary (16%) cases were most represented. Barriers like financial constraints, cultural/language issues, and insurance limitations were common, contributing to advanced disease presentation (24-61% of patients). Limited data on cancer survival comparisons underscored variability in SNH care. The study emphasizes the need for enhanced access and quality in surgical oncology for safety-net hospital patients.

Review by Wong P, Victorino GP (…) Thornblade LW et 3 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

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