دورية أكاديمية
أعرض في EDS

Food Deserts Increase Readmission After Esophagectomy for Cancer: A Multi-institutional Study.

التفاصيل البيبلوغرافية
العنوان: Food Deserts Increase Readmission After Esophagectomy for Cancer: A Multi-institutional Study.
المؤلفون: Phillips JD; Section of Thoracic Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. Electronic address: joseph.d.phillips@hitchcock.org., Fay KA; Section of Thoracic Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire., Wakeam E; Division of Thoracic Surgery, Department of Surgery, Toronto General Hospital, Toronto, Ontario, Canada., Graham NJ; University of Michigan Medical School, Ann Arbor, Michigan., Godfrey CM; Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee., Marmor HN; Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee., Grogan EL; Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee., Meguid RA; Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado., Madsen HJ; Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado., Stuart CM; Division of Cardiothoracic Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, Colorado., Sachdeva UM; Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts., Wang D; Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts., Abou Chaar MK; Department of Thoracic Surgery, Mayo Clinic, Rochester, Minnesota., Blackmon SH; Department of Thoracic Surgery, Mayo Clinic, Rochester, Minnesota., Maeder ME; Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire., Emond JA; Department of Biomedical Data Sciences, Geisel School of Medicine, Hanover, New Hampshire., Hasson RM; Section of Thoracic Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire., Millington TM; Section of Thoracic Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire., Finley DJ; Section of Thoracic Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
المصدر: The Annals of thoracic surgery [Ann Thorac Surg] 2023 Aug; Vol. 116 (2), pp. 246-253. Date of Electronic Publication: 2023 Apr 18.
نوع المنشور: Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: Boston.
مواضيع طبية MeSH: Food Deserts* , Esophageal Neoplasms*/surgery, United States ; Humans ; Esophagectomy/adverse effects ; Patient Readmission ; Risk Factors ; Retrospective Studies ; Postoperative Complications/etiology
مستخلص: Background: Food deserts are low-income census tracts with poor access to supermarkets and are associated with worse outcomes in breast, colon, and a small number of esophageal cancer patients. This study investigated residency in food deserts on readmission rates in a multi-institutional cohort of esophageal cancer patients undergoing trimodality therapy.
Methods: A retrospective review of patients who underwent trimodality therapy at 6 high-volume institutions from January 2015 to July 2019 was performed. Food desert status was defined by the United States Department of Agriculture by patient ZIP Code. The primary outcome was 30-day readmission after esophagectomy. Multilevel, multivariable logistic regression was used to model readmission on food desert status adjusted for diabetes, insurance type, length of stay, and any complication, treating the institution as a random factor.
Results: Of the 453 records evaluated, 425 were included in the analysis. Seventy-three patients (17.4%) resided in a food desert. Univariate analysis demonstrated food desert patients had significantly increased 30-day readmission. No differences were seen in length of stay, complications, or 30-day mortality. In the adjusted logistic regression model, residing in a food desert remained a significant risk factor for readmission (odds ratio, 2.11; 95% CI, 1.07-4.15). There were no differences in 30-day, 90-day, or 1-year mortality based on food desert status, although readmission was associated with worse 90-day and 1-year mortality.
Conclusions: Food desert residence was associated with 30-day readmission after esophagectomy in patients undergoing trimodality treatment for esophageal cancer in this multi-institutional population. Identification of patients residing in a food desert may allow surgeons to focus preventative interventions during treatment and postoperatively to improve outcomes.
(Copyright © 2023 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
التعليقات: Comment in: Ann Thorac Surg. 2023 Aug;116(2):253-254. doi: 10.1016/j.athoracsur.2023.04.039. (PMID: 37178861)
References: Ann Surg Oncol. 2018 Feb;25(2):456-464. (PMID: 29214454)
Nurse Pract. 2015 Aug 15;40(8):32-6. (PMID: 26180911)
Ann Vasc Surg. 2021 Jan;70:36-42. (PMID: 32628994)
Surg Oncol Clin N Am. 2012 Jul;21(3):397-405, viii. (PMID: 22583989)
J Thorac Dis. 2022 Jun;14(6):1854-1868. (PMID: 35813712)
Ann Surg. 2004 Aug;240(2):205-13. (PMID: 15273542)
Ann Surg Oncol. 2021 Mar;28(3):1311-1319. (PMID: 32844294)
Oncologist. 2015 Dec;20(12):1378-85. (PMID: 26512045)
Support Care Cancer. 2020 Dec;28(12):5673-5691. (PMID: 32815021)
Dis Esophagus. 2018 Jan 1;31(1):1-11. (PMID: 29024949)
World J Surg. 2016 Aug;40(8):1910-7. (PMID: 27220507)
Am J Cardiol. 2019 Jan 15;123(2):291-296. (PMID: 30442360)
Nutr J. 2012 Apr 24;11:27. (PMID: 22531478)
Ann Thorac Surg. 2018 Oct;106(4):973-980. (PMID: 29936024)
Health Aff (Millwood). 2010 Mar-Apr;29(3):473-80. (PMID: 20194989)
Cancer. 2021 Jan 15;127(2):229-238. (PMID: 33107990)
Ann Surg Oncol. 2022 Feb;29(2):1358-1373. (PMID: 34482453)
Clin Nutr. 2020 Nov;39(11):3211-3227. (PMID: 32362485)
J Clin Oncol. 2021 Jun 20;39(18):1995-2004. (PMID: 33891478)
J Thorac Cardiovasc Surg. 2015 Nov;150(5):1254-60. (PMID: 26412319)
J Clin Oncol. 2015 Feb 10;33(5):455-64. (PMID: 25547502)
Ann Thorac Surg. 2015 Jan;99(1):292-7. (PMID: 25442987)
Esophagus. 2019 Oct;16(4):345-351. (PMID: 30980203)
J Transl Med. 2015 Jul 24;13:241. (PMID: 26205792)
Eur J Surg Oncol. 2017 Feb;43(2):478-484. (PMID: 28024944)
Ann Surg. 2017 Nov;266(5):822-830. (PMID: 28796017)
Cancer. 2001 Jan 1;91(1):178-88. (PMID: 11148575)
معلومات مُعتمدة: P30 CA023108 United States CA NCI NIH HHS; UL1 TR001086 United States TR NCATS NIH HHS
تواريخ الأحداث: Date Created: 20230420 Date Completed: 20230726 Latest Revision: 20240802
رمز التحديث: 20240802
مُعرف محوري في PubMed: PMC10631468
DOI: 10.1016/j.athoracsur.2023.04.015
PMID: 37080374
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-6259
DOI:10.1016/j.athoracsur.2023.04.015