دورية أكاديمية
Association of County-Level Food Deserts and Food Swamps with Hepatopancreatobiliary Cancer Outcomes.
| العنوان: | Association of County-Level Food Deserts and Food Swamps with Hepatopancreatobiliary Cancer Outcomes. |
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| المؤلفون: | Khalil M; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Munir MM; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Endo Y; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Woldesenbet S; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Resende V; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.; Federal University of Minas Gerais School of Medicine, Belo Horizonte, Brazil., Rawicz-Pruszyński K; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.; Department of Surgical Oncology, Medical University of Lublin, Lublin, Poland., Khan MMM; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Waqar U; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.; Medical College, Aga Khan University, Karachi, Pakistan., Katayama E; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Dilhoff M; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Cloyd J; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Ejaz A; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA., Pawlik TM; Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA. Tim.Pawlik@osumc.edu. |
| المصدر: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract [J Gastrointest Surg] 2023 Dec; Vol. 27 (12), pp. 2771-2779. Date of Electronic Publication: 2023 Nov 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Netherlands NLM ID: 9706084 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4626 (Electronic) Linking ISSN: 1091255X NLM ISO Abbreviation: J Gastrointest Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2007- : New York : Springer Original Publication: St. Louis, MO : Quality Medical Pub., c1997- |
| مواضيع طبية MeSH: | Food Deserts* , Neoplasms*, Humans ; Aged ; United States ; Wetlands ; Food Supply ; Residence Characteristics ; Medicare |
| مستخلص: | Background: Malnutrition has been linked to the development of hepatopancreatobiliary (HPB) cancer. We sought to examine the association between food swamps and food deserts on surgical outcomes of patients with HPB cancer. Methods: Patients who underwent surgery for HPB cancer between 2014 and 2020 were identified from the Medicare Standard Analytic Files. Patient-level data were linked to the United States Department of Agriculture data on food swamps and deserts. Multivariable regression was performed to examine the association between the food environment and outcomes. Results: Among 53,426 patients, patients from the worse food environment were more likely to be Black, have a higher Charlson Comorbidity Index, and reside in areas with high social vulnerability. Following surgery, the overall incidence of textbook outcome (TO) was 41.6% (n = 22,220). Patients residing in the worse food environments less often achieved a TO versus individuals residing in the healthiest food environments (food swamp: 39.4% vs. 43.9%; food desert: 38.5% vs 42.2%; p < 0.05). On multivariable analysis, individuals residing in the poorest food environments were associated with lower odds of achieving TO compared with individuals living in healthiest food environments (food swamp: OR 0.83, 95%CI 0.75-0.92, food desert: OR 0.86, 95%CI 0.76-0.97; both p < 0.05). Conclusion: The surrounding food environment of patients may serve as a modifiable socio-demographic risk factor that contributes to disparities in surgical outcomes of HPB cancer. (© 2023. The Society for Surgery of the Alimentary Tract.) |
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| فهرسة مساهمة: | Keywords: Cancer outcomes; Food environment; HPB; Social determinants of health |
| تواريخ الأحداث: | Date Created: 20231108 Date Completed: 20240205 Latest Revision: 20240904 |
| رمز التحديث: | 20240904 |
| DOI: | 10.1007/s11605-023-05879-3 |
| PMID: | 37940806 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1873-4626 |
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| DOI: | 10.1007/s11605-023-05879-3 |