Evidence map›Paper›PMID 42675007›Full record

ArticleCancer reports (Hoboken, N.J.)2026

Timeliness of Colorectal Cancer Care in Veterans: The Role of Travel Distance.

Emma M Bradley, Megan Shroder, Gretchen Edwards, Shannon McChesney, Colleen Kiernan, Robert S Dittus, Christianne L Roumie

Abstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emma M BradleyDepartment of General Surgery, Vanderbilt University Medical Center & Tennessee Valley Healthcare System-Medical Center North, Nashville, Tennessee, USA.ORCID 0009-0005-3250-6465
Megan ShroderDepartment of General Surgery, Vanderbilt University Medical Center & Tennessee Valley Healthcare System-Medical Center North, Nashville, Tennessee, USA.ORCID 0000-0002-6356-6170
Gretchen EdwardsDepartment of General Surgery, Vanderbilt University Medical Center & Tennessee Valley Healthcare System-Medical Center North, Nashville, Tennessee, USA.
Shannon McChesneyDepartment of General Surgery, Vanderbilt University Medical Center & Tennessee Valley Healthcare System-Medical Center North, Nashville, Tennessee, USA.ORCID 0000-0002-0669-1450
Colleen KiernanDepartment of General Surgery, Vanderbilt University Medical Center & Tennessee Valley Healthcare System-Medical Center North, Nashville, Tennessee, USA.
Robert S DittusGeriatric Research Education and Clinical Center, and the VETWISE- LHS Center of Innovation, Tennessee Valley Healthcare System-Veterans Health Administration, Nashville, Tennessee, USA.
Christianne L RoumieGeriatric Research Education and Clinical Center, and the VETWISE- LHS Center of Innovation, Tennessee Valley Healthcare System-Veterans Health Administration, Nashville, Tennessee, USA.ORCID 0000-0002-6555-2055

Funding

Veterans Administration Medical Center (VA Quality Scholars Program)
6 · The paper itself

Abstract

backgroundRural patients experience healthcare disparities due to multiple factors including travel distance. However, the impact on colorectal cancer (CRC) care for Veterans remains undefined.

aimsWe aimed to describe the association between distance and timeliness of care for Veterans with CRC. METHODS AND

resultsWe assembled a retrospective cohort of Veterans with Stage I-III CRC who underwent resection at a Veterans Affairs Medical Center (VAMC) between 2001 and 2018. Time from diagnosis to initiation of treatment, length of stay, 30-day readmissions and mortality were compared based on distance (≤ 40 mi; 41-100 mi, and > 100 mi). Among 375 patients, the median travel distance was 67.9 mi and median time to treatment initiation was 33 days. In a multivariable linear regression adjusted for age, stage, year of surgery, race and co-morbidities, the time to initial treatment was 11.8 days longer for patients > 100 mi away compared to those who live within 40 mi (CI 1.4-22.1, p = 0.026). No significant difference was observed for patients within 40 mi vs. 41-100 mi away (0.13 days, CI -9.4 to 9.8, 0.98). Common contributors to delays > 60 days included transitions from non-VAMC care, cardiac optimization and additional testing or treatment. There were no associations between distance and surgical length of stay, 30-day readmissions, or mortality.

conclusionTravel distance > 100 mi was associated with timeliness of care for Veterans, though no differences in clinical outcomes were observed. Distance-related outcome disparities may be mitigated through integrated, high-volume VA care system.

Indexed as

Colorectal NeoplasmsHealthcare DisparitiesHealth Services AccessibilityTime-to-TreatmentTravelVeteransAgedFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionRetrospective StudiesTime FactorsTreatment Delayaccess to carecolorectal cancertimeliness of caretravel distanceVeteran's health

Identifiers

PMID42675007
PMCPMC13529579

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.