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Rural Health
Resources by Topic: Cancer

The Costs of Cancer in Rural Communities
Explores the financial impact cancer has on individuals in rural communities. Includes information and data related to health insurance, income levels, and how cost is connected to healthcare access and deferred treatment.
Date: 10/2022
Type: Document
Sponsoring organization: American Cancer Society Cancer Action Network
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The Involvement of Rural Health Clinic Practitioners in Cancer Treatment Decisions and Survivorship Care
Results of a survey examining how practitioners from 153 Rural Health Clinics (RHCs) in 36 states are involved in their patients' cancer treatment and survivorship decisions. Features statistics on RHC characteristics, proportions of RHC practitioners who provide care or engage in joint decisions with another practitioner, RHC practitioner roles in cancer survivorship care, and experience with follow-up care for cancer survivors.
Author(s): Whitney E. Zahnd, Allie F. Silverman, Stella Self, et al.
Date: 10/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Lessening the Impact of Financial Toxicity (Lift): A Protocol for a Multi-Site, Single-Arm Trial Examining the Effect of Financial Navigation on Financial Toxicity in Adult Patients with Cancer in Rural and Non-Rural Settings
Describes a trial study that examines financial toxicity (FT) experienced by adults with cancer in both rural and urban settings and implements financial navigation (FN) strategies for the patient. Observes 780 patients over 2 years who are enrolled in the Lessening the Impact of Financial Toxicity (LIFT) study that identifies and screens for FT, connects patients to FN resources, and includes ongoing check-ins and electronic tracking of LIFT patients. Includes rural versus urban breakdowns of oncology settings by organizational characteristics such as cancer program type, hospital ownership structure, presence of satellite locations, number of inpatient beds, and number of counties in catchment area.
Author(s): Stephanie B. Wheeler, Caitlin B. Biddell, Michelle L. Manning, et al.
Citation: Trials, 23, 839
Date: 10/2022
Type: Document
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Impact of Social Vulnerability on Comorbid Cancer and Cardiovascular Disease Mortality in the United States
Examines racial and social disparities as related to cancer and cardiovascular disease (CVD) mortality. Utilizes 2015-2019 data from the Centers for Disease Control (CDC) and Prevention Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze mortality rates and 2014-2018 data from the CDC's Agency for Toxic Substances and Disease Registry to estimate the respective county-level social vulnerability index (SVI). Includes demographic breakdowns of mortality rates according to age, sex, race/ethnicity, and large metropolitan, medium small metropolitan, or micropolitan/noncore (nonmetropolitan) location.
Author(s): Sarju Ganatra, Sourbha S. Dani, Ashish Kumar, et al.
Citation: Journal of American College of Cardiology: CardioOncology, 4(3), 326-337
Date: 09/2022
Type: Document
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Incidental Sun Exposures as a Source of Sunburn Among Rural Compared to Urban Residents in the United States
Presents a study comparing sun exposure for people living in rural versus urban areas. Looks at sun exposure from leisure time activities and outdoor work for both rural and urban people.
Author(s): Patricia I. Jewett, Carrie Henning-Smith, DeAnn Lazovich, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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Rural–Urban Differences in Breast and Colorectal Cancer Screening among US Women, 2014-2019
Analyzes disparities in breast and colorectal cancer screening in rural and urban women aged 50-74 in the U.S. using 2014-2019 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes demographic breakdowns by age, race/ethnicity, sexual orientation, education level, income, marital status, health behaviors, and reported access to healthcare.
Author(s): Nicholas Theodoropoulos, Hui Xie, Qian Wang, Chi Wen, Yannan Li
Citation: Rural and Remote Health, 22(3), 7339
Date: 09/2022
Type: Document
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Association of Rurality, Race and Ethnicity, and Socioeconomic Status With the Surgical Management of Colon Cancer and Postoperative Outcomes Among Medicare Beneficiaries
Results of a study of 57,710 fee-for-service Medicare beneficiaries 65 years or older diagnosed with colon cancer between April 2016, and September 2018, with follow-up until December 2018. Features demographics and statistics with breakdowns by metropolitan, micropolitan, or small town/rural location.
Author(s): Niveditta Ramkumar, Carrie H. Colla, Qianfei Wang, et al.
Citation: JAMA Network Open, 5(8)
Date: 08/2022
Type: Document
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Adoption of Telemedicine in a Rural US Cancer Center Amid the COVID-19 Pandemic: Qualitative Study
Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
Type: Document
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Rural-Urban Disparities in Place of Death in Hematologic Malignancies in the United States, 2003 to 2019
Examines place of death (POD) by home, hospice, or nursing/medical facility due to hematologic malignancy mortalities that occurred between 2013 and 2019. Analyzes 1,009,717 deaths recorded in the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) database and breaks down POD by large metropolitan, medium/small metropolitan, and rural metropolitan. Discusses disparities in urban and rural community access to end-of-life resources.
Author(s): S. M. Qasim Hussaini, Amanda L. Blackford, Arjun Gupta, et al.
Citation: Blood Advances, 6(16), 4731-4734
Date: 08/2022
Type: Document
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