Rural Health
Resources by Topic: Surgery
Timely Adjuvant Therapy in Head and Neck Cancer: Barriers and Facilitators in Rural Care
Examines initiation delays of postoperative radiotherapy (PORT) following surgery in rural patients with head and neck squamous cell carcinoma. Utilizes qualitative data from patients, caregivers, and staff at 2 rural New England cancer center clinics and discusses barriers and facilitators of PORT, such as communication, caregiver support, healthcare access, leveraging rural resources and culture, and more.
Author(s): Garrett T. Wasp, Shahed Khudaier, Olivia Siroonian, et al.
Citation: JAMA Otolaryngology – Head & Neck Surgery, 152(6), 569-577
Date: 06/2026
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Examines initiation delays of postoperative radiotherapy (PORT) following surgery in rural patients with head and neck squamous cell carcinoma. Utilizes qualitative data from patients, caregivers, and staff at 2 rural New England cancer center clinics and discusses barriers and facilitators of PORT, such as communication, caregiver support, healthcare access, leveraging rural resources and culture, and more.
Author(s): Garrett T. Wasp, Shahed Khudaier, Olivia Siroonian, et al.
Citation: JAMA Otolaryngology – Head & Neck Surgery, 152(6), 569-577
Date: 06/2026
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Income and Geographic Disparities in in-Hospital Mortality Following Cardiovascular Procedures: Evidence From the National Inpatient Sample, 2016–2022
Examines in-hospital mortality following cardiovascular procedures as related to income and geographic disparities. Utilizes 2016-2022 National Inpatient Sample data to analyze various cardiovascular procedures and associated mortality risk by income as well as by location of non-metro, metro of 50,000 to 999,000 residents, or metro of 1,000,000 or more residents.
Author(s): Alon Bergman, Ashwin Nathan
Citation: Health Services Research, 61(2), e70117
Date: 04/2026
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Examines in-hospital mortality following cardiovascular procedures as related to income and geographic disparities. Utilizes 2016-2022 National Inpatient Sample data to analyze various cardiovascular procedures and associated mortality risk by income as well as by location of non-metro, metro of 50,000 to 999,000 residents, or metro of 1,000,000 or more residents.
Author(s): Alon Bergman, Ashwin Nathan
Citation: Health Services Research, 61(2), e70117
Date: 04/2026
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Residence in a Rural Setting is Associated with Lower Five-Year Survival Rates in Patients that Undergo Spine Surgery for Breast Cancer Metastatic to the Spine: A Propensity Matched Analysis
Compares rural and urban mortality among breast cancer patients who underwent spine surgery, using 2006-2015 SEER data of 865 female patients.
Author(s): Austin Q. Nguyen, Brian M. Phelps, Sree M. Vemu, et al.
Citation: North American Spine Society Journal (NASSJ), 26, 100886
Date: 04/2026
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Compares rural and urban mortality among breast cancer patients who underwent spine surgery, using 2006-2015 SEER data of 865 female patients.
Author(s): Austin Q. Nguyen, Brian M. Phelps, Sree M. Vemu, et al.
Citation: North American Spine Society Journal (NASSJ), 26, 100886
Date: 04/2026
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Pennsylvania Cancer Surgery Volume Report: July 1, 2024 through June 30, 2025 Data
Offers information about the number of cancer-related surgeries performed at each Pennsylvania hospital and ambulatory surgery center. Features statistics with breakdowns by county, facility type, and by 13 types of cancer.
Date: 04/2026
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Offers information about the number of cancer-related surgeries performed at each Pennsylvania hospital and ambulatory surgery center. Features statistics with breakdowns by county, facility type, and by 13 types of cancer.
Date: 04/2026
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Geographical Barriers to Surgical Treatment for Cataract among California Medicare Beneficiaries
Analyzes geographic factors associated with receipt of cataract surgery among California Medicare beneficiaries, using 2017 California Medicare Database claims data. Breaks down data by travel time or distance to care, rurality, and race or ethnicity.
Author(s): Karla Murillo, Ken Kitayama, Fei Yu, Victoria L. Tseng, Anne L. Coleman
Citation: Journal of Cataract & Refractive Surgery, 52(6), 544-550
Date: 01/2026
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Analyzes geographic factors associated with receipt of cataract surgery among California Medicare beneficiaries, using 2017 California Medicare Database claims data. Breaks down data by travel time or distance to care, rurality, and race or ethnicity.
Author(s): Karla Murillo, Ken Kitayama, Fei Yu, Victoria L. Tseng, Anne L. Coleman
Citation: Journal of Cataract & Refractive Surgery, 52(6), 544-550
Date: 01/2026
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Trauma and Emergency Surgical Care at Rural Emergency Hospital-Eligible Facilities: Interstate Variation and Policy Implications for Rural Health Systems
Explores trauma and emergency general surgery volumes at hospitals eligible to become Rural Emergency Hospitals (REHs). Analyzes 2021 Healthcare Cost and Utilization Project data from California, Florida, Iowa, Maryland, and Wisconsin, to describe the volume of emergency general surgery and trauma care performed at REH-eligible hospitals. Examines the characteristics of the populations and communities served by hospitals eligible for REH designation compared with those served by REH-ineligible hospitals. Discusses the potential impact of converting to the REH designation on access to trauma and emergency general surgery.
Author(s): Nina M. Clark, Alexandra H. Hernandez, Cody L. Mullens, et al.
Citation: Journal of Trauma and Acute Care Surgery, 100(5), 768-776
Date: 01/2026
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Explores trauma and emergency general surgery volumes at hospitals eligible to become Rural Emergency Hospitals (REHs). Analyzes 2021 Healthcare Cost and Utilization Project data from California, Florida, Iowa, Maryland, and Wisconsin, to describe the volume of emergency general surgery and trauma care performed at REH-eligible hospitals. Examines the characteristics of the populations and communities served by hospitals eligible for REH designation compared with those served by REH-ineligible hospitals. Discusses the potential impact of converting to the REH designation on access to trauma and emergency general surgery.
Author(s): Nina M. Clark, Alexandra H. Hernandez, Cody L. Mullens, et al.
Citation: Journal of Trauma and Acute Care Surgery, 100(5), 768-776
Date: 01/2026
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Directory of Mississippi Health Facilities
Directory of Mississippi health facilities with address, phone number, and accreditation status if applicable, current as of November 5, 2025. Includes a list of rural health facilities on pages 87-98.
Date: 11/2025
Sponsoring organization: Mississippi State Department of Health
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Directory of Mississippi health facilities with address, phone number, and accreditation status if applicable, current as of November 5, 2025. Includes a list of rural health facilities on pages 87-98.
Date: 11/2025
Sponsoring organization: Mississippi State Department of Health
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Pennsylvania Common Procedures Report 2024
Provides information about the performance and utilization of Pennsylvania hospitals and ambulatory surgery centers for spinal fusion, total hip replacement, and total knee replacement, using data from October 2023 through September 2024. Includes hospitalization rates for each procedure by urban and rural areas, among other breakdowns.
Additional links: Summary and Highlights
Date: 10/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Provides information about the performance and utilization of Pennsylvania hospitals and ambulatory surgery centers for spinal fusion, total hip replacement, and total knee replacement, using data from October 2023 through September 2024. Includes hospitalization rates for each procedure by urban and rural areas, among other breakdowns.
Additional links: Summary and Highlights
Date: 10/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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