{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:57:07Z","timestamp":1790618227874,"version":"4.1.0"},"reference-count":55,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100019592","name":"Veterans Administration Medical Center, Yale School of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019592","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural patients experience healthcare disparities due to multiple factors including travel distance. However, the impact on colorectal cancer (CRC) care for Veterans remains undefined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to describe the association between distance and timeliness of care for Veterans with CRC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      We assembled a retrospective cohort of Veterans with Stage I\u2013III 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\u2010day readmissions and mortality were compared based on distance (\u2264\u200940\u2009mi; 41\u2013100\u2009mi, and &gt;\u2009100\u2009mi). Among 375 patients, the median travel distance was 67.9\u2009mi and median time to treatment initiation was 33\u2009days. In a multivariable linear regression adjusted for age, stage, year of surgery, race and co\u2010morbidities, the time to initial treatment was 11.8\u2009days longer for patients &gt;\u2009100\u2009mi away compared to those who live within 40\u2009mi (CI 1.4\u201322.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026). No significant difference was observed for patients within 40\u2009mi vs. 41\u2013100\u2009mi away (0.13\u2009days, CI \u22129.4 to 9.8, 0.98). Common contributors to delays &gt;\u200960\u2009days included transitions from non\u2010VAMC care, cardiac optimization and additional testing or treatment. There were no associations between distance and surgical length of stay, 30\u2010day readmissions, or mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Travel distance &gt;\u2009100\u2009mi was associated with timeliness of care for Veterans, though no differences in clinical outcomes were observed. Distance\u2010related outcome disparities may be mitigated through integrated, high\u2010volume VA care system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70663","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T02:12:51Z","timestamp":1788228771000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Timeliness of Colorectal Cancer Care in Veterans: The Role of Travel Distance"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3250-6465","authenticated-orcid":false,"given":"Emma M.","family":"Bradley","sequence":"first","affiliation":[{"name":"Department of General Surgery Vanderbilt University Medical Center &amp; Tennessee Valley Healthcare System\u2014Medical Center North  Nashville Tennessee USA"},{"name":"Geriatric Research Education and Clinical Center, and the VETWISE\u2010 LHS Center of Innovation Tennessee Valley Healthcare System\u2014Veterans Health Administration  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6356-6170","authenticated-orcid":false,"given":"Megan","family":"Shroder","sequence":"additional","affiliation":[{"name":"Department of General Surgery Vanderbilt University Medical Center &amp; Tennessee Valley Healthcare System\u2014Medical Center North  Nashville Tennessee USA"},{"name":"Geriatric Research Education and Clinical Center, and the VETWISE\u2010 LHS Center of Innovation Tennessee Valley Healthcare System\u2014Veterans Health Administration  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of General Surgery Vanderbilt University Medical Center &amp; Tennessee Valley Healthcare System\u2014Medical Center North  Nashville Tennessee USA"},{"name":"Geriatric Research Education and Clinical Center, and the VETWISE\u2010 LHS Center of Innovation Tennessee Valley Healthcare System\u2014Veterans Health Administration  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0669-1450","authenticated-orcid":false,"given":"Shannon","family":"McChesney","sequence":"additional","affiliation":[{"name":"Department of General Surgery Vanderbilt University Medical Center &amp; Tennessee Valley Healthcare System\u2014Medical Center North  Nashville Tennessee USA"},{"name":"Division of Colon &amp; Rectal Surgery, Department of Surgery Vanderbilt University Medical Center\u2014Medical Center North  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Kiernan","sequence":"additional","affiliation":[{"name":"Department of General Surgery Vanderbilt University Medical Center &amp; Tennessee Valley Healthcare System\u2014Medical Center North  Nashville Tennessee USA"},{"name":"Division of Surgical Oncology, Department of General Surgery Vanderbilt University Medical Center\u2014Medical Center North  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S.","family":"Dittus","sequence":"additional","affiliation":[{"name":"Geriatric Research Education and Clinical Center, and the VETWISE\u2010 LHS Center of Innovation Tennessee Valley Healthcare System\u2014Veterans Health Administration  Nashville Tennessee USA"},{"name":"Department of Medicine, Division of General Internal Medicine and Public Health Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6555-2055","authenticated-orcid":false,"given":"Christianne L.","family":"Roumie","sequence":"additional","affiliation":[{"name":"Geriatric Research Education and Clinical Center, and the VETWISE\u2010 LHS Center of Innovation Tennessee Valley Healthcare System\u2014Veterans Health Administration  Nashville Tennessee USA"},{"name":"Department of Medicine, Division of General Internal Medicine and Public Health Vanderbilt University Medical Center  Nashville Tennessee 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