Location of Cancer Surgery for Older Veterans with Cancer
Article first published online: 23 SEP 2011
© Health Research and Educational Trust
Health Services Research
Volume 47, Issue 2, pages 783–793, April 2012
How to Cite
Kouri, E. M., Landrum, M. B., Lamont, E. B., Bozeman, S., McNeil, B. J. and Keating, N. L. (2012), Location of Cancer Surgery for Older Veterans with Cancer. Health Services Research, 47: 783–793. doi: 10.1111/j.1475-6773.2011.01327.x
- Issue published online: 8 MAR 2012
- Article first published online: 23 SEP 2011
- Department of Veterans Affairs
- cancer surgery;
- health services
Many veterans undergo cancer surgery outside of the Veterans Health Administration (VHA). We assessed to what extent these patients obtained care in the VHA before surgery.
VHA-Medicare data, VHA administrative data, and Veterans Affairs Central Cancer Registry data.
We identified patients aged ≥65 years in the VHA-Medicare cohort who underwent lung or colon cancer resection outside the VHA and assessed VHA visits in the year before surgery.
Over 60% of patients in the VHA-Medicare cohort who received lung or colon cancer surgeries outside the VHA did not receive any care in VHA before surgery.
Veterans’ receipt of major cancer surgery outside the VHA probably reflects usual private sector care among veterans who are infrequent VHA users.