Zhaomin Xu, MD, MPH; Christopher T. Aquina, MD, MPH; Carla F. Justiniano, MD, MPH; Adan Z. Becerra, PhD; Francis P. Boscoe, PhD; Maria J. Schymura, PhD; Larissa K. Temple, MD, MSc; Fergal J. Fleming, MD
The number of hospitals performing rectal cancer resections in New York State is decreasing and volume by center is increasing. There was a statistically significant difference in the mean distance traveled by patients over time. If rectal cancer resections were centralized to high-volume centers, the mean travel distance would increase by 9.5 miles. There would be a 321% increase in the number of patients having to travel 50+ miles for surgery. Any plan for centralization in New York State will require careful planning to avoid placing undue travel burden on patients.