Urban–Rural Variations in Quality of Care Among Patients With Cancer in California

IntroductionPrevious research suggests cancer patients living in rural areas have lower quality of care, but population-based studies yielded inconsistent results. This study examines the impact rurality on care for 7 types California.MethodsBreast, ovarian, endometrial, cervix, colon, lung, and gastric diagnosed from 2004 to 2017 were identified California Cancer Registry. Multivariable logistic regression proportional hazards models used assess effects residential location survival. Stratified examined treatment at National Institute designated centers (NCICCs). Quality was evaluated using Commission measures. Medical Service Study Areas urban/rural status. Data collected 2004–2019 analyzed 2020.Results989,747 evaluated, with 14% areas. Rural had odds receiving radiation after breast conserving surgery compared urban residents. Colon 20% 16% odds, respectively, having optimal surgery. treated NCICCs greater recommended most types. Survival similar among subgroups.ConclusionsRural residence inversely associated receipt colon not NCICCs, radiotherapy regardless location. Further investigating availability supportive services urban–rural differences are warranted. Previous California. Breast, 2020. 989,747 subgroups.