Residing in a food desert is associated with an increased risk of readmission following esophagectomy for cancer

• DOI: 10.21037/jtd-21-1637
• Publication Date: 2022-06-02T10:07:49Z
• Authors: Kayla A. Fay; Matthew E. Maeder; Jennifer A. Emond; Rian M. Hasson; Timothy M. Millin...; David J. Finley; Joseph D. Phillips
• Keywords: Esophagectomy; Desert (philosophy)

Nutritional status is related to treatment outcomes for esophageal cancer. Residing in a food desert (FD) has been associated with worse breast and colon We assessed the association of residing FD on 30-day cancer patients who received tri-modality therapy.A retrospective review underwent esophagectomy (1/2015 7/2020, New Hampshire, USA) was performed. Patients were excluded if they did not undergo neo-adjuvant treatment, required outside standard Chemoradiotherapy Oesophageal Cancer Followed by Surgery Study (CROSS) protocol, or lacked both pre post computed tomography (CT) scans review. Demographics, nutrition parameters, characteristics, complications 90-day mortality reviewed. defined United States Department Agriculture (USDA) Food Access Research Atlas cross-referenced patients' home zip code. Readmission as readmission any hospital reason within discharge. Univariable analysis conducted using Student's t-test Wilcoxon rank-sum continuous variables, Fisher's exact test categorical variables. Multivariable logistic regression then used model adjusted measures statistically at P<0.10 univariable analyses.Seventy-eight included analysis. Overall pre-treatment prevalence sarcopenia 11.5% (9/78) vary status. analysis, demonstrated few significant differences between those readmitted not. On unadjusted lived 5 times more likely be [5.16; 95% confidence interval (CI): 1.70-15.67] compared remained risk factor after adjustment operative time, discharge rehabilitation facility development grade III/IV complication [adjusted odds ratio (OR): 6.38; CI: 1.45-28.08].Our data suggest that prognostic therapy Clinicians need aware previously established nutritional markers may completely capture living significantly increase these patients.