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Geographic variations in access to care occur in the USA. We desired to define county-level disparities relative to accessibility surgery amongpatients with early-stage hepatopancreatic (HP) cancer tumors. Data had been obtained from the Surveillance, Epidemiology, and final results (SEER)-Medicare Linked database from 2004 to 2015 to recognize clients undergoing surgery forearly-stage HP cancer . County-level information was obtained through the A