Comparing Care for Breast Cancer Survivors to Non-Cancer Controls: A Five-Year Longitudinal Study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-04

AUTHORS

Claire F. Snyder, Kevin D. Frick, Kimberly S. Peairs, Melinda E. Kantsiper, Robert J. Herbert, Amanda L. Blackford, Antonio C. Wolff, Craig C. Earle

ABSTRACT

BACKGROUND: Deficiencies in care for cancer survivors may result from unclear roles for primary care providers (PCPs) and oncology specialists in follow-up. OBJECTIVES: To compare cancer survivors' care to non-cancer controls. DESIGN: Retrospective, longitudinal, controlled study starting 366 days post-diagnosis. SUBJECTS: Stage 1-3 breast cancer survivors age 65+ diagnosed in 1998 (n = 1961) and matched non-cancer controls (n = 1961). MEASUREMENTS: Using the SEER-Medicare database, we examined the number of visits to PCPs, oncology specialists, and other physicians; receipt of influenza vaccination, cholesterol screening, colorectal cancer screening, bone densitometry, and mammography; and whether care receipt was associated with physician mix visited. RESULTS: Survivors were consistently less likely to receive influenza vaccination, cholesterol screening, colorectal cancer screening, and bone densitometry but more likely to receive mammograms than controls (all p < 0.05). Over time, colorectal cancer screening and mammography decreased and influenza vaccination increased for both groups (all p < 0.0001). Trends over time in care receipt were similar for survivors and controls. In Year 1, survivors had more visits to PCPs but fewer visits to other physicians than controls (both p < 0.05). Over time, survivors' visits to PCPs and other physicians increased and to oncology specialists decreased (all p < 0.0001). Controls' visits to PCPs increased (p < 0.0001) faster than survivors' (p = 0.003). Controls' visits to other physicians increased (p < 0.0001) at a rate similar to survivors. Survivors who visited both a PCP and oncology specialist were most likely to receive each service. CONCLUSIONS: Better coordination between PCPs and oncology specialists may improve care for older breast cancer survivors. More... »

PAGES

469-474

References to SciGraph publications

  • 2008-03. Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors in JOURNAL OF GENERAL INTERNAL MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11606-009-0903-2

    DOI

    http://dx.doi.org/10.1007/s11606-009-0903-2

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19156470


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