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Under use of necessary care among cancer survivors

Under use of necessary care among cancer survivors Comorbid conditions are the major threat to life for many cancer survivors, yet little is known about the quality of the noncancer‐related health care they receive. The authors analyzed the Medicare claims of 14,884 Medicare‐eligible, 5‐year colorectal carcinoma survivors who were diagnosed initially while they lived in a region monitored by the Surveillance, Epidemiology, and End Results (SEER) Program and compared them with matched controls who had no history of cancer drawn from the Medicare 5% sample. In both univariable and multivariable analyses, cancer survivorship was associated with an increased likelihood of not receiving recommended care across a broad range of chronic medical conditions (odds ratio, 1.19, 95% confidence interval, 1.12–1.27). For example, colorectal carcinoma survivors were less likely than controls to receive appropriate follow‐up for heart failure, necessary diabetic care, or recommended preventive services. Having both primary care physicians and oncologists involved in follow‐up appeared to ameliorate this effect significantly. African‐American, poor, and elderly patients were less likely to receive necessary care in both groups. Whether it was due to patient factors, physician factors, or both, cancer survivors appear to be a vulnerable patient population, because their cancer diagnosis may shift attention away from important noncancer problems and providers. In addition, there may be lack of clarity around the relative roles primary care and specialist physicians will play in a survivor's care. Special attention and education are needed to ensure that survivors receive optimal medical services. Cancer 2004. © 2004 American Cancer Society. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Cancer Wiley

Under use of necessary care among cancer survivors

Cancer , Volume 101 (8) – Mar 15, 2005

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References (28)

Publisher
Wiley
Copyright
Copyright © 2004 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0008-543X
eISSN
1097-0142
DOI
10.1002/cncr.20560
pmid
15386307
Publisher site
See Article on Publisher Site

Abstract

Comorbid conditions are the major threat to life for many cancer survivors, yet little is known about the quality of the noncancer‐related health care they receive. The authors analyzed the Medicare claims of 14,884 Medicare‐eligible, 5‐year colorectal carcinoma survivors who were diagnosed initially while they lived in a region monitored by the Surveillance, Epidemiology, and End Results (SEER) Program and compared them with matched controls who had no history of cancer drawn from the Medicare 5% sample. In both univariable and multivariable analyses, cancer survivorship was associated with an increased likelihood of not receiving recommended care across a broad range of chronic medical conditions (odds ratio, 1.19, 95% confidence interval, 1.12–1.27). For example, colorectal carcinoma survivors were less likely than controls to receive appropriate follow‐up for heart failure, necessary diabetic care, or recommended preventive services. Having both primary care physicians and oncologists involved in follow‐up appeared to ameliorate this effect significantly. African‐American, poor, and elderly patients were less likely to receive necessary care in both groups. Whether it was due to patient factors, physician factors, or both, cancer survivors appear to be a vulnerable patient population, because their cancer diagnosis may shift attention away from important noncancer problems and providers. In addition, there may be lack of clarity around the relative roles primary care and specialist physicians will play in a survivor's care. Special attention and education are needed to ensure that survivors receive optimal medical services. Cancer 2004. © 2004 American Cancer Society.

Journal

CancerWiley

Published: Mar 15, 2005

Keywords: ; ; ; ;

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