The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Under use of necessary care among cancer survivors
Open accessAbstract
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.
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“Despite these data, groups such as the American Society of Clinical Oncology have issued surveillance guidelines for several cancers, but they do not mention noncancer-related health concerns.(18) –20 Even among programs that are devoted to cancer survivorship, noncancer-related health concerns have not been a signifi…”
BackgroundSelf-citationHealth Care for Black and Poor Hospitalized Medicare Patients
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Cited by
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Models for Delivering Survivorship Care
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Metadata
- Authors
- Earle, C. C., & Neville, B. A.
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2004-09-13
- Volume
- 101
- Issue
- 8
- Pages
- 1712-1719
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W2007596430
- Cited by
- 454
- References
- 21
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- bronze
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