Preventive care in prostate cancer patients: following diagnosis and for five-year survivors.
Preventive care in prostate cancer patients: following diagnosis and for five-year survivors.
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DOI：
10.1007/s11764-011-0181-y
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
Earle CC
中科院分区：
文献类型：
--
作者：
Snyder CF;Frick KD;Herbert RJ;Blackford AL;Neville BA;Carducci MA;Earle CC
前列腺癌是最常见的男性癌症。存活率很高，这使得预防性护理维护变得重要。与前列腺癌病例短期(第1年)和长期(第5年)预防性护理相关的因素，以及幸存者的护理与非癌症对照组相比如何，都需要研究。这项回顾性的对照研究包括2000年在收费医疗保险中确诊的≥66岁的区域性前列腺癌病例和≥存活12个月的病例，以及与社会人口学和生存期相匹配的非癌症对照病例。结果包括流感疫苗接种、胆固醇筛查和结直肠癌筛查。自变量为就诊次数、就诊专业、前列腺癌初始治疗、社会人口学特征和病例对照状态。第一年有13,507个病例和13,507个对照，第五年有10,482个病例和10,482个对照。在第一年和第五年，总就诊次数(6/6结果)和初级保健提供者(PCP)就诊(5/6结果)与接受预防保健最一致。在第一年，前列腺癌患者比对照组更有可能接受流感疫苗接种(48%比45%)，但接受结直肠癌筛查的可能性更低(29%比31%)(P<；0.0001)。在第5年，前列腺癌患者仍然比对照组更有可能接受流感疫苗接种(46%比44%；p<；0.0001)。幸存者短期预防性护理的不同并不会导致长期预防性护理的恶化。医生就诊次数，特别是初级保健医生就诊次数，是与适当护理相关的重要因素。对癌症幸存者的影响PCP参与前列腺癌患者的护理无论是在治疗期间还是对长期幸存者来说都是至关重要的。
Prostate cancer is the most common male cancer. Survival rates are high, making preventive care maintenance important. Factors associated with prostate-cancer cases’ preventive care in the short-term (Year 1) and long-term (Year 5), and how survivors’ care compares to non-cancer controls, require study. This retrospective, controlled SEER-Medicare study included loco-regional prostate cancer cases age ≥66 in fee-for-service Medicare diagnosed in 2000 and surviving ≥12 months, and non-cancer controls matched to cases on socio-demographics and survival. Outcomes included influenza vaccination, cholesterol screening, and colorectal cancer screening. Independent variables were number of physician visits, physician specialties visited, initial prostate cancer treatment, socio-demographic characteristics, and case–control status. There were 13,507 cases and 13,507 controls in Year 1, and 10,482 cases and 10,482 controls in Year 5. In Years 1 and 5, total number of visits (6/6 outcomes) and primary care provider (PCP) visits (5/6 outcomes) were most consistently associated with preventive care receipt. In Year 1, prostate cancer cases were more likely than controls to receive influenza vaccination (48% vs. 45%) but less likely to receive colorectal cancer screening (29% vs. 31%) (both p<0.0001). In Year 5, prostate cancer cases remained more likely than controls to receive influenza vaccination (46% vs. 44%; p<0.0001). Differences in survivors’ short-term preventive care did not lead to worse long-term preventive care. The number of physician visits, particularly PCP visits, are important factors associated with appropriate care. Implications for Cancer Survivors PCP involvement in prostate cancer patients’ care is critical both during treatment and for long-term survivors.
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影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
45.3
作者：
Snyder, Claire F.;Frick, Kevin D.;Earle, Craig C.
通讯作者：
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影响因子：
7.2
作者：
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DOI：
10.1007/s11764-007-0037-7
发表时间：
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期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
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通讯作者：
Virnig, Beth A
影响因子：
45.3
作者：
Snyder, Claire F.;Earle, Craig C.;Frick, Kevin D.
通讯作者：
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