Cancer treatment summaries and follow-up care instructions: which cancer survivors receive them?
Cancer treatment summaries and follow-up care instructions: which cancer survivors receive them?
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DOI：
10.1007/s10552-013-0163-7
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发表时间：
2013-05-01
影响因子：
2.3
通讯作者：
Bowen, Deborah J.
中科院分区：
文献类型：
--
作者：
Jabson, Jennifer M.;Bowen, Deborah J.
医疗服务不足的幸存者亚群体承受着与癌症有关的健康问题的不成比例的负担。治疗总结和后续护理说明是解决癌症幸存者癌症相关健康差异的一种可能策略。然而，目前尚不清楚哪些癌症幸存者收到了这些文件。本文试图识别和描述接受治疗总结和后续护理指示的模式。本研究使用了行为风险因素监测系统2010年癌症生存率模块的数据。这项研究涉及6，897名成年癌症幸存者。多变量逻辑回归用于检验幸存者的人口统计学和癌症相关因素与接受治疗总结和后续护理指导之间的关联。31%的幸存者接受了治疗总结。人口统计学特征和卫生保健提供者的类型与治疗总结相关（LR卡方2（31）= 101.02，p <0.001）。71%的癌症幸存者接受了后续护理指导。幸存者的人口统计学和癌症相关特征与随访护理指导相关（LR chi（2）（31）= 231.51，p <0.001）。66%的幸存者收到了书面的后续指示，他们报告收到了后续指示。接受书面随访指示与性别和年龄有关。接受治疗总结和随访护理指示存在人口统计学和癌症相关模式。这些模式映射到幸存者癌症相关结果的记录差距。需要进行研究，测试治疗总结和后续护理说明与癌症相关健康结果之间的关联。
Medically underserved subgroups of survivors bear a disproportionate burden of cancer-related health problems. Treatment summaries and follow-up care instructions are one possible strategy to address disparities in cancer-related health among cancer survivors. However, it is not known which cancer survivors receive these documents. This paper sought to identify and describe patterns in the receipt of treatment summaries and follow-up care instructions.Data from the Behavioral Risk Factor Surveillance System's 2010 cancer survivorship module were used for this study. This study involved 6,897 adult cancer survivors. Multivariate logistic regression was used to test for associations between survivor's demographic and cancer-related factors and receipt of treatment summaries and follow-up care instructions.Treatment summaries were received by 31 % of survivors. Demographic characteristics and type of health care provider were associated with treatment summaries (LR chi (2) (31) = 101.02, p < .001). Follow-up care instructions were received by 71 % percent of cancer survivors. Survivors' demographic and cancer-related characteristics were associated with follow-up care instructions (LR chi (2) (31) = 231.51, p < .001). Written follow-up instructions were received by 66 % of survivors who reported receipt of follow-up instructions. Receipt of written follow-up instructions was associated with gender and age.Demographic and cancer-related patterns exist in the receipt of treatment summaries and follow-up care instructions. These patterns map to documented gaps in survivor cancer-related outcomes. Research that tests associations between treatment summaries and follow-up care instructions and cancer-related health outcomes is needed.