Preventive care for colorectal cancer survivors: A 5-year longitudinal study
Preventive care for colorectal cancer survivors: A 5-year longitudinal study
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DOI：
10.1200/jco.2007.11.9859
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发表时间：
2008-03-01
影响因子：
45.3
通讯作者：
Frick, Kevin D.
中科院分区：
文献类型：
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作者：
Snyder, Claire F.;Earle, Craig C.;Frick, Kevin D.
目的探讨长期幸存者就诊的内科专业组合及其与预防护理的关系。患者与方法利用监测、流行病学和最终结果-医疗保险数据库，我们对1997年确诊的I期至III期医疗保险收费的结直肠癌患者进行了一项回顾性的纵向研究。我们从诊断后366天开始，每年检查医生就诊和预防性护理，以及预防性服务收据与医生组合的关系：仅初级保健提供者(PCP)、仅肿瘤科医生、两者或两者都有。结果共有1,541名患者符合资格标准(平均年龄76岁；43%男性；85%白人)。在5年中，初级保健医生就诊次数从平均4.2次增加到4.7次(P
PurposeTo explore the mix of physician specialties that long-term survivors visit and how the mix relates to preventive care.Patients and MethodsUsing the Surveillance, Epidemiology, and End Results-Medicare database, we conducted a retrospective, longitudinal study of stage I to III Medicare fee-for-service colorectal cancer patients diagnosed in 1997. We examined physician visits and preventive care each year for 5 years, starting 366 days postdiagnosis, and how preventive service receipt related to the physician mix seen: primary care provider (PCP) only, oncologist only, both, or neither.ResultsA total of 1,541 patients met the eligibility criteria (mean age, 76; 43% male; 85% white). During 5 years, PCP visits increased from a mean of 4.2 to 4.7 (P