Primary care use after cancer treatment: an analysis of linked administrative data

Current Oncology

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Title Primary care use after cancer treatment: an analysis of linked administrative data
Creator Urquhart, R.
Lethbridge, L.
Subject survivorship
follow-up care
administrative health data
Description Background Primary care–led follow-up is a safe and acceptable alternative to oncologist-led follow-up. We sought to investigate patterns of primary care use during cancer follow-up care.
Methods We identified all persons in Nova Scotia, diagnosed with an invasive breast, prostate, colorectal, or gyne­cologic cancer between January 2006 and December 2013. We linked this dataset to cancer centre, hospital discharge abstracts, physicians’ billing, and census data. We identified a survivor cohort (n = 12,201), then descriptively examined primary care use during follow-up care. Multivariate Poisson and negative binomial regression, respectively, were used to examine primary care use for two outcomes: total number of primary care provider (pcp) visits (all reasons) and total number of cancer-specific pcp visits.
Results The mean numbers of pcp visits (all reasons) and cancer-specific pcp visits per year for survivors who did not receive cancer centre follow-up (cc-fup) were 8.12 and 0.43 visits, respectively, and for survivors who continued to receive cc-fup were 8.75 and 0.63 visits, respectively. Age, cancer type, stage at diagnosis, comorbidity scores, year of diagnosis, and receipt of cc-fup were associated with both outcomes. Compared with prostate cancer survivors, breast, colorec­tal, and gynecologic cancer survivors had, respectively, 56%, 69%, and 56% fewer expected cancer-specific PCP visits. Receipt of cc-fup increased the expected number of pcp visits (all reasons) by 12% and cancer-specific pcp visits by 50%.
Conclusions Primary care use was higher in survivors who continued to visit their oncology teams for follow-up. This suggests that survivors who remain with their oncology teams after treatment continue to have high needs not met by these teams alone.
Publisher Multimed Inc.
Date 2020-07-28
Type info:eu-repo/semantics/article
Format application/pdf
Source Current Oncology; Vol. 27 No. 6 (2020)
Language eng
Rights Copyright (c) 2020 Current Oncology

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