Continuity of care in acute survivorship phase, and short and long-term outcomes in prostate cancer patients.
Aftercare
/ methods
Age Factors
Aged
Ambulatory Care
/ statistics & numerical data
Cancer Survivors
/ statistics & numerical data
Continuity of Patient Care
/ organization & administration
Emergency Medical Services
/ methods
Healthcare Disparities
/ statistics & numerical data
Hospitalization
/ statistics & numerical data
Humans
Male
Medicare
/ economics
Prostatic Neoplasms
/ ethnology
SEER Program
/ statistics & numerical data
Time
United States
/ epidemiology
SEER-Medicare database
continuity of care
cost of care
health service use
localized prostate cancer
mortality
race disparity
Journal
The Prostate
ISSN: 1097-0045
Titre abrégé: Prostate
Pays: United States
ID NLM: 8101368
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
26
08
2021
received:
10
07
2021
accepted:
30
08
2021
pubmed:
14
9
2021
medline:
22
2
2022
entrez:
13
9
2021
Statut:
ppublish
Résumé
Continuity of care is important for prostate cancer care due to multiple treatment options, and prolonged disease history. We examined the association between continuity of care and outcomes in Medicare beneficiaries with localized prostate cancer, and the moderating effect of race using Surveillance, Epidemiological, and End Results (SEER) - Medicare data between 2000 and 2016. Continuity of care was measured as visits dispersion (continuity of care index or COCI), and density (usual provider care index or UPCI) in acute survivorship phase. Outcomes were emergency room visits, hospitalizations, and cost during acute survivorship phase and mortality (all-cause and prostate cancer-specific) over follow-up phase. Higher continuity of care was associated with improved outcomes, and interaction between race and continuity of care was significant. Continuity of care during acute survivorship phase may lower the racial disparity in prostate cancer care. Future research can analyze the mechanism of the process.
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1310-1319Subventions
Organisme : AHRQ HHS
ID : R01 HS024106
Pays : United States
Informations de copyright
© 2021 Wiley Periodicals LLC.
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