Details:

Alternative Title:
Breast Cancer Res Treat
Personal Author:
Friese, Christopher R. ; Martinez, Kathryn A. ; Abrahamse, Paul ; Hamilton, Ann S. ; Graff, John J. ; ... More +
Friese, Christopher R. ; Martinez, Kathryn A. ; Abrahamse, Paul ; Hamilton, Ann S. ; Graff, John J. ; Jagsi, Reshma ; Griggs, Jennifer J. ; Hawley, Sarah T. ; Katz, Steven J. Less -
Description:
Purpose

To describe which providers provide breast cancer survivorship care.

Patients and Methods

We conducted a longitudinal survey of non-metastatic breast cancer patients identified by the SEER registries of Los Angeles and Detroit. Multinomial logistic regression examined the adjusted odds of surgeon compared with a medical oncologist follow up or primary care provider compared with medical oncologist follow up, adjusting for age, race/ethnicity, insurance, tumor stage, receipt of chemotherapy, endocrine therapy use, and visit to a medical oncologist at the time of diagnosis. Results were weighted to account for sample selection and non-response.

Results

844 women had invasive disease and received chemotherapy or endocrine therapy. 65.2% reported medical oncologists as their main care provider at four years, followed by PCP/other physicians (24.3%) and surgeons (10.5%). Black women were more likely to receive their follow-up care from surgeons (OR 2.47, 95% CI 1.16–5.27) or PCP/other physicians (OR 2.62, 95% CI 1.47–4.65) than medical oncologists. Latinas were more likely to report PCP/other physician follow up than medical oncologists (OR 2.33, 95% CI 1.15–4.73). Compared with privately-insured women, Medicaid recipients were more likely to report PCP/other physician follow up (OR 2.52, 95% CI 1.24–5.15). Women taking endocrine therapy four years after diagnosis were less likely to report surgeons or PCP/other physicians as their primary provider of breast cancer follow up care.

Conclusions

Different survivorship care patterns based on race/ethnicity and insurance status. Interventions are needed to inform patients and providers on the recommended sources of breast cancer follow up.


Keywords:
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Adult Aged Breast Cancer Breast Neoplasms Chronic Illness Female Humans Longitudinal Studies Medical Oncology Middle Aged Physicians Physicians, Primary Care Primary Care Race/Ethnicity SEER Program Specialization Survivors United States Workforce
Source:
Breast Cancer Res Treat. 144(1):179-184
Pubmed ID:
24481682
Pubmed Central ID:
PMC3991008
Document Type:
Journal Article
Funding:
R01 CA088370/CA/NCI NIH HHSUnited States/ ; K05 CA111340/CA/NCI NIH HHSUnited States/ ; R00 NR010750/NR/NINR NIH HHSUnited States/ ; R01 CA139014/CA/NCI NIH HHSUnited States/ ; U58 DP000807/DP/NCCDPHP CDC HHSUnited States/ ; ... More +
R01 CA088370/CA/NCI NIH HHSUnited States/ ; K05 CA111340/CA/NCI NIH HHSUnited States/ ; R00 NR010750/NR/NINR NIH HHSUnited States/ ; R01 CA139014/CA/NCI NIH HHSUnited States/ ; U58 DP000807/DP/NCCDPHP CDC HHSUnited States/ ; N01PC54404/CA/NCI NIH HHSUnited States/ ; N01PC35145/CA/NCI NIH HHSUnited States/ ; N01PC35139/CA/NCI NIH HHSUnited States/ ; R01 CA109696/CA/NCI NIH HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:ab9d7ffb442f87851232751b6d5cbdd749aacb96347be01df23f6a1f86dcd991
Download URL:
https://stacks.cdc.gov/view/cdc/41951/cdc_41951_DS1.pdf
File Type:

Supporting Files

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