Patient Preferences for Primary Care Provider Roles in Breast Cancer Survivorship Care

Details

• Alternative Title:
  J Clin Oncol
• Personal Author:
  Wallner, Lauren P. ; Li, Yun ; Furgal, Allison K.C. ; Friese, Christopher R. ; Hamilton, Ann S. ; Ward, Kevin C. ; Jagsi, Reshma ; Katz, Steven J. ; Hawley, Sarah T.
• Description:
  Purpose ; Prior studies suggest a need for greater clarity about provider roles in team-based cancer care. However, little is known about patient’s preferences for which providers handle their care needs after primary cancer treatment. ; Methods ; We surveyed women newly diagnosed with stages 0-II breast cancer who were treated in 2014–15 as reported to the Georgia and Los Angeles SEER registries (N=2,372, 68% response rate). Patient preferences for which provider handles the following care needs after treatment were ascertained: follow-up mammograms, screening for other cancers, general preventive care, and comorbidity management. The associations between patient demographic factors with preferences for provider roles (Oncology-directed care vs. primary care provider (PCP)-directed) were assessed using multivariable logistic regression. ; Results ; The majority of women preferred that their PCPs handle their general preventive care (79%) and comorbidity care (84%), but a notable minority of women preferred their oncologists direct this care (21% and 16%). Minority women (black and Asian vs. white) and women with a high school education or less (vs. college grad or more) had a greater odds of preferring oncology-directed care (vs. PCP-directed) for their general preventive care (black OR: 2.01, 95%CI: 1.43, 2.82; Asian OR: 1.74, 95%CI: 1.13, 2.69; ≤ high school OR: 1.51, 95%CI: 1.10, 2.08). Similar variation existed for comorbidity care. ; Conclusion ; In this sample, minority women and those with less education more often preferred oncologists direct aspects of their care after breast cancer treatment that are normally delivered by a PCP. Efforts to clarify provider roles in survivorship care to patients may be effective in improving team-based cancer care.
• Keywords:
  • Adult
  • Aged
  • Breast Neoplasms
  • Continuity of Patient Care
  • Female
  • Georgia
  • Humans
  • Los Angeles
  • Medical Oncology
  • Middle Aged
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• Source:
  J Clin Oncol. 35(25):2942-2948
• Pubmed ID:
  28700276
• Pubmed Central ID:
  PMC5575964
• Document Type:
  Journal Article
• Funding:
  HHSN261201000140C/CA/NCI NIH HHSUnited States/ ; HHSN261201000035C/CA/NCI NIH HHSUnited States/ ; P30 CA046592/CA/NCI NIH HHSUnited States/ ; T32 CA083654/CA/NCI NIH HHSUnited States/ ; HHSN261201000035I/CA/NCI NIH HHSUnited States/ ; HHSN261201300015C/CA/NCI NIH HHSUnited States/ ; HHSN261201000034C/CA/NCI NIH HHSUnited States/ ; U58 DP003862/DP/NCCDPHP CDC HHSUnited States/ ; K07 CA201052/CA/NCI NIH HHSUnited States/ ; P01 CA163233/CA/NCI NIH HHSUnited States/ ; U58 DP003875/DP/NCCDPHP CDC HHSUnited States/
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• Volume:
  35
• Issue:
  25
• Download URL:
  https://stacks.cdc.gov/view/cdc/47861/cdc_47861_DS1.pdf
• File Type:
  [PDF - 457.50 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4362cdeab17468b4da76a55ad896c51984314cce139a9d7c268863a8c1564ee2