Prevalence and characteristics of cancer patients receiving care from single vs. multiple institutions

Details

• Alternative Title:
  Cancer Epidemiol
• Personal Author:
  Clarke, Christina A. ; Glaser, Sally L. ; Leung, Rita ; Davidson-Allen, Kathleen ; Gomez, Scarlett L. ; Keegan, Theresa H.M.
• Description:
  Introduction
  
  Patients may receive cancer care from multiple institutions. However, at the population level, such patterns of cancer care are poorly described, complicating clinical research. To determine the population-based prevalence and characteristics of patients seen by multiple institutions, we used operations data from a state-mandated cancer registry.
  
  Methods and materials
  
  59,672 invasive cancers diagnosed in 1/1/2010-12/31/2011 in the Greater Bay Area of northern California were categorized as having been reported to the cancer registry within 365 days of diagnosis by: 1) ≥1 institution within an integrated health system (IHS); 2) IHS institution(s) and ≥1 non-IHS institution (e.g., private hospital); 3) 1 non-IHS institution; or 4) ≥2 non-IHS institutions. Multivariable logistic regression was used to characterize patients reported by multiple vs. single institutions.
  
  Results
  
  Overall in this region, 17% of cancers were reported by multiple institutions. Of the 33% reported by an IHS, 8% were also reported by a non-IHS. Of non-IHS patients, 21% were reported by multiple institutions, with 28% for breast and 27% for pancreatic cancer, but 19%% for lung and 18% for prostate cancer. Generally, patients more likely to be seen by multiple institutions were younger or had more severe disease at diagnosis.
  
  Conclusions
  
  Population-based data show that one in six newly diagnosed cancer patients received care from multiple institutions, and differed from patients seen only at a single institution. Cancer care data from single institutions may be incomplete and possibly biased.
  
  
• Subjects:
  Adult Aged Female Humans Male Middle Aged Neoplasms Prevalence
• Source:
  Cancer Epidemiol. 46:27-33.
• Pubmed ID:
  27918907
• Pubmed Central ID:
  PMC5759969
• Document Type:
  Journal Article
• Funding:
  HHSN261201000035C/PC,CA/None/None ; HHSN261201000140C/CA/NCI NIH HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States ; HHSN261201000035C/CA/NCI NIH HHS/United States ; U58 DP003862/DP/NCCDPHP CDC HHS/United States ; P30 CA124435/CA/NCI NIH HHS/United States ; N01 PC035137/PC/NCI NIH HHS/United States
• Volume:
  46
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9bdd3a74adcb7851913afcaca9d6059836c0d71dc0feab48c541c1fbf3a85134
• Download URL:
  https://stacks.cdc.gov/view/cdc/50783/cdc_50783_DS1.pdf
• File Type:
  [PDF - 102.38 KB ]