Are care experiences associated with survival among cancer patients? An analysis of the SEER-CAHPS data resource

Autor: Lisa DiMartino, George L. Jackson, Justin Kirschner, Lisa M Lines, Michelle A. Mollica
Rok vydání: 2021
Předmět:
Zdroj: Cancer Causes Control
ISSN: 1573-7225
0957-5243
DOI: 10.1007/s10552-021-01451-z
Popis: PURPOSE: Cancer patients’ care experiences encompass the range of interactions with the health care system and are an important indicator of care quality, which may influence survival outcomes. This study evaluates relationships between care experiences and survival using a large, nationally representative sample of cancer patients. METHODS: We used linked SEER (Surveillance Epidemiology and End Results)–CAHPS (Consumer Assessment of Healthcare Providers and Systems) data to identify people diagnosed 8/2006–12/2013, focusing on 10 solid tumor cancer sites with the highest mortality rates among those >65. CAHPS measures included 5 global ratings and 3 composite scores. We used survey-weighted Cox proportional hazard models comparing survival time for those who had lower (0–8) vs higher ratings (9–10) and lower (0–89) vs higher (90–100) composite scores, adjusting for case-mix and additional covariates. RESULTS: We identified 2,263 eligible people; 26% died by 5-years post-survey completion or end of follow-up (12/31/2017). We found lower Prescription Drug Plan (PDP) ratings were significantly associated with lower mortality (adjusted HR=0.67, P=0.03). Lower Getting Needed Care scores were also significantly associated with lower mortality (adjusted HR=0.79, P=0.04). For other care experience measures, general health status, cancer stage, and comorbidities were more predictive of survival (P
Databáze: OpenAIRE
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