Prevalence and characteristics of cancer patients receiving care from single vs. multiple institutions
| Autor: | Theresa H.M. Keegan, Scarlett Lin Gomez, Sally L. Glaser, Rita Leung, Kathleen Davidson-Allen, Christina A. Clarke |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Population level Epidemiology Oncology and Carcinogenesis Population Logistic regression Article 03 medical and health sciences Prostate cancer Rare Diseases 0302 clinical medicine Neoplasms Pancreatic cancer Internal medicine Prevalence Humans Medicine Oncology & Carcinogenesis 030212 general & internal medicine education Intensive care medicine Cancer Aged education.field_of_study business.industry Middle Aged medicine.disease Cancer registry Clinical research Oncology 030220 oncology & carcinogenesis Public Health and Health Services Female business |
| Zdroj: | Clarke, CA; Glaser, SL; Leung, R; Davidson-Allen, K; Gomez, SL; & Keegan, THM. (2017). Prevalence and characteristics of cancer patients receiving care from single vs. multiple institutions. Cancer Epidemiology, 46, 27-33. doi: 10.1016/j.canep.2016.11.001. UC Davis: Retrieved from: http://www.escholarship.org/uc/item/8sv600r4 |
| ISSN: | 1877-7821 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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