Patient driven care in the management of prostate cancer: analysis of the United States military healthcare system

Autor: Muhammad Ali Chaudhary, Jeffrey J. Leow, Matthew Mossanen, Ritam Chowdhury, Wei Jiang, Peter A. Learn, Joel S. Weissman, Steven L. Chang
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Urology, Vol 17, Iss 1, Pp 1-8 (2017)
Druh dokumentu: article
ISSN: 1471-2490
DOI: 10.1186/s12894-017-0247-x
Popis: Abstract Background Patient preferences are assumed to impact healthcare resource utilization, especially treatment options. There is limited data exploring this phenomenon. We sought to identify factors associated with patients transferring care for prostatectomy, from military to civilian facilities, and the receipt of minimally invasive radical prostatectomy (MIRP). Methods Retrospective review of 2006-2010 TRICARE data identified men diagnosed with prostate cancer (ICD-9 185) receiving open radical prostatectomy (ORP; ICD-9: 60.5) or MIRP (ICD-9 60.5 + 54.21/17.42). Patients diagnosed at military facilities but underwent surgery at civilian facilities were defined as “transferring care”. Logistic regression models identified predictors of transferring care for patients diagnosed at military facilities. A secondary analysis identified the predictors of MIRP receipt at civilian facilities. Results Of 1420 patients, 247 (17.4%) transferred care. These patients were more likely to undergo MIRP (OR = 7.83, p
Databáze: Directory of Open Access Journals
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