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Continuity of care in acute survivorship phase, and short and long-term outcomes in prostate cancer patients
The Prostate ( IF 2.8 ) Pub Date : 2021-09-13 , DOI: 10.1002/pros.24228
Sumedha Chhatre 1, 2 , S Bruce Malkowicz 2, 3, 4 , Ravishankar Jayadevappa 3, 4, 5, 6
Affiliation  

Continuity of care is important for prostate cancer care due to multiple treatment options, and prolonged disease history. We examined the association between continuity of care and outcomes in Medicare beneficiaries with localized prostate cancer, and the moderating effect of race using Surveillance, Epidemiological, and End Results (SEER) – Medicare data between 2000 and 2016. Continuity of care was measured as visits dispersion (continuity of care index or COCI), and density (usual provider care index or UPCI) in acute survivorship phase. Outcomes were emergency room visits, hospitalizations, and cost during acute survivorship phase and mortality (all-cause and prostate cancer-specific) over follow-up phase. Higher continuity of care was associated with improved outcomes, and interaction between race and continuity of care was significant. Continuity of care during acute survivorship phase may lower the racial disparity in prostate cancer care. Future research can analyze the mechanism of the process.

中文翻译:

急性生存期护理的连续性,以及前列腺癌患者的短期和长期结果

由于多种治疗选择和较长的病史,护理的连续性对于前列腺癌的护理非常重要。我们使用监测、流行病学和最终结果 (SEER) – 2000 年至 2016 年间的医疗保险数据,检查了医疗保险受益人局部前列腺癌的护理连续性与结果之间的关联,以及种族的调节作用。护理的连续性被测量为访问离散度(护理连续性指数或 COCI)和密度(通常的提供者护理指数或 UPCI)在急性生存期。结果是急性生存期的急诊室就诊、住院和费用,以及随访期的死亡率(全因和前列腺癌特异性)。更高的护理连续性与改善的结果相关,种族和护理连续性之间的相互作用是显着的。急性生存期护理的连续性可能会降低前列腺癌护理中的种族差异。未来的研究可以分析这个过程的机制。
更新日期:2021-11-03
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