Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 02118, USA.
Cancer Causes Control. 2013 May;24(5):861-71. doi: 10.1007/s10552-013-0163-7. Epub 2013 Feb 6.
Medically underserved subgroups of survivors bear a disproportionate burden of cancer-related health problems. Treatment summaries and follow-up care instructions are one possible strategy to address disparities in cancer-related health among cancer survivors. However, it is not known which cancer survivors receive these documents. This paper sought to identify and describe patterns in the receipt of treatment summaries and follow-up care instructions.
Data from the Behavioral Risk Factor Surveillance System's 2010 cancer survivorship module were used for this study. This study involved 6,897 adult cancer survivors. Multivariate logistic regression was used to test for associations between survivor's demographic and cancer-related factors and receipt of treatment summaries and follow-up care instructions.
Treatment summaries were received by 31 % of survivors. Demographic characteristics and type of health care provider were associated with treatment summaries (LR χ (2) (31) = 101.02, p < .001). Follow-up care instructions were received by 71 % percent of cancer survivors. Survivors' demographic and cancer-related characteristics were associated with follow-up care instructions (LR χ (2) (31) = 231.51, p < .001). Written follow-up instructions were received by 66 % of survivors who reported receipt of follow-up instructions. Receipt of written follow-up instructions was associated with gender and age.
Demographic and cancer-related patterns exist in the receipt of treatment summaries and follow-up care instructions. These patterns map to documented gaps in survivor cancer-related outcomes. Research that tests associations between treatment summaries and follow-up care instructions and cancer-related health outcomes is needed.
医疗服务不足的幸存者亚组承受着不成比例的癌症相关健康问题负担。治疗总结和随访护理说明是解决癌症幸存者癌症相关健康差异的一种可能策略。然而，尚不清楚哪些癌症幸存者收到了这些文件。本文旨在确定和描述接受治疗总结和随访护理说明的模式。
本研究使用了行为风险因素监测系统 2010 年癌症生存模块的数据。本研究涉及 6897 名成年癌症幸存者。多变量逻辑回归用于检验幸存者的人口统计学和癌症相关因素与接受治疗总结和随访护理说明之间的关联。
31%的幸存者收到了治疗总结。人口统计学特征和医疗服务提供者类型与治疗总结有关（LR χ （2）（31）=101.02，p <.001）。71%的癌症幸存者收到了随访护理说明。幸存者的人口统计学和癌症相关特征与随访护理说明有关（LR χ （2）（31）=231.51，p <.001）。报告收到随访说明的幸存者中有 66%收到了书面随访说明。书面随访说明的接收与性别和年龄有关。
在接受治疗总结和随访护理说明方面存在人口统计学和癌症相关的模式。这些模式映射到幸存者癌症相关结局的已知差距上。需要研究治疗总结和随访护理说明与癌症相关健康结果之间的关联。
