Kano Miria, Chen Lu, Boyce Tawny, Gomez Ricardo, Gundelach Amy C, Jaffe Shoshana Adler, Sussman Andrew L, Dayao Zoneddy R, Lobo Jolene, Pestak Claire R, Rutledge Teresa L
Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87131, USA.
The University of New Mexico Comprehensive Cancer Center, Albuquerque, NM 87131, USA.
Cancers (Basel). 2021 Sep 2;13(17):4428. doi: 10.3390/cancers13174428.
We conducted a survey to characterize the key attributes of racial/ethnic and geographically diverse low-risk breast and gynecologic cancer patients. We collected data regarding patients' access to primary care (PC); compliance with screening recommendations; treatment for comorbidities; logistical barriers to clinic visits; and receipt of survivorship care documentation (SCD). Survey findings informed the development of an oncology/Primary Care Provider (PCP) care coordination intervention to improve care. We distributed a cross-sectional survey among a convenience sample of 150 cancer survivors. Responses were calculated using descriptive statistics and compared based on the distance participants traveled to their appointments at the cancer center (≤30 vs. >30 miles). Of the 150 respondents, 35% traveled >30 miles for follow-up care and 78% reported having one or more comorbid condition(s). PC utilization was high: 88% reported having a PCP, and 91% indicated ≤1 yearly follow-up visit. Participants traveling >30 miles reported higher rates of logistical challenges associated with cancer center visits compared to those traveling ≤30 miles. Nearly half of respondents (46%) had not received SCD. In conclusion, survey studies such as these allow for the systematic assessment of survivor behaviors and care utilization patterns to inform the development of care coordination interventions for diverse, low-risk cancer patients.
我们开展了一项调查，以描述种族/族裔和地理分布各异的低风险乳腺癌和妇科癌症患者的关键特征。我们收集了有关患者获得初级保健（PC）的情况、对筛查建议的依从性、合并症的治疗、门诊就诊的后勤障碍以及获得生存护理文件（SCD）的相关数据。调查结果为制定一项肿瘤学/初级保健提供者（PCP）护理协调干预措施以改善护理提供了依据。我们在150名癌症幸存者的便利样本中进行了一项横断面调查。使用描述性统计方法计算了回复情况，并根据参与者前往癌症中心就诊的距离（≤30英里与>30英里）进行了比较。在150名受访者中，35%的人前往癌症中心接受后续护理的路程超过30英里，78%的人报告患有一种或多种合并症。初级保健的利用率很高：88%的人报告有初级保健医生，91%的人表示每年的随访就诊次数≤1次。与路程≤30英里的参与者相比，路程>30英里的参与者报告称与癌症中心就诊相关的后勤挑战发生率更高。近一半的受访者（46%）未收到生存护理文件。总之，此类调查研究有助于系统评估幸存者的行为和护理利用模式，为制定针对不同的低风险癌症患者护理协调干预措施提供依据。
