Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies

Gorin, Sherri Sheinfeld; Haggstrom, David A.; Han, Paul K. J.; Fairfield, Kathleen M.; Krebs, Paul; Clauser, Steven B.

doi:10.1007/s12160-017-9876-2

Cited by 185 publications

(171 citation statements)

References 83 publications

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“…For example, patients with cervical cancer often have significant problems navigating their way through the complexities associated with chemotherapy and radiotherapy, which require multiple providers, daily visits, and encounters with several treatment areas. These patients experience an improvement in outcomes with patient navigation, including screening, measures of patient satisfaction, and quality end‐of‐life care . Taken together, all these studies support the concept that the gynecologic oncologist, although necessary for a good outcome, is not the only critical piece of overall quality care.…”

mentioning

confidence: 61%

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Access to quality gynecologic oncology care: A work in progress

Duska

2018

Cancer

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The process of providing quality cancer care, particularly among patients with gynecologic cancer, is a complex one. Insurance coverage for specialty gynecologic oncologist care is critical, but attention also must be paid to the other aspects of multidisciplinary cancer care and supportive care services, the value of keeping patients in their communities, the rapidly rising costs of providing care in the academic/tertiary care setting, and the financial burden of cancer care to patients. See also pages 2677‐9.

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mentioning

confidence: 61%

“…These patients experience an improvement in outcomes with patient navigation, including screening, measures of patient satisfaction, and quality end-of-life care. 28 Taken together, all these studies support the concept that the gynecologic oncologist, although necessary for a good outcome, is not the only critical piece of overall quality care.…”

mentioning

confidence: 62%

Access to quality gynecologic oncology care: A work in progress

Duska

2018

Cancer

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“…[10][11][12][13] The primary way in which coordination was measured in the reviewed studies was through an evaluation of physician's health care claims. 4 The most effective strategies have been led by nurses, patient navigators, or social workers. 4,31,32 Strategies with the potential to improve care efficiency include navigation services, telehealth, survivorship care plans, nurse case managers, and multidisciplinary clinics.…”

Section: Future Directionsmentioning

confidence: 99%

“…4 Appropriate care during the survivorship phase encompasses preventive care visits, screening visits, and visits for the management of chronic conditions. However, the survivorship phase of care is the least studied with respect to the health care needs and utilization of medical services.…”

Section: Introductionmentioning

confidence: 99%

“…However, the survivorship phase of care is the least studied with respect to the health care needs and utilization of medical services. 4 Appropriate care during the survivorship phase encompasses preventive care visits, screening visits, and visits for the management of chronic conditions. Care during survivorship generally builds on recommendations from the American Cancer Society, 5 the American Society of Clinical Oncology, 6 the National Comprehensive Cancer Network (NCCN), 7 or the US Preventive Services Task Force.…”

Section: Introductionmentioning

confidence: 99%

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Health care use during cancer survivorship: Review of 5 years of evidence

Kenzik

2018

Cancer

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Improvements in treatment strategies have resulted in increasing survival rates among patients diagnosed with cancer but also result in a growing population of individuals who have greater health care needs. These needs will persist from diagnosis throughout the continuing phase of care, or the survivorship phase. To better define models of survivorship care, there must be a strong evidence base in survivor health care use patterns. The objective of this review, which covers studies from 2012 to January 2018, was to evaluate the available evidence on patterns of health care visits among survivors of adult cancers and to understand what is known about the rate of health care visits, the physician specialties associated with these visits, and/or the types health care settings (eg, outpatient, emergency room). The findings underscore the importance of primary care, with the majority of studies reporting that >90% of survivors visited a primary care provider in the prior year. Visits to oncologists and/or other physician specialties were positively associated with receiving cancer screenings and obtaining quality care for noncancer-related conditions. High care density/low care fragmentation between physician specialties had lower costs and a lower likelihood of redundant health care utilization. The followup in almost all studies was 3 years, providing short-term evidence; however, as the survivorship period lengthens with improved treatments, longer follow-up will be required. The long-term patterns with which survivors of cancer engage the health care system are critical to designing long-term follow-up care plans that are effective in addressing the complex morbidity that survivors experience. Cancer 2019;125:673-680.

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