Cardiovascular Preventive Care and Coordination of Care in Prostate Cancer Survivors: A Multi-Institutional Prospective Study

Holmes, Jordan A.; Anderson, Roger F.; Hoffman, L.G.; Showalter, Timothy N.; Kasibhatla, Mohit S.; Collins, Sean P.; Papagikos, Michael A.; Barbosa, Brittany D.; Alligood, Kristy; Stravers, L.; Mahbooba, Zahra; Wang, Andrew Z.; Chen, Ronald C.

doi:10.1016/j.ijrobp.2018.07.2018

Cited by 13 publications

(17 citation statements)

References 14 publications

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“…Cardiometabolic dysfunction and related diseases are a common occurrence in men with prostate cancer and linked to a host of other complications [46][47][48][49]. For example, prostate cancer patients with unmanaged type 2 diabetes mellitus as well as patients receiving insulin for treatment have been identified…”

Section: Discussionmentioning

confidence: 99%

Effects of Exercise During Radiation Therapy on Physical Function and Treatment-Related Side Effects in Men With Prostate Cancer: A Systematic Review and Meta-Analysis

Schumacher

Luo

Taaffe

et al. 2021

International Journal of Radiation Oncology*Biology*Physics

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Section: Discussionmentioning

confidence: 99%

Effects of Exercise During Radiation Therapy on Physical Function and Treatment-Related Side Effects in Men With Prostate Cancer: A Systematic Review and Meta-Analysis

Schumacher

Luo

Taaffe

et al. 2021

International Journal of Radiation Oncology*Biology*Physics

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“…What’s worse, a large proportion of prostate cancer patients possibly experience androgen deprivation therapy (ADT) after cancer diagnosis. Hence, they are more likely to have CVD comorbidity [13].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and prognosis significance of cardiovascular disease in cancer patients: a population-based study

Liu

Yang

et al. 2019

Aging

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Background: Cardiovascular disease (CVD) is a heavy burden on cancer patients worldwide. This study aimed to evaluate the prevalence and influence of cardiovascular risk factors (CVRF) and CVD on the all-cause mortality among Chinese cancer patients.Results: Overall, 13.0% of all cancer patients had at least one type of CVRFs and 5.0% with CVDs. Patients with CVRF or CVD presented more frequently at later stages and received higher percentage of oncotherapy. During 1,782,527 person-years of follow-up, the all-cause mortality in cancer patients with CVDs and with CVRFs was higher compared with those without (182.6/1000, 109.5/1000 and 93.3/1000 person-years, respectively). Cox regression analysis showed that patients with heart failure (HR 1.79, 95% CI 1.61-1.99), myocardial infarction (HR 1.50, 95% CI 1.16-1.95), atrial fibrillation (HR 1.30, 95% CI 1.09-1.53), stroke (HR 1.21, 95% CI 1.11-1.32), hypertension (HR 1.10, 95% CI 1.04-1.16) and diabetes (HR 1.16, 95% CI 1.08-1.24) had increased all-cause mortality, whereas dyslipidemia patients had better prognosis (HR 0.73, 95% CI 0.64-0.83). Stratified by cancer type, the prognostic impact of specific CVRF or CVD varied.Methods: We consecutively recruited 710,170 cancer patients between Feb. 1995 and Jun. 2018. A stratified Cox proportional hazards model was used to analyze the effect of comorbidities on the overall survival of patients stratified by cancer type.Conclusions: Cancer patients are vulnerable to comorbidity related to heart and cerebral disease. The influence of comorbidities on prognosis is noticeable and specific both for the type of cancer and comorbidities.

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“…Although the importance of CC is well-recognized, existing evidence demonstrates that cancer patients often receive poor, fragmented care across multiple settings and providers [1][2][3][4]. Poorly coordinated care has been linked to numerous adverse outcomes including medical errors, patient dissatisfaction, higher health care costs, excessive use of health services, and increased morbidity and mortality from the disease [5][6][7][8]. Further, the critical need to improve the quality and value of health care delivery has been highlighted by a recent report that demonstrated that failure in care coordination costs $27.2 to $78.2 billion annually in the U.S. health care system [9].…”

Section: Introductionmentioning

confidence: 99%

Development and psychometric evaluation of a questionnaire to measure cancer patients’ perception of care coordination

Okado

Cassel

Pagano

et al. 2020

BMC Health Serv Res

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Background: Although the importance of care coordination (CC) is well-recognized, cancer patients often receive poorly coordinated care across varied care settings and different oncology providers. Efforts to improve cancer care are hampered by lack of adequate measures. In this two-part, mixed-method study, we describe the development, refinement, and validation of a new care coordination instrument (CCI) designed to assess cancer patients' perception of CC. Methods: In Study 1, an initial CCI was developed incorporating questions based on literature review. The items were then modified following four field tests conducted in a large academic hospital with oncology nurses (n = 20) and cancer patients (n = 120). This modified instrument was used to determine whether the CCI was able to distinguish CC between two practices (30 GI and 30 myeloma patients) within the same hospital setting. In Study 2, 68 patients receiving community-based care participated in seven focus groups. Based on these discussions, the CCI items were again refined, and psychometric evaluation was conducted to assess the quality of the instrument. Results: Based on field tests, 3 domains of the CCI, Communication, Navigation, and Operational, were defined as critical components of CC. The Operational domain evaluates efficiency of care and is unique to this CCI. The field test demonstrated that GI patients reported significantly better CC Overall and for the Communication and Navigation domains (all p < .05). In Study 2, patients expressed concordance with the CCI items and their CC experiences, establishing validity of the CCI. Qualitative analysis of the focus group discussions indicated that the items with the highest frequencies of participants' comments were related to the concepts of Navigator, Team, Survey, and Communication. Quantitative analysis identified items with a limited response range or high rates of "neutral" responses; accordingly, those items were removed. The final CCI survey is a 29 item, multiple-choice questionnaire with excellent reliability, Cronbach's α = .922. Conclusions: We developed a novel, patient-centered tool with excellent psychometric properties that can be utilized across varied practice settings to assess patients' perception of cancer care coordination. Trial registration: Not required; retrospectively registered ClinicalTrials.gov NCT03594006 20 July 2018.

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Cardiovascular Preventive Care and Coordination of Care in Prostate Cancer Survivors: A Multi-Institutional Prospective Study

Cited by 13 publications

References 14 publications

Effects of Exercise During Radiation Therapy on Physical Function and Treatment-Related Side Effects in Men With Prostate Cancer: A Systematic Review and Meta-Analysis

Effects of Exercise During Radiation Therapy on Physical Function and Treatment-Related Side Effects in Men With Prostate Cancer: A Systematic Review and Meta-Analysis

Prevalence and prognosis significance of cardiovascular disease in cancer patients: a population-based study

Development and psychometric evaluation of a questionnaire to measure cancer patients’ perception of care coordination

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