Patient–Clinician Information Engagement Improves Adherence to Colorectal Cancer Surveillance after Curative Treatment: Results from a Longitudinal Study

Tan, Andy S.L.; Moldovan-Johnson, Mihaela; Parvanta, Sarah; Gray, Stacy W.; Armstrong, Katrina; Hornik, Robert

doi:10.1634/theoncologist.2012-0173

Cited by 21 publications

(12 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study of nonmetastatic CRC survivors showed that 31% of survivors did not believe they were at risk for recurrence or secondary cancers, which could suggest either lack of knowledge of risks, or optimism [23]. In addition, higher patient-physician engagement, as measured by the PatientClinician Information Engagement Scale (PCIE), was Cancer Causes Control associated with self-reported CRC adherence in a longitudinal study [24]. Other previous studies also indicate that patient-centered communication with providers increases the quality of these relationships and adherence with regimens [25].…”

Section: Discussionmentioning

confidence: 99%

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Mollica

Enewold

Lines

et al. 2017

Cancer Causes Control

View full text Add to dashboard Cite

Purpose We examined associations between experiences of care and adherence to surveillance guidelines among Medicare Fee-For-Service beneficiaries with colorectal cancer (CRC). Methods Using linked data from the National Cancer Institute's Surveillance, Epidemiology, and End results (SEER) cancer registry program and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS Ò ) patient experience surveys (SEER-CAHPS), we identified local/regional CRC survivors diagnosed in 1999-2009 aged 65?, who underwent surgical resection and completed a CAHPS survey \36 months of diagnosis. Adherence for a 3-year observation period was defined as receiving a colonoscopy; C2 carcinoembryonic antigen (CEA) tests; and each year had C2 office visits and C1 computerized tomography test. Results Many of the 314 participants reported ratings of a 9 or 10 out of 10 for overall care (55.4%), personal doctor (58.6%), health plan (59.6%), and specialist doctor (47.0%). Adherence to post-resection surveillance was 76.1% for office visits, 36.9% for CEA testing, 48.1% for colonoscopy, and 10.3% for CT Imaging. Overall, 37.9% of the sample were categorized as non-adherent (adhering to B1 surveillance guideline). In multivariable models, ratings of personal doctor and specialist doctor were positively associated with adherence to office visits, and ratings of personal doctor were associated with adherence overall. Conclusions Findings point to the potentially important role of patient-provider relationships in adherence to office visits for CRC surveillance. As adherence may increase survival among CRC survivors, further investigation is needed to identify specific components of this relationship that impact office visit adherence, and other potentially modifiable drivers of surveillance guidelines.

show abstract

Section: Discussionmentioning

confidence: 99%

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Mollica

Enewold

Lines

et al. 2017

Cancer Causes Control

View full text Add to dashboard Cite

show abstract

“…This concept has been demonstrated in other gastrointestinal diseases requiring surveillance or ongoing follow-up. For example, increased adherence to surveillance protocols after colorectal cancer treatment is higher in patients with higher baseline patient-clinician information engagement scores 18 ; and a study of an outpatient inflammatory bowel disease clinic shows that physician trust is correlated with increased overall adherence to therapy and increased adherence to medications. 19 Other social and demographic factors that we examined did not appear to be associated with treatment adherence, including age, gender, marital status, insurance payor and driving distance from the treatment center.…”

Section: Discussionmentioning

confidence: 99%

Adherence to therapy for Barrett’s esophagus‐associated neoplasia

2016

View full text Add to dashboard Cite

Objectives: Multiple endoscopic sessions may be necessary for treatment and surveillance of Barrett's esophagus (BE)-associated neoplasia. Adherence to an endoscopic therapeutic regimen is important for longitudinal management of BE. The objective of this study was to identify the factors associated with adherence to therapy for BE-associated neoplasia. Methods: We retrospectively identified patients with BE whom were referred to a tertiary center for endoscopic mucosal resection (EMR) or radiofrequency ablation (RFA) between 2009 and 2012. Demographic and clinical data were extracted from the medical record. Results: We had 69 subjects meet our inclusion criteria. Referral diagnosis was low-grade dysplasia in 9 (13%) subjects, high-grade dysplasia in 33 (48%) subjects and adenocarcinoma in 26 (38%) subjects. The majority (55%) lived more than 100 miles from the treatment center. The primary third-party payer was US Medicare for 54% of the subjects and private insurance for 36% of them; 45% of the subjects were seen in the clinic by the treating endoscopist, prior to endoscopic therapy and 71% underwent EMR as the initial treatment, while 29% underwent RFA without prior EMR. We found that 72% of subjects were adherent to therapy, including: 23 (33%) completing endoscopic therapy with documented post-treatment surveillance, 18 (26%) with ongoing endoscopic therapy, and 9 (13%) whom underwent esophagectomy. Subjects seen in gastroenterology clinical consultation were significantly more likely to demonstrate adherence than those referred for open access endoscopy (Lasso OR 2.31). Conclusions: Patients seen in a clinical consultation prior to endoscopic therapy for BE-associated neoplasia were more likely to demonstrate treatment adherence, compared to patients referred for open-access endoscopy. A clinic visit prior to therapy may define expectations regarding treatment course and increase the likelihood of patient adherence.

show abstract

“…Increased patient-driven communication about cancer-related health information could in turn improve a variety of health outcomes [42]. For instance, cancer patients who are information seekers are more likely to adopt healthy lifestyles, be adherent to surveillance, and have improved psychosocial outcomes than non-seekers [11, 29, 43, 44]. The absolute size of the detected effect of DTCA exposure on information seeking behavior is small, but if this effect is relevant to a large number of patient-clinician interactions, the population effect on health outcomes could be substantial.…”

Section: Discussionmentioning

confidence: 99%

“…This measure is adapted from prior studies and comprised 6 binary items (yes/no) [29]. Participants were asked to recall if they 1) actively looked for information about their cancer (about treatments but also about other topics) from their doctors, 2) actively looked for information about their cancer from other doctors or health professionals, 3) actively looked for information about quality of life issues from their doctors, 4) actively looked for information about quality of life issues from other doctors or health professionals, 5) discussed information from other sources with their doctors, and 6) received suggestions from their doctors to go to other sources for more information.…”

Section: Methodsmentioning

confidence: 99%

Potential Spillover Educational Effects of Cancer-Related Direct-to-Consumer Advertising on Cancer Patients’ Increased Information Seeking Behaviors: Results from a Cohort Study

Tan

2013

J Canc Educ

View full text Add to dashboard Cite

Spillover effects of exposure to direct-to-consumer advertising (DTCA) of cancer treatments on patients’ general inquiry about their treatments and managing their illness are not well understood. This study examines the effects of cancer patients’ exposure to cancer-related DTCA on subsequent health information seeking behaviors from clinician and non-clinician sources (lay media and interpersonal contacts). Using a longitudinal survey design over three years, data was collected from cancer survivors diagnosed with colorectal, breast, or prostate cancer who were randomly sampled from the Pennsylvania Cancer Registry. Study outcome measures include patients’ information engagement with their clinicians and information seeking from non-medical sources about cancer treatment and quality of life issues, measured in the second survey. The predictor variable is the frequency of exposure to cancer-related DTCA since diagnosis, measured at the round 1 survey. The analyses utilized lagged weighted multivariate regressions and adjusted for round 1 levels of patient-clinician engagement, information seeking from non-medical sources, and confounders. Exposure to cancer-related DTCA is associated with increased levels of subsequent patient-clinician information engagement (B=.023, 95%CI=.005 to .040, p=.012), controlling for confounders. In comparison, exposure to DTCA is marginally significant in predicting health information seeking from non-clinician sources (B=.009, 95%CI=−.001 to .018, p=.067). Cancer-related DTCA has potentially beneficial spillover effects on health information seeking behaviors among cancer patients. Exposure to DTCA predicts (a little) more patient engagement with their physicians.

show abstract

Patient–Clinician Information Engagement Improves Adherence to Colorectal Cancer Surveillance after Curative Treatment: Results from a Longitudinal Study

Cited by 21 publications

References 31 publications

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Adherence to therapy for Barrett’s esophagus‐associated neoplasia

Potential Spillover Educational Effects of Cancer-Related Direct-to-Consumer Advertising on Cancer Patients’ Increased Information Seeking Behaviors: Results from a Cohort Study

Contact Info

Product

Resources

About