Skip to main content
main-content

28.04.2016 | Original Article | Ausgabe 9/2016

Supportive Care in Cancer 9/2016

Health care experiences of long-term survivors of adolescent and young adult cancer

Zeitschrift:
Supportive Care in Cancer > Ausgabe 9/2016
Autoren:
Sapna Kaul, Mark Fluchel, Holly Spraker-Perlman, Christopher F. Parmeter, Anne C. Kirchhoff
Wichtige Hinweise
Presentation history: Study findings were presented orally at the 2015 Critical Mass Annual Conference in Chicago (November 2015) and in a poster form at the Cancer Survivorship Symposium in San Francisco (January 2016).

Abstract

Purpose

Evaluate health care access and experiences with care among long-term survivors of adolescent and young adult (AYA) cancer relative to a comparison group in the USA.

Methods

The 2008 to 2012 Medical Expenditure Panel Surveys identified 1163 survivors of cancer, diagnosed ages 15–39, current ages 20–64, who were at least 5 years after diagnosis. A comparison group without cancer was matched using age, sex, and other characteristics. Primary outcomes included having ≥1 visit to doctor’s office/clinic in the previous year and perceived health care quality (0 = worst to 10 = best; categorized as low (0–4), intermediate (5–7), and high (8–10)). Other experience-related outcomes (e.g., having adequate time with providers and providers show respect) were also evaluated. Bivariate analyses compared these outcomes between survivors and the comparison group. Multivariable logistic regressions identified survivor-level factors associated with health care visits and quality.

Results

Survivors had ≥1 visit more often (82.1 vs. 75.8 %, p = 0.005) yet rated their health care quality lower (low or intermediate 30.7 vs. 23.6 %, p < 0.001) than the comparison group. Fewer survivors reported always having enough time with providers (41.7 vs. 54.6 %, p < 0.001) and that providers always show respect (57.5 vs. 67.7 %, p = 0.002). Uninsured survivors were less likely to have ≥1 visit (odds ratio (OR) = 0.26, 95 % confidence interval (CI) 0.17–0.40, p < 0.001) and rated their health care quality lower (OR = 0.25, 95 % CI 0.13–0.48, p < 0.001) than privately insured. Many other factors were associated with visits and quality.

Conclusion

Survivors of AYA cancer reported more health care visits but worse health care experiences than individuals without cancer. Targeted interventions that may improve survivors’ experiences with health care should be evaluated.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Bis zum 22.10. bestellen und 100 € sparen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 9/2016

Supportive Care in Cancer 9/2016Zur Ausgabe
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Onkologie

 

 

 
 

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Onkologie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise