ResearchOncologyThe use of preventive health services among elderly uterine cancer survivors
Section snippets
Materials and Methods
We used SEER-Medicare data files from the 2003 merge, in which 97% of the SEER subjects 65 years of age or older were linked to Medicare data.10 These files contain information on cancer cases diagnosed from 1973-1999 and Medicare data through 2002. Uterine cancer patients were identified using the SEER site recode variable for uterine cancer (corpus and not otherwise specified; n = 63,613). Of the women diagnosed from 1973-1993 (n = 44,981), we accepted 38,231 women: those who had in situ (n =
Results
The distributions of the characteristics of the cancer survivors, and those with no history of cancer, shown in Table 1, demonstrate the improved balance in the independent variables obtained through the propensity score matching. Approximately 28% of women had seen an obstetrician-gynecologist or gynecologic oncologist.
The age-adjusted rates (Table 2) showed that women who survived uterine cancer were more likely than women with no history of cancer to have mammography or colorectal cancer
Comment
The good news is that women who survived 5 years or longer after the diagnosis of uterine cancer had preventive health service utilization rates that were significantly greater than the rates among women with no history of cancer for 2 of the services we measured and equal rates for 2. Unfortunately, the rates among the survivors for mammography (56.0%), colon cancer screening (21.2%), and influenza vaccination (52.7%) were well below the national targets set in Healthy People 2010 of 70%, 50%,
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Cited by (22)
Access to preventive health care for cancer survivors
2013, American Journal of Preventive MedicineCitation Excerpt :Some15–17 report less preventive services use by cancer survivors, whereas others14,16,18 report greater use. Most studies15,17,21 reporting less preventive services use were conducted in cohorts of elderly Medicare beneficiaries at similar times since diagnosis, using the linked SEER-Medicare data. Studies14,18–20 reporting similar or greater preventive services use were conducted in samples of prevalent survivors of all ages and cancer types, with all types of health insurance (including the uninsured), and a range of times since diagnosis.
Influenza Vaccination Among Individuals with Cancer and Their Family Members
2010, American Journal of Preventive MedicineCitation Excerpt :The proportion of elderly patients found to be receiving vaccinations (78%) was higher than that reported in the literature. Using the SEER-Medicare data, one study11 reported that among elderly patients with advanced colorectal cancer, the percentage receiving vaccinations had increased from 26% in 1993 to 43% in 1998, whereas another study20 found that approximately 53% of elderly survivors of uterine cancer had been vaccinated for influenza in 1999. In addition, one study17 used four panels of MEPS data (2000–2004) to examine the use of preventive health services among patients with cancer and reported that 54% had been vaccinated.
Quality of care for chronic diseases in a british cohort of long-term cancer survivors
2010, Annals of Family MedicineCitation Excerpt :Chronic disease management is an important issue for older, long-term survivors, many of whom will have 1 or more comorbid diseases.2 Research from the United States has highlighted, however, the underuse of chronic disease monitoring in individuals with cancer.3–8 Furthermore, cancer survivors with a comorbid condition have a substantially higher likelihood of poor health and disability than those without a history of cancer.9,10
A cross-sectional study of factors associated with influenza vaccination in Korean cancer survivors
2021, European Journal of Cancer CareUnderstanding Long-Term Cancer Survivors’ Preferences for Ongoing Medical Care
2019, Journal of General Internal MedicineRacial and socioeconomic disparities in adherence to preventive health services for ovarian cancer survivors
2019, Journal of Cancer Survivorship
Cite this article as: McBean AM, Yu X, Virnig BA. The use of preventive health services among elderly uterine cancer survivors. Am J Obstet Gynecol 2008;198;86.e1-86.e8.
This work was supported by grants from the National Institute of Aging (R01 AG 025079) and the National Cancer Institute (R01 CA 098974).