ArticleArchives of internal medicine2011
Primary care utilization and colorectal cancer outcomes among Medicare beneficiaries.
Article in Archives of internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Patient navigation to increase colorectal cancer screening among Latino Medicare enrollees: a randomized controlled trial.Cancer causes & control : CCC · 2015Trial
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- The Economic Burden of Colorectal Cancer in Type 2 Diabetes Mellitus (T2DM) in Shanghai, China.Cancer medicine · 2025Article
- Guideline-concordant breast cancer care by patient race and ethnicity accounting for individual-, facility- and area-level characteristics: a SEER-Medicare study.Cancer causes & control : CCC · 2024Article
- Patterns of Evidence-Based Care for the Diagnosis, Staging, and First-line Treatment of Breast Cancer by Race-Ethnicity: A SEER-Medicare Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Article
- Clinical Multiteam System Composition and Complexity Among Newly Diagnosed Early-Stage Breast, Colorectal, and Lung Cancer Patients With Multiple Chronic Conditions: A SEER-Medicare Analysis.JCO oncology practice · 2023Article
- Predictors of cancer screening among Black and White Maryland Medicaid enrollees with serious mental illness.Psycho-oncology · 2021Article
- Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population.Frontiers in public health · 2020Article
- Palliative chemotherapy among people living in poverty with metastasised colon cancer: facilitation by primary care and health insurance.BMJ supportive & palliative care · 2019Article
- Article
- The impact of improving access to primary care.Journal of evaluation in clinical practice · 2017Observational
- Explaining time elapsed prior to cancer diagnosis: patients' perspectives.BMC health services research · 2017Article
- General practitioners' perceptions of population based bowel screening and their influence on practice: a qualitative study.BMC family practice · 2017Article
- Colon cancer care and survival: income and insurance are more predictive in the USA, community primary care physician supply more so in Canada.International journal for equity in health · 2015Article
- Development of an Algorithm to Classify Colonoscopy Indication from Coded Health Care Data.EGEMS (Washington, DC) · 2015Article
- Economic burden of colorectal cancer in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2014Article
- Primary care utilization and colorectal cancer incidence and mortality among Medicare beneficiaries: a population-based, case-control study.Annals of internal medicine · 2013Article
- The effects of primary care on breast cancer mortality and incidence among Medicare beneficiaries.Cancer · 2013Article
- More comprehensive discussion of CRC screening associated with higher screening.The American journal of managed care · 2013Observational
- The varying role of the GP in the pathway between colonoscopy and surgery for colorectal cancer: a retrospective cohort study.BMJ open · 2013Article
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7 authors.
Funding
Abstract
backgroundPrimary medical care may improve colorectal cancer (CRC) outcomes through increased use of CRC screening tests and earlier diagnosis. We examined the association between primary care utilization and CRC screening, stage at diagnosis, CRC mortality, and all-cause mortality.
methodsWe conducted a retrospective cohort study of patients, aged 67 to 85 years, diagnosed as having CRC between 1994 and 2005 in the Surveillance, Epidemiology, and End Results-Medicare-linked database. Association of the number of visits to primary care physicians (PCPs) in the 3- to 27-month period before the CRC diagnosis and CRC screening, early-stage diagnosis, CRC mortality, and all-cause mortality were examined using multivariable logistic regression and Cox proportional hazards models.
resultsThe odds of CRC screening and early-stage diagnosis increased with increasing number of PCP visits (P < .001 for trend). Compared with persons having 0 or 1 PCP visit, patients with 5 to 10 visits had increased odds of ever receiving CRC screening at least 3 months before diagnosis (adjusted odds ratio, 2.60; 95% CI, 2.48-2.72) and early-stage diagnosis (1.35; 1.29-1.42). Persons with 5 to 10 visits had 16% lower CRC mortality (adjusted hazard ratio [AHR], 0.84; 95% CI, 0.80-0.88) and 6% lower all-cause mortality (0.94; 0.91-0.97) compared with persons with 0 or 1 visit.
conclusionsMedicare beneficiaries with CRC have better outcomes if they have greater utilization of primary care before diagnosis. Revitalization of primary care in the United States may help strengthen the national efforts to reduce the burden of CRC.
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