ArticleAnnals of internal medicine2013
Primary care utilization and colorectal cancer incidence and mortality among Medicare beneficiaries: a population-based, case-control study.
Article in Annals of internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Predictors of Primary Care Physician Practice Location in Underserved Urban or Rural Areas in the United States: A Systematic Literature Review.Academic medicine : journal of the Association of American Medical Colleges · 2016Pooled it
- Effects of Medicaid managed care on early detection of cancer: Evidence from mandatory Medicaid managed care program in Pennsylvania.Health services research · 2024Article
- Patient and provider-level drivers of healthcare utilization related to a diagnosis of a precancerous condition: monoclonal gammopathy of undetermined significance (MGUS).Cancer causes & control : CCC · 2023Article
- Association Between Opioid Tapering and Subsequent Health Care Use, Medication Adherence, and Chronic Condition Control.JAMA network open · 2023Article
- Article
- The Association between Health Professional Shortage Area (HPSA) Status, Work Environment, and Nurse Practitioner Burnout and Job Dissatisfaction.Journal of health care for the poor and underserved · 2022Article
- Abstaining from annual health check-ups is a predictor of advanced cancer diagnosis: a retrospective cohort study.Environmental health and preventive medicine · 2022Article
- Primary Care Continuity and Wait Times to Receiving Breast Cancer Chemotherapy: A Population-Based Retrospective Cohort Study Using CanIMPACT Data.Current oncology (Toronto, Ont.) · 2021Article
- Caregiving and Place: Combining Geographic Information System (GIS) and Survey Methods to Examine Neighborhood Context and Caregiver Outcomes.Innovation in aging · 2019Article
- Social Disadvantage, Healthcare Utilization, and Colorectal Cancer Screening: Leveraging Longitudinal Patient Address and Health Records Data.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis.BMC health services research · 2018Article
- Indian Health Service Care System and Cancer Stage in American Indians and Alaska Natives.Journal of health care for the poor and underserved · 2018Article
- Temporal Trends in Geographic and Sociodemographic Disparities in Colorectal Cancer Among Medicare Patients, 1973-2010.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2017Article
- Explaining time elapsed prior to cancer diagnosis: patients' perspectives.BMC health services research · 2017Article
- Association Between Primary Care Visits and Colorectal Cancer Screening Outcomes in the Era of Population Health Outreach.Journal of general internal medicine · 2016Article
- Article
- Disparities in endoscopy use for colorectal cancer screening in the United States.Digestive diseases and sciences · 2014Review
- The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases.International journal of general medicine · 2014Review
- Differences in Hospital, Emergency Room and Outpatient Visits Among Adults With and Without Monoclonal Gammopathy of Undetermined Significance.Cancer control : journal of the Moffitt Cancer CenterArticle
- Emergency Presentation and Short-Term Survival Among Patients With Colorectal Cancer Enrolled in the Government Health Plan of Puerto Rico.Health services research and managerial epidemiologyArticle
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Authors and funding
8 authors.
Funding
Abstract
backgroundUtilization of primary care may decrease colorectal cancer (CRC) incidence and death through greater receipt of CRC screening tests.
objectiveTo examine the association of primary care utilization with CRC incidence, CRC deaths, and all-cause mortality.
designPopulation-based, case-control study.
settingMedicare program.
participantsPersons aged 67 to 85 years diagnosed with CRC between 1994 and 2005 in U.S. Surveillance, Epidemiology, and End Results (SEER) regions matched with control patients (n = 205,804 for CRC incidence, 54,160 for CRC mortality, and 121,070 for all-cause mortality). MEASUREMENTS: Primary care visits in the 4- to 27-month period before CRC diagnosis, CRC incidence, CRC mortality, and all-cause mortality.
resultsCompared with persons having 0 or 1 primary care visit, persons with 5 to 10 visits had lower CRC incidence (adjusted odds ratio [OR], 0.94 [95% CI, 0.91 to 0.96]) and mortality (adjusted OR, 0.78 [CI, 0.75 to 0.82]) and lower all-cause mortality (adjusted OR, 0.79 [CI, 0.76 to 0.82]). Associations were stronger in patients with late-stage CRC diagnosis, distal lesions, and diagnosis in more recent years when there was greater Medicare screening coverage. Ever receipt of CRC screening and polypectomy mediated the association of primary care utilization with CRC incidence. LIMITATION: This study used administrative data, which made it difficult to identify potential confounders and prevented examination of the content of primary care visits.
conclusionMedicare beneficiaries with higher utilization of primary care have lower CRC incidence and mortality and lower overall mortality. Increasing and promoting access to primary care in the United States for Medicare beneficiaries may help decrease the national burden of CRC. PRIMARY FUNDING SOURCE: American Cancer Society.
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