Evidence map›Paper›PMID 25716644›Full record

ArticleJournal of cancer survivorship : research and practice2015

Comorbid condition care quality in cancer survivors: role of primary care and specialty providers and care coordination.

Claire F Snyder, Kevin D Frick, Robert J Herbert, Amanda L Blackford, Bridget A Neville, Klaus W Lemke, Michael A Carducci, Antonio C Wolff, Craig C Earle

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Health care services use among long-term breast cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2019
    Pooled it
  3. Pooled it
  4. Can Care Coordination for Multiple Long-Term Conditions Be Meaningfully Measured Using Routine Data? A Multi-Stage Consultation.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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  10. Survivorship care plans and adherence to breast and cervical cancer screening guidelines among cancer survivors in a national sample.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  19. Cancer survivorship training in family medicine residency programs.Journal of cancer survivorship : research and practice · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Claire F SnyderDivision of General Internal Medicine, Johns Hopkins School of Medicine, 624 N. Broadway, Room 649, Baltimore, MD, 21205, USA. csnyder@jhu.edu.
Kevin D FrickDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Robert J HerbertDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amanda L BlackfordSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA.
Bridget A NevilleAriadne Labs, Boston, MA, USA.
Klaus W LemkeDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Michael A CarducciSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA.
Antonio C WolffSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, USA.
Craig C EarleInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Sidney Kimmel Comprehensive Cancer Center · USJohns Hopkins University · USAriadne Diagnostics (United States) · USInstitute for Clinical Evaluative Sciences · CA

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Comorbid Conditions in Cancer Survivors: Costs and Quality of CareR01CA149616 · NCI · JOHNS HOPKINS UNIVERSITY · PI SNYDER, CLAIRE F · 2010 to 2012
$734k
NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N01-PC35136NCI NIH HHS N01-PC-35139NCI NIH HHS N02 PC015105NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA149616NCI NIH HHS R01CA149616PHS HHS U55/CCR921930-02
6 · The paper itself

Abstract

purposeThe purpose of this study is to investigate provider specialty, care coordination, and cancer survivors' comorbid condition care.

methodsThis retrospective cross-sectional Surveillance, Epidemiology, and End Results (SEER)-Medicare study included cancer survivors diagnosed in 2004, 2-3 years post-cancer diagnosis, in fee-for-service Medicare. We examined (1) provider specialties (primary care providers (PCPs), oncology specialists, other specialists) visited post-hospitalization, (2) role of provider specialties in chronic and acute condition management, and (3) an ambulatory care coordination measure. Outcome measures covered (1) visits post-hospitalization for nine conditions, (2) chronic disease management (lipid profile, diabetic eye exam, diabetic monitoring), and (3) acute condition management (electrocardiogram (EKG) for congestive heart failure (CHF), imaging for CHF, EKG for transient ischemic attack, cholecystectomy, hip fracture repair).

resultsAmong 8661 cancer survivors, patients were more likely to visit PCPs than oncologists or other specialists following hospitalizations for 8/9 conditions. Patients visiting a PCP (vs. not) were more likely to receive recommended care for 3/3 chronic and 1/5 acute condition indicators. Patients visiting a nother specialist (vs. not) were more likely to receive recommended care for 3/3 chronic and 2/5 acute condition indicators. Patients visiting an oncology specialist (vs. not) were more likely to receive recommended care on 2/3 chronic indicators and less likely to receive recommended care on 1/5 acute indicators. Patients at greatest risk for poor coordination were more likely to receive appropriate care on 4/6 indicators.

conclusionsPCPs are central to cancer survivors' non-cancer comorbid condition care quality. Implications for Cancer Survivors PCP involvement in cancer survivors' care should be promoted.

Indexed as

Physicians, Primary CarePrimary Health CareQuality of Health CareSurvivorsAgedAged, 80 and overComorbidityCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeoplasmsPatient Care TeamRetrospective StudiesSEER ProgramCancer survivorshipComorbidityQuality of care

Identifiers

PMID25716644
PMCPMC4550556
OpenAlexW2135807850

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.