ArticleCanadian family physician Medecin de famille canadien2016
Primary care physician use across the breast cancer care continuum: CanIMPACT study using Canadian administrative data.
Article in Canadian family physician Medecin de famille canadien, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed.
- Optimizing the integration of family physicians into cancer survivorship care in the BC Interior: a mixed methods study of physicians' opinions and experiences.Journal of cancer survivorship : research and practice · 2026Article
- Protocol for the ONLOOP trial: pragmatic randomized trial evaluating a province-wide system of personalized reminders for evidence-based surveillance tests in adult survivors of childhood cancer in Ontario.Implementation science : IS · 2024Article
- Evaluation of the Impact of the Urgent Cancer Care Clinic on Emergency Department Visits, Primary Care Clinician Visits, and Hospitalizations in Winnipeg, Manitoba.Current oncology (Toronto, Ont.) · 2023Article
- Stage of colorectal cancer diagnosis for immigrants: a population-based retrospective cohort study in Ontario, Canada.Cancer causes & control : CCC · 2021Article
- 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
- Patients' Perceived Continuity of Care and Adherence to Oral Anticancer Therapy: a Prospective Cohort Mediation Study.Journal of general internal medicine · 2021Article
- Lung Cancer Inequalities in Stage of Diagnosis in Ontario, Canada.Current oncology (Toronto, Ont.) · 2021Article
- Adherence to quality breast cancer survivorship care in four Canadian provinces: a CanIMPACT retrospective cohort study.BMC cancer · 2019Article
- Lessons Learned: It Takes a Village to Understand Inter-Sectoral Care Using Administrative Data across Jurisdictions.International journal of population data science · 2018Article
- Impact of diffuse large B-cell lymphoma on visits to different provider specialties among elderly Medicare beneficiaries: challenges for care coordination.Translational behavioral medicine · 2018Article
- Factors associated with imaging in patients with early breast cancer after initial treatment.Current oncology (Toronto, Ont.) · 2018Article
- Preventable Diabetic Complications After a Cancer Diagnosis in Patients With Diabetes: A Population-Based Cohort Study.JNCI cancer spectrum · 2018Article
- Increased survival means increasing roles for primary care after cancer diagnosis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Multigene expression profile testing in breast cancer: is there a role for family physicians?Current oncology (Toronto, Ont.) · 2017Article
- It takes a team: CanIMPACT: Canadian Team to Improve Community-Based Cancer Care along the Continuum.Canadian family physician Medecin de famille canadien · 2016Article
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Corrections and comments
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe primary care physician (PCP) use and continuity of PCP care across the breast cancer care continuum.
designPopulation-based, retrospective cohort study using provincial cancer registries linked to health administrative databases.
settingBritish Columbia, Manitoba, and Ontario.
participantsAll women with incident invasive breast cancer from 2007 to 2012 in Manitoba and Ontario and from 2007 to 2011 in British Columbia.
main outcome measuresThe number and proportions of visits to PCPs were determined. Continuity of care was measured using the Usual Provider of Care index calculated as the proportion of visits to the most-often-visited PCP in the 6 to 30 months before a breast cancer diagnosis (baseline) and from 1 to 3 years following a breast cancer diagnosis (survivorship).
resultsMore than three-quarters of patients visited their PCPs 2 or more times during the breast cancer diagnostic period, and more than 80% of patients had at least 1 PCP visit during breast cancer adjuvant treatment. Contact with the PCP decreased over time during breast cancer survivorship. Of the 3 phases, women appeared to be most likely to not have PCP contact during adjuvant treatment, with 10.7% (Ontario) to 18.7% (British Columbia) of women having no PCP visits during this phase. However, a sizable minority of women had at least monthly visits during the treatment phase, particularly in Manitoba and Ontario, where approximately a quarter of women saw a PCP at least monthly. We observed higher continuity of care with PCPs in survivorship (compared with baseline) in all provinces.
conclusionPrimary care physicians were generally involved throughout the breast cancer care continuum, but the level of involvement varied across care phases and by province. Future interventions will aim to further integrate primary and oncology care.
Indexed as
Identifiers
27737994PMC5063785What OpenQuestion holds
Registered trials
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