Evidence map›Paper›PMID 31900747›Full record

ArticleJournal of racial and ethnic health disparities2020

Care Coordination for Breast Cancer Survivors in Urban Underserved Communities: Will Treatment Summaries and Survivorship Care Plans Be Enough?

Tamara Hamlish, Li Liu, Zuoli Zhang, Dana Sohmer, Zakiya Moton, Daniel Johnson, Anna Frolova, Olufunmilayo Olopade, Susan Hong

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Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tamara HamlishUniversity of Illinois Cancer Center-Chicago, 818, S. Wolcott Ave SRH 424, Chicago, IL, 60612, USA.ORCID 0000-0002-9234-1480
Li LiuUniversity of Illinois Cancer Center-Chicago, 818, S. Wolcott Ave SRH 424, Chicago, IL, 60612, USA.
Zuoli ZhangUniversity of Chicago, Chicago, IL, USA.
Dana SohmerAlzheimer's Association, Chicago, IL, USA.
Zakiya MotonUPLEVEL Leaders, Chicago, IL, USA.
Daniel JohnsonUniversity of Chicago, Chicago, IL, USA.
Anna FrolovaUniversity of Illinois Urbana-Champaign, Champaign, IL, USA.
Olufunmilayo OlopadeUniversity of Chicago, Chicago, IL, USA.
Susan HongUniversity of Illinois Cancer Center-Chicago, 818, S. Wolcott Ave SRH 424, Chicago, IL, 60612, USA. shong888@uic.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have examined cancer care coordination at federally qualified health centers (FHQCs). The Commission on Cancer's (CoC) standard 3.3, i.e., treatment summaries and survivorship care plans (TS-SCPs), is aimed at improving communication between cancer specialists and primary care providers (PCPs) across all healthcare systems. Whether this will improve care at FQHCs is unclear. We sought to understand breast cancer care coordination at FQHCs before the stepwise implementation of standard 3.3.

methodsIn 2014, we conducted a retrospective chart review at five Chicago FQHCs. We used ICD-9 codes to identify 109 breast cancer cases diagnosed within 5 years of the chart review. We examined charts for (1) external cancer records, (2) PCP documentation of breast cancer histories, and (3) documentation of PCP engagement in cancer-relevant follow-up care.

resultsLess than 50% of the charts had PCP documentation of more than one area of cancer-relevant follow-up care. Availability of external records did not increase PCP engagement in cancer-relevant follow-up care. Instead, PCPs who documented information about their patient's breast cancer treatments also documented more cancer-relevant follow-up care.

conclusionBefore the stepwise implementation of TS-SCPs, less than 50% of the charts had PCP documentation of more than one area of cancer-related follow-up care. The TS-SCP is designed to facilitate care coordination between specialists and PCPs through increased communication. Our results suggest the availability of external cancer information did not necessarily translate into care delivery. This suggests communication of information alone is insufficient.

Indexed as

SurvivorshipAdultAgedAged, 80 and overBreast NeoplasmsCancer SurvivorsChicagoContinuity of Patient CareFemaleHumansMiddle AgedPatient Care PlanningRetrospective StudiesSurveys and QuestionnairesUrban PopulationVulnerable PopulationsCancer care deliveryCancer survivorshipCare coordinationHealth disparitiesPrimary careVulnerable populations

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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.