Evidence map›Paper›PMID 37093516›Full record

ArticleJournal of cancer survivorship : research and practice2024

Utilization of a primary care-based cancer survivorship clinic: patterns and patient characteristics.

Aamna Kabani, Victoria F Lenihan, Christiana Zhang, Zackary D Berger, Craig E Pollack, Cyd K Eaton, Yisi Liu, Sydney M Dy, Kimberly S Peairs, Youngjee Choi

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Aamna Kabani *Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Victoria F Lenihan *Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Christiana ZhangDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Zackary D BergerDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Craig E PollackDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Cyd K EatonBiostatistics, Epidemiology, and Data Management Core, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Yisi LiuBiostatistics, Epidemiology, and Data Management Core, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Sydney M DyDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kimberly S PeairsDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Youngjee ChoiDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. ychoi47@jhmi.edu.

Funding

Merck Company Foundation NO22890
6 · The paper itself

Abstract

purposeThe Johns Hopkins Primary Care for Cancer Survivors (PCCS) Clinic was established in 2015 to improve care delivery for the growing cancer survivor population. We aim to describe areas of care addressed by PCCS and factors associated with clinic utilization.

methodsWe conducted a retrospective chart review of the first 301 patients' clinic visits. We used negative binomial regression models to identify factors associated with the rate of PCCS clinic visits overall and for cancer surveillance and treatment-related effects.

resultsThere were 1702 clinic visits across 301 patients during the study period (77% female, median age 61). The most common areas of care addressed were chronic medical problems (80%), preventive health care (62%), cancer surveillance (59%), treatment-related effects (50%), and new/acute problems (46%). Multivariate analyses found that age > 60 years (IRR = 1.9, 95% CI = 1.2-3.0, p = 0.007) and higher number of comorbidities (IRR = 1.2, 95% CI = 1.1 - 1.2, p < 0.001) were associated with more overall PCCS visits, while female gender was associated with fewer visits (IRR = 0.6, CI = 0.4 - 0.8, p = 0.001). Gastrointestinal cancer type, shorter length of survivorship, male gender, and higher number of comorbidities were associated with a higher rate of visits addressing both surveillance and treatment-related effects (p < 0.05).

conclusionsThe PCCS clinic addressed cancer and non-cancer related needs. Older patients and survivors with more comorbidities had significantly increased clinic utilization. IMPLICATIONS FOR CANCER SURVIVORS: As the cancer survivor population grows, increasing access to survivorship clinics based in primary care may help meet these patients' diverse oncologic and general health needs.

Indexed as

Cancer SurvivorsNeoplasmsPrimary Health CareAdultAgedAged, 80 and overAmbulatory Care FacilitiesFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesSurvivorshipComorbiditiesHealthcare utilizationPrimary careSurveillanceSurvivorship clinic

Identifiers

PMID37093516

What OpenQuestion holds

Textmetadata
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.