PATIENT-LEVEL PREDICTORS OF RECEIPT OF WRITTEN CANCER SURVIVORSHIP PLAN- AN ANALYSIS OF THE NATIONAL HEALTH INTERVIEW SURVEY

Author(s)

Hinyard L, Wirth LS
Saint Louis University Center for Health Outcomes Research (SLUCOR), Saint Louis, MO, USA

OBJECTIVES: Provision of written survivorship care plans for cancer survivors is lower than desired. The purpose of this study was to investigate patient-level predictors of receipt of written documentation of advice for follow up care or documentation of all cancer treatments. METHODS: Adults aged 18+ years with a history of cancer were identified from the 2010 National Health Interview Survey. Patients currently receiving cancer treatment and those who were diagnosed with cancer prior to age 18 were excluded (final sample 2,329). Logistic regression was used to assess the association of individual level predictors with two primary outcome variables: receiving advice from a health care professional about routine cancer check-ups after completing cancer treatment in a written format (WA) (n=1327) and receiving a written documentation of all cancer treatments (WTx) (n=1783). All analyses were weighted to account for the sampling scheme. RESULTS: After adjusting for all other variables, older age and being male were associated with lower odds of receiving a WTx (OR = 0.98, 95% CI 0.98-0.99 and OR = 0.67, 95% CI 0.52-0.86, respectively). Hispanics and non-Hispanic Blacks were 2.24 (95% 1.40-3.59) and 2.40 (95 CI 1.60-3.60) times more likely to receive a WTx compared to non-Hispanic Whites, and survivors who participated in counseling or a support group were 1.78 (95% CI: 1.23-2.58) times more likely to receive WTx compared to those who did not. Compared to non-Hispanic Whites, non-Hispanic Blacks were 2.17 (95% CI 1.29-3.66) times more likely to receive WA. Survivors who participated in counseling or a support group were 1.82 (95% CI 1.21-2.75) times more likely to receive WA. CONCLUSIONS: Age, sex, race, and participation in counseling or support groups are all associated with receipt of written advice and/or written statements of treatment received. Future work should investigate provider-level factors and the patient-provider relationship.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCN273

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Quality of Care Measurement

Disease

Oncology

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