The continuum of breast cancer care and outcomes in the U.S. Military Health System: an analysis by benefit type and care source.
Purpose: This study investigates transition rates between breast cancer diagnosis, recurrence, and death by insurance benefit type and care source in U.S. Military Health System (MHS).Methods: The MHS data repository and central cancer registry linked data were used to identify women aged 40-64 with...
| Publicado en: | Journal of Cancer Survivorship Vol. 12; no. 3; pp. 407 - 417 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129651996&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129651996 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19322259 46CU jtl: Journal of Cancer Survivorship issn: 19322259 maglogo: N pubinfo: dt: Jun2018 vid: 12 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 129651996 129651996 NLM29455447 129651996 10.1007/s11764-018-0680-1 NLM29455447 129651996 ppf: 407 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The continuum of breast cancer care and outcomes in the U.S. Military Health System: an analysis by benefit type and care source. aug: au: Eaglehouse, Yvonne L. Shao, Stephanie Chan, Wenyaw Brown, Derek Manjelievskaia, Janna Shriver, Craig D. Zhu, Kangmin affil: John P. Murtha Cancer Center, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, 11300 Rockville Pike, Suite 1120, 20852, Rockville, MD, USA sug: subj: Continuity of Patient Care Administration Continuity of Patient Care Standards After Care Standards After Care Methods Breast Neoplasms Rehabilitation After Care Military Personnel Female Human Prospective Studies Health Systems Agencies Administration Breast Neoplasms Epidemiology Neoplasm Recurrence, Local Middle Age United States Adult Insurance Benefits Standards Treatment Outcomes Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Middle Aged: 45-64 years Adult: 19-44 years Female ab: Purpose: This study investigates transition rates between breast cancer diagnosis, recurrence, and death by insurance benefit type and care source in U.S. Military Health System (MHS).Methods: The MHS data repository and central cancer registry linked data were used to identify women aged 40-64 with histologically confirmed breast cancer between 2003 and 2007. Three-state continuous time Markov models were used to estimate transition rates and transition rate ratios (TRRs) by TRICARE benefit type (Prime or non-Prime) and care source (direct, purchased, or both), adjusted for demographic, tumor, and treatment variables.Results: Analyses included 2668 women with transitions from diagnosis to recurrence (n = 832), recurrence to death (n = 79), and diagnosis to death without recurrence (n = 91). Compared to women with Prime within each care source, women with non-Prime using both care sources had higher transition rates (TRR 1.47, 95% CI 1.03, 2.10). Compared to those using direct care within each benefit type, women utilizing both care sources with non-Prime had higher transition rates (TRR 1.86, 95% CI 1.11, 3.13), while women with Prime utilizing purchased care had lower transition rates (TRR 0.82, 95% CI 0.68, 0.98).Conclusions: In the MHS, women with non-Prime benefit plans compared to Prime had higher transition rates along the breast cancer continuum among both care source users. Purchased care users had lower transition rates than direct care users among Prime beneficiaries.Implications For Cancer Survivors: Benefit plan and care source may be associated with breast cancer progression. Further research is needed to demonstrate differences in survivorship. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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