Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

Nekhlyudov, Larissa; Wenger, Neil S.

doi:10.1007/s11606-014-2931-9

Cited by 6 publications

(6 citation statements)

References 18 publications

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“…). Implementing core competency training for primary care providers that includes survivorship care might also increase comfort and knowledge, and would leverage new educational and other resources that have become available for general practitioners (National Cancer Survivorship Resource Center ; Nekhlyudov and Wenger ). The American Society of Clinical Oncology and other professional societies have published recommendations on how to expand and coordinate educational offerings for medical professionals in areas that are essential to survivorship care (McCabe et al.…”

Section: Discussionmentioning

confidence: 99%

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Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

Casillas

Oeffinger

Hudson

et al. 2015

Health Services Research

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Objectives. Characterize longitudinal changes in the use of medical care in adult survivors of childhood cancer. Data Sources. The Childhood Cancer Survivor Study, a retrospective cohort study of 5+ year survivors of childhood cancer. Study Design. Medical care was assessed at entry into the cohort (baseline) and at most recent questionnaire completion. Care at each time point was classified as no care, general care, or survivor-focused care. Data Collection. There were 6,176 eligible survivors. Multivariable models evaluated risk factors for reporting survivor-focused care or general medical care at baseline and no care at follow-up; and survivor-focused care at baseline and general care at follow-up. Principal Findings. Males (RR, 2.3; 95 percent CI 1.8-2.9), earning <$20,000/year (RR, 1.6; 95 percent CI 1.2-2.3) or ≤high school education (RR, 2.5; 95 percent CI 1.6-3.8 and RR 2.0; 95 percent CI 1.5-2.7 for

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Section: Discussionmentioning

confidence: 99%

“…). Lastly, development of interventions that focus on effective patient‐centered communication and shared decision making between the provider and the cancer survivor have been shown to improve the quality of cancer care for survivors (Epstein and Street ; Nekhlyudov and Wenger ).…”

Section: Discussionmentioning

confidence: 99%

Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

Casillas

Oeffinger

Hudson

et al. 2015

Health Services Research

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“…6 Continuity of care is therefore a major concern of cancer patients and their relatives. 7 Several instruments for the measurement of continuity of care have been developed 8 and can be calculated based on claims data. 9,10 It has been previously postulated that studies and quality initiatives seeking to evaluate continuity of care should make use of administratively derived measures whenever possible, 11 or that patient-reported results should be used in tandem with administratively derived values.…”

Section: Introductionmentioning

confidence: 99%

<p>Continuity of Care in Swiss Cancer Patients Using Claims Data</p>

Blozik¹,

Bähler²,

Näpflin³

et al. 2020

PPA

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“…Minimum score of PHQ-9 is 0 and maximum score is 27. This scale categorizes depression in five different categories: minimal depression (score range 1-4), mild depression (5-9), moderate depression (10)(11)(12)(13)(14), moderately severe depression (15)(16)(17)(18)(19), and severe depression (20)(21)(22)(23)(24)(25)(26)(27). PHQ-9 scores > 10 had sensitivity of 88% and specificity of 88% for major depression.…”

Section: Defining the Interventionmentioning

confidence: 99%

Integrated Moving on After Breast Cancer and Culturally Adapted Cognitive Behavior Therapy intervention for depression and anxiety among Pakistani women with breast cancer: Protocol of a randomized controlled trial

et al. 2023

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Objective: The diagnosis and treatment of breast cancer is associated with significant distress that has huge impact on survivors’ quality of life. The objective of this study is to assess the effectiveness of an integrated intervention “Moving on After Breast Cancer (ABC) Plus culturally adapted Cognitive Behavior Therapy” (Moving on ABC Plus). Method: This is a randomized controlled trial that aims to recruit 354 breast cancer survivors from the inpatient and outpatient oncology departments in public and private hospitals in Karachi, Hyderabad, Lahore, Multan, and Rawalpindi in Pakistan. Patients scoring 10 or above on either the Patient Health Questionnaire—9 and/or the Generalized Anxiety Disorder scale (GAD-7) will be recruited. Baseline assessments will include Functional Assessment of Cancer Therapy—Breast; EuroQol-5D; Multidimensional Scale for Perceived Social Support; Intrusive Thoughts Scale; and Rosenberg Self-Esteem Scale. Participants randomized into intervention arm, Moving on ABC Plus, will receive 12 individual therapy sessions over 4 months. Follow-up will be completed at 4- and 6-month post-randomization, using all baseline instruments along with the Client Satisfaction Questionnaire (CSQ-8). We will also explore the participants’, their family members’, and the therapists’ experiences of the trial and intervention. Results: We will be assessing the effectiveness of intervention in reducing depression and anxiety in breast cancer survivors as a primary outcome of the trial. The secondary outcomes will include effectiveness of intervention in terms of reduction in intrusive thoughts and improvement in health-related quality of life, self-esteem, and perceived social support. Conclusion: The results of the study will inform the design of a future larger randomized control trial with long-term follow-up.

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Institute of Medicine Recommendations for Improving the Quality of Cancer Care: What Do They Mean for the General Internist?

Cited by 6 publications

References 18 publications

Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

<p>Continuity of Care in Swiss Cancer Patients Using Claims Data</p>

Integrated Moving on After Breast Cancer and Culturally Adapted Cognitive Behavior Therapy intervention for depression and anxiety among Pakistani women with breast cancer: Protocol of a randomized controlled trial

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