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- W2589659997 abstract "99 Background: Prior studies have explored barriers to collaborative cancer care and suggest a need for greater clarity about clinician roles. However, little is known about patient’s preferences and expectations for which clinicians handle various aspects of care after primary cancer treatment. Methods: A weighted random sample of patients newly diagnosed with breast cancer in 2014-15 as reported to the Georgia and Los Angeles SEER registries were surveyed approximately 6 months after diagnosis (N = 2,342, 70% response rate). Patient preferences for which clinician handles the following aspects of care after treatment were ascertained: follow-up mammograms, screening for other cancers, general preventive care, treatment of comorbidities and reassurance about their breast cancer. Response categories included primary care clinician (PCP), cancer doctors, either or both. The associations between patient demographic and clinical factors with preferences for clinician roles were assessed using multinomial logistic regression. Results: The majority of women preferred to see oncologists for mammograms (65%), other cancer screening (64%), and reassurance about their cancer (69%), and PCPs for general preventive care (76%) and comorbidity care (79%). Black women and Hispanic women (vs. White) were more likely to prefer to see both clinicians (vs. PCP) for mammograms (Black OR: 2.8, 95%CI: 1.5, 5.1; Hispanic OR: 1.9, 95%CI: 1.1, 3.3), screening for other cancers (Black OR: 3.3, 95%CI: 1.8, 6.1; Hispanic OR: 1.8, 95%CI: 1.0, 3.1), general preventive care (Black OR: 3.5, 95%CI: 2.0, 6.0; Latina OR: 2.5, 95%CI: 1.4, 4.3) and comorbidity care (Black OR: 2.1, 95%CI: 1.3, 3.6; Hispanic OR: 2.0, 95%CI: 1.2, 3.3). Less than a high school education was also associated with a preference for seeing both clinicians for mammograms. Conclusions: While patients report clear preferences for which clinicians handle various aspects of their collaborative survivorship care, variation exists by race and education. Targeting these patients to clarify clinician roles may be particularly effective in interventions to improve collaborative cancer care." @default.
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- W2589659997 date "2017-02-10" @default.
- W2589659997 modified "2023-09-26" @default.
- W2589659997 title "Patient preferences for provider roles in collaborative breast cancer survivorship care." @default.
- W2589659997 doi "https://doi.org/10.1200/jco.2017.35.5_suppl.99" @default.
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