Health care services use among long-term breast cancer survivors: a systematic review (vol 13, pg 477, 2019)

被引:0
作者
Jansana, Anna [1 ,2 ,3 ]
Posso, Margarita [1 ,3 ]
Guerrero, Inmaculada [4 ]
Prados-Torres, Alexandra [3 ,4 ]
Isabel Del Cura, Maria [3 ,5 ,6 ]
Castells, Xavier [1 ,3 ,7 ]
Sala, Maria [1 ,3 ,7 ]
机构
[1] Hosp del Mar Med Res Inst IMIM, Dept Epidemiol & Evaluat, Passeig Maritim 25-29, Barcelona 08003, Spain
[2] Univ Autonoma Barcelona, European Higher Educ Area EHEA, Doctoral Programme Methodol Biomed Res & Publ Hlt, Dept Pediat Obstet & Gynecol,Prevent Med & Publ H, Barcelona, Spain
[3] Res Network Hlth Serv Chron Dis REDISSEC, Barcelona, Spain
[4] Hosp Univ Miguel Servet, Grp EpiChron Invest Enfermedades Cron, Unidad Docente Med Prevent & Salud Publ, IACS,IIS Aragon, Paseo Isabel Catolica 1-3, Zaragoza 50009, Spain
[5] Gerencia Atenc Primaria, Primary Care Res Unit, Madrid, Spain
[6] Univ Rey Juan Carlos, Dept Prevent Med & Publ Hlth, Ave Atenas, Madrid 28922, Spain
[7] Autonomous Univ Barcelona, Barcelona 08193, Spain
关键词
Breast cancer; Health services; Mammography; Preventive care; Survivorship;
D O I
10.1007/s11764-019-00763-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Long-term breast cancer survivors are women surviving at least 5 years after diagnosis. This systematic review aimed to summarize the main characteristics and patterns of healthcare service use (frequency of visits, health providers visited, and preventive care performed) among long-term breast cancer survivors. Methods: We used standard Cochrane Collaboration methods and searched the MEDLINE and EMBASE databases up to January 2018. We included English language observational studies reporting health service use among long-term cancer survivors. The quality of the studies was appraised through the ROBINS-I assessment tool. Two independent reviewers performed both the study quality assessment and the data extraction. Results: A total of 23 observational studies were included that reported data on health services use by long-term breast cancer survivors. Despite heterogeneity among studies, about half of them reported that breast cancer survivors visited a medical provider at least once a year, as recommended by breast cancer survival guidelines. Although survivors visited medical providers with the recommended frequency, a substantial number used specialist care instead of primary care during follow-up. The results showed underuse of the recommended annual mammogram. Conclusions: Long-term breast cancer survivors differ in their health services use with regard to the frequency of visits as well as the health providers seen. Our results indicate the need for active surveillance through primary care providers in coordination with specialized care. Implications for cancer survivors: This review could help to standardize the management of breast cancer survivors and decision-makers to adapt their guidelines and clinical protocols. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.
引用
收藏
页码:494 / 494
页数:1
相关论文
共 1 条
  • [1] Jansana A, 2019, J CANCER SURVIV, V13, P477, DOI 10.1007/s11764-019-00755-z