The use of preventive health services among elderly uterine cancer survivors

被引:21
作者
McBean, A. Marshall [1 ]
Yu, Xinhua [1 ]
Virnig, Beth A. [1 ]
机构
[1] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, Minneapolis, MN 55455 USA
关键词
cancer screening; cancer survival; preventive services; uterine cancer;
D O I
10.1016/j.ajog.2007.05.036
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of the study was to determine whether women who survived uterine cancer received 4 recommended preventive services (mammography, colorectal cancer screening, influenza immunization, and bone density testing) at the same rates as women with no history of cancer. STUDY DESIGN: We used the Surveillance, Epidemiology, and End Results-Medicare database to compare the rates among survivors aged 67 years or older with a matched group of women with no history of cancer. RESULTS: Survivors were significantly more likely to have a mammogram (adjusted odds ratio [OR], 1.40; 95% confidence interval [CI], 1.30-1.50) or a colorectal cancer screening examination (adjusted OR, 1.11; 95% CI, 1.05-1.18). Influenza immunization and bone density testing rates were similar. The 28% of survivors seen by an obstetrician-gynecologist or gynecologic oncologist had the highest rates of use. CONCLUSION: Efforts need to be made to increase the use of services by all women to achieve the target rates established by Healthy People 2010.
引用
收藏
页码:86.e1 / 86.e8
页数:8
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