Multi-institutional Care in Clinical Stage II and III Esophageal Cancer

Article Oncology

Impact of care fragmentation on the outcomes of patients receiving neoadjuvant and adjuvant therapy for pancreatic adenocarcinoma

Zachary J. Brown et al.

Summary: In patients with localized pancreatic ductal adenocarcinoma, care fragmentation may lead to longer times to initiate and complete treatment, but long-term survival outcomes are similar.

JOURNAL OF SURGICAL ONCOLOGY (2022)

添加到收藏夹

Article Oncology

Patterns and Impact of Fragmented Care in Stage II and III Gastric Cancer

Kristen E. Rhodin et al.

Summary: The study found that fragmented care for stage II/III gastric cancer patients is associated with poorer outcomes, including reduced preferred perioperative treatment and decreased survival rates. Factors associated with coordinated care include residence in metropolitan areas and treatment at academic and high-volume centers.

ANNALS OF SURGICAL ONCOLOGY (2022)

添加到收藏夹

Article Gastroenterology & Hepatology

Does Fragmentation of Care in Locally Advanced Rectal Cancer Increase Patient Mortality?

Kyle Freischlag et al.

Summary: In patients with stage II-III rectal cancer, those who receive integrated care at academic hospitals or at least surgery at academic centers have better survival outcomes. Efforts should be made to reduce care fragmentation, with a priority on surgery at academic hospitals.

JOURNAL OF GASTROINTESTINAL SURGERY (2021)

添加到收藏夹

Article Oncology

Fragmentation of surgery and chemotherapy in the initial phase of ovarian cancer care and its association with overall survival

Stephanie Cham et al.

Summary: The study found that fragmentation of primary debulking surgery and adjuvant chemotherapy did not have adverse effects on long-term survival in ovarian cancer patients. Factors such as age, income, and travel distance may influence the occurrence of fragmentation. In some cases, fragmentation may even be associated with better survival outcomes.

GYNECOLOGIC ONCOLOGY (2021)

添加到收藏夹

Article Surgery

Care Fragmentation and Mortality in Readmission after Surgery for Hepatopancreatobiliary and Gastric Cancer: A Patient-Level and Hospital-Level Analysis of the Healthcare Cost and Utilization Project Administrative Database

David G. Brauer et al.

Summary: This study identified that travel distance and timing are major determinants of care fragmentation in readmissions after HPB and gastric oncologic surgery, but these variables are not associated with mortality. Surgical complications managed at an OSH were associated with higher readmission mortality.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2021)

添加到收藏夹

Article Oncology

Fragmentation of Care Among Black Women With Breast Cancer and Comorbidities: The Role of Health Systems

Michelle Doose et al.

Summary: The majority of Black breast cancer survivors with comorbidities received primary care and surgical care in different health systems, illustrating care fragmentation. Individual-level factors were not associated with care fragmentation. Therefore, strategies for care coordination and health care delivery across health systems and practice settings are needed to achieve health equity.

JCO ONCOLOGY PRACTICE (2021)

添加到收藏夹

Article Oncology

Fragmentation of Care Among Black Women With Breast Cancer and Comorbidities: The Role of Health Systems

Michelle Doose et al.

Summary: Black women with comorbidities and breast cancer often receive primary care and surgical care in different health systems, indicating care fragmentation. Strategies for care coordination and healthcare delivery across various health systems and practice settings are necessary for achieving health equity.

JCO ONCOLOGY PRACTICE (2021)

添加到收藏夹

Article Oncology