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Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies.

Publication ,  Journal Article
Gorin, SS; Haggstrom, D; Han, PKJ; Fairfield, KM; Krebs, P; Clauser, SB
Published in: Ann Behav Med
August 2017

BACKGROUND: According to a landmark study by the Institute of Medicine, patients with cancer often receive poorly coordinated care in multiple settings from many providers. Lack of coordination is associated with poor symptom control, medical errors, and higher costs. PURPOSE: The aims of this systematic review and meta-analysis were to (1) synthesize the findings of studies addressing cancer care coordination, (2) describe study outcomes across the cancer continuum, and (3) obtain a quantitative estimate of the effect of interventions in cancer care coordination on service system processes and patient health outcomes. METHODS: Of 1241 abstracts identified through MEDLINE, EMBASE, CINAHL, and the Cochrane Library, 52 studies met the inclusion criteria. Each study had US or Canadian participants, comparison or control groups, measures, times, samples, and/or interventions. Two researchers independently applied a standardized search strategy, coding scheme, and online coding program to each study. Eleven studies met the additional criteria for the meta-analysis; a random effects estimation model was used for data analysis. RESULTS: Cancer care coordination approaches led to improvements in 81 % of outcomes, including screening, measures of patient experience with care, and quality of end-of-life care. Across the continuum of cancer care, patient navigation was the most frequent care coordination intervention, followed by home telehealth; nurse case management was third in frequency. The meta-analysis of a subset of the reviewed studies showed that the odds of appropriate health care utilization in cancer care coordination interventions were almost twice (OR = 1.9, 95 % CI = 1.5-3.5) that of comparison interventions. CONCLUSIONS: This review offers promising findings on the impact of cancer care coordination on increasing value and reducing healthcare costs in the USA.

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Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

August 2017

Volume

51

Issue

4

Start / End Page

532 / 546

Location

England

Related Subject Headings

  • Public Health
  • Patient Care
  • Outcome and Process Assessment, Health Care
  • Neoplasms
  • Humans
  • Delivery of Health Care
  • 52 Psychology
  • 42 Health sciences
  • 17 Psychology and Cognitive Sciences
  • 13 Education
 

Citation

APA
Chicago
ICMJE
MLA
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Gorin, S. S., Haggstrom, D., Han, P. K. J., Fairfield, K. M., Krebs, P., & Clauser, S. B. (2017). Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies. Ann Behav Med, 51(4), 532–546. https://doi.org/10.1007/s12160-017-9876-2
Gorin, Sherri Sheinfeld, David Haggstrom, Paul K. J. Han, Kathleen M. Fairfield, Paul Krebs, and Steven B. Clauser. “Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies.Ann Behav Med 51, no. 4 (August 2017): 532–46. https://doi.org/10.1007/s12160-017-9876-2.
Gorin SS, Haggstrom D, Han PKJ, Fairfield KM, Krebs P, Clauser SB. Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies. Ann Behav Med. 2017 Aug;51(4):532–46.
Gorin, Sherri Sheinfeld, et al. “Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies.Ann Behav Med, vol. 51, no. 4, Aug. 2017, pp. 532–46. Pubmed, doi:10.1007/s12160-017-9876-2.
Gorin SS, Haggstrom D, Han PKJ, Fairfield KM, Krebs P, Clauser SB. Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies. Ann Behav Med. 2017 Aug;51(4):532–546.
Journal cover image

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

August 2017

Volume

51

Issue

4

Start / End Page

532 / 546

Location

England

Related Subject Headings

  • Public Health
  • Patient Care
  • Outcome and Process Assessment, Health Care
  • Neoplasms
  • Humans
  • Delivery of Health Care
  • 52 Psychology
  • 42 Health sciences
  • 17 Psychology and Cognitive Sciences
  • 13 Education