Characteristics of Hospitals for Adherent to Surveillance Guideline Among Cervical Cancer Patients After Treatment
Date Issued
2015
Date
2015
Author(s)
Chen, Ting-Yu
Abstract
Background. Cervical cancer is the second most common cancer in women worldwide. In Taiwan, cancer is the top 1 cause of death for several years. Generally, 10-15% cervical cancer patients after treatment likely develop recurrence, and 3/4 recurrence develop in 2-3 years after treatment. So surveillance is important. By routinely surveillance, patients could diagnose early, treat early, and result in a better survival. Past researches in surveillance of cancer survivors more focused on patients characteristics, and most research objects are colorectal cancer and breast cancer survivors. Studies of correlates of cancer survivors surveillance focused on hospitals characteristics are much less. In Taiwan, researches in surveillance of cancer survivors are lack. Objectives. To understand surveillance of cervical cancer survivors in Taiwan, and to determine characteristics of hospitals how to effect adherent to surveillance guideline among cervical cancer patients after treatment. Methods. Using Taiwan Cancer Registry Database, cervical patients newly diagnosis between 2004 and 2009, underwent treatment, and survived at least 6 months after treatment were identified. Physician claims from National Health Insurance Research Database after treatment through 2012 were examined for surveillance visits in outpatient department and Papanicolaou test . Visits in outpatient department and Papanicolaou test adherent to NCCN surveillance guideline during follow-up period was compared across hospital groups using multilevel analyses. Results. We identified 4,829 patients, with a median follow-up duration of 6 years. Adherence to NCCN surveillance guideline was 71.32% for visits in outpatient department, 59.20% for Papanicolaou test. 91.18% patients had least 1visit in outpatient department, and 71.18% had 1 papanicolaou test in first 6 months after treatment. The percentage of patients having visits in outpatient department and papanicolaou test during each observation period decreased over time. In multilevel analyses, patients had treatment in medical center and metropolitan hospitals were more likely to visit in outpatient department . Conclusion. Cervical cancer patients in Taiwan whose adherence to cervical cancer post-treatment surveillance was low. Surveillance of cancer patients after treatment needs to take into quality of cancer care plan. Keywords：Cervical cancer, Survivors, Surveillance, Taiwan Cancer Registry Database
Subjects
Cervical cancer
Survivors
Surveillance
Taiwan Cancer Registry Database
SDGs
Type
thesis
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