Rural-Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study
We sought to evaluate rural-urban disparities in patient care experiences (PCEs) among localized prostate cancer (PCa) survivors at intermediate-to-high risk of disease progression. Using 2007-2015 Surveillance Epidemiology and End Results (SEER) data linked to Medicare Consumer Assessment of Health...
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| Veröffentlicht in: | Cancers 2023-03, Vol.15 (7), p.1939 |
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| creator | Pandit, Ambrish A Patil, Nilesh N Mostafa, Mostafa Kamel, Mohamed Halpern, Michael T Li, Chenghui |
| description | We sought to evaluate rural-urban disparities in patient care experiences (PCEs) among localized prostate cancer (PCa) survivors at intermediate-to-high risk of disease progression.
Using 2007-2015 Surveillance Epidemiology and End Results (SEER) data linked to Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, we analyzed survivors' first survey ≥6 months post-diagnosis. Covariate adjusted linear regressions were used to estimate associations of treatment status (definitive treatment vs. none) and residence (large metro vs. metro vs. rural) with PCE composite and rating measures.
Among 3779 PCa survivors, 1798 (53.2%) and 370 (10.9%) resided in large metro and rural areas, respectively; more rural (vs. large metro) residents were untreated (21.9% vs. 16.7%;
= 0.017). Untreated (vs. treated) PCa survivors reported lower scores for doctor communication (ß = -2.0;
= 0.022), specialist rating (ß = -2.5;
= 0.008), and overall care rating (ß = -2.4;
= 0.006). While treated rural survivors gave higher (ß = 3.6;
= 0.022) scores for obtaining needed care, untreated rural survivors gave lower scores for obtaining needed care (ß = -7.0;
= 0.017) and a lower health plan rating (ß = -7.9;
= 0.003) compared to their respective counterparts in large metro areas.
Rural PCa survivors are less likely to receive treatment. Rural-urban differences in PCEs varied by treatment status. |
| doi_str_mv | 10.3390/cancers15071939 |
| format | Article |
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Using 2007-2015 Surveillance Epidemiology and End Results (SEER) data linked to Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, we analyzed survivors' first survey ≥6 months post-diagnosis. Covariate adjusted linear regressions were used to estimate associations of treatment status (definitive treatment vs. none) and residence (large metro vs. metro vs. rural) with PCE composite and rating measures.
Among 3779 PCa survivors, 1798 (53.2%) and 370 (10.9%) resided in large metro and rural areas, respectively; more rural (vs. large metro) residents were untreated (21.9% vs. 16.7%;
= 0.017). Untreated (vs. treated) PCa survivors reported lower scores for doctor communication (ß = -2.0;
= 0.022), specialist rating (ß = -2.5;
= 0.008), and overall care rating (ß = -2.4;
= 0.006). While treated rural survivors gave higher (ß = 3.6;
= 0.022) scores for obtaining needed care, untreated rural survivors gave lower scores for obtaining needed care (ß = -7.0;
= 0.017) and a lower health plan rating (ß = -7.9;
= 0.003) compared to their respective counterparts in large metro areas.
Rural PCa survivors are less likely to receive treatment. Rural-urban differences in PCEs varied by treatment status.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers15071939</identifier><identifier>PMID: 37046601</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Beliefs, opinions and attitudes ; Cancer ; Cancer survivors ; Cancer therapies ; Care and treatment ; Comorbidity ; Demographics ; Epidemiology ; Health care ; Health care disparities ; Hispanic people ; Low income groups ; Medicare ; Mortality ; Oncology, Experimental ; Patients ; Poverty ; Prostate cancer ; Radiation therapy ; Risk assessment ; Rural areas ; Statistical analysis ; Surgery ; Surveys ; Variables</subject><ispartof>Cancers, 2023-03, Vol.15 (7), p.1939</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-55f8a9096a41cacd8ecdf13373ca4b0380bb381ff1c63353b691ae6567a056e23</citedby><cites>FETCH-LOGICAL-c489t-55f8a9096a41cacd8ecdf13373ca4b0380bb381ff1c63353b691ae6567a056e23</cites><orcidid>0000-0003-3049-7516 ; 0000-0001-8514-6313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093298/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10093298/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37046601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pandit, Ambrish A</creatorcontrib><creatorcontrib>Patil, Nilesh N</creatorcontrib><creatorcontrib>Mostafa, Mostafa</creatorcontrib><creatorcontrib>Kamel, Mohamed</creatorcontrib><creatorcontrib>Halpern, Michael T</creatorcontrib><creatorcontrib>Li, Chenghui</creatorcontrib><title>Rural-Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>We sought to evaluate rural-urban disparities in patient care experiences (PCEs) among localized prostate cancer (PCa) survivors at intermediate-to-high risk of disease progression.
Using 2007-2015 Surveillance Epidemiology and End Results (SEER) data linked to Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, we analyzed survivors' first survey ≥6 months post-diagnosis. Covariate adjusted linear regressions were used to estimate associations of treatment status (definitive treatment vs. none) and residence (large metro vs. metro vs. rural) with PCE composite and rating measures.
Among 3779 PCa survivors, 1798 (53.2%) and 370 (10.9%) resided in large metro and rural areas, respectively; more rural (vs. large metro) residents were untreated (21.9% vs. 16.7%;
= 0.017). Untreated (vs. treated) PCa survivors reported lower scores for doctor communication (ß = -2.0;
= 0.022), specialist rating (ß = -2.5;
= 0.008), and overall care rating (ß = -2.4;
= 0.006). While treated rural survivors gave higher (ß = 3.6;
= 0.022) scores for obtaining needed care, untreated rural survivors gave lower scores for obtaining needed care (ß = -7.0;
= 0.017) and a lower health plan rating (ß = -7.9;
= 0.003) compared to their respective counterparts in large metro areas.
Rural PCa survivors are less likely to receive treatment. Rural-urban differences in PCEs varied by treatment status.</description><subject>Beliefs, opinions and attitudes</subject><subject>Cancer</subject><subject>Cancer survivors</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Comorbidity</subject><subject>Demographics</subject><subject>Epidemiology</subject><subject>Health care</subject><subject>Health care disparities</subject><subject>Hispanic people</subject><subject>Low income groups</subject><subject>Medicare</subject><subject>Mortality</subject><subject>Oncology, Experimental</subject><subject>Patients</subject><subject>Poverty</subject><subject>Prostate cancer</subject><subject>Radiation therapy</subject><subject>Risk assessment</subject><subject>Rural areas</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surveys</subject><subject>Variables</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUlFvFCEQ3hiNbWqffTMkvviyLewssPhiLudpTZp46dlnMsuyJ80unLB7sf9eLq21bYQEBuabj_mYKYq3jJ4BKHpu0BsbE-NUMgXqRXFcUVmVQqj65SP7qDhN6YbmAcCkkK-LI5C0FoKy42J7NUccyuvYoiefXdphdJOziThP1pgtP5ElRktWv3c25qPJPhyD35J1DGnCyWb_IQ-ymePe7UNMH8mCbFarq3K5uFhvyGaau9s3xaseh2RP7_eT4vrL6sfyorz8_vXbcnFZmrpRU8l536CiSmDNDJqusabrGYAEg3VLoaFtCw3re2YEAIdWKIZWcCGRcmErOCk-3fHu5na0ncn5Z316F92I8VYHdPqpx7ufehv2mlGqoFJNZvhwzxDDr9mmSY8uGTsM6G2Yk64aSkVeFM_Q98-gN2GOPuvTlVSKc6mk-Ifa4mC1833ID5sDqV7IWqhKUGAZdfYfVJ6dHZ0J3vYu3z8JOL8LMLkOKdr-QSSj-tAf-ll_5Ih3j__mAf-3G-AP3fO1bw</recordid><startdate>20230323</startdate><enddate>20230323</enddate><creator>Pandit, Ambrish A</creator><creator>Patil, Nilesh N</creator><creator>Mostafa, Mostafa</creator><creator>Kamel, Mohamed</creator><creator>Halpern, Michael T</creator><creator>Li, Chenghui</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3049-7516</orcidid><orcidid>https://orcid.org/0000-0001-8514-6313</orcidid></search><sort><creationdate>20230323</creationdate><title>Rural-Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study</title><author>Pandit, Ambrish A ; Patil, Nilesh N ; Mostafa, Mostafa ; Kamel, Mohamed ; Halpern, Michael T ; Li, Chenghui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-55f8a9096a41cacd8ecdf13373ca4b0380bb381ff1c63353b691ae6567a056e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Beliefs, opinions and attitudes</topic><topic>Cancer</topic><topic>Cancer survivors</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Comorbidity</topic><topic>Demographics</topic><topic>Epidemiology</topic><topic>Health care</topic><topic>Health care disparities</topic><topic>Hispanic people</topic><topic>Low income groups</topic><topic>Medicare</topic><topic>Mortality</topic><topic>Oncology, Experimental</topic><topic>Patients</topic><topic>Poverty</topic><topic>Prostate cancer</topic><topic>Radiation therapy</topic><topic>Risk assessment</topic><topic>Rural areas</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Surveys</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pandit, Ambrish A</creatorcontrib><creatorcontrib>Patil, Nilesh N</creatorcontrib><creatorcontrib>Mostafa, Mostafa</creatorcontrib><creatorcontrib>Kamel, Mohamed</creatorcontrib><creatorcontrib>Halpern, Michael T</creatorcontrib><creatorcontrib>Li, Chenghui</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pandit, Ambrish A</au><au>Patil, Nilesh N</au><au>Mostafa, Mostafa</au><au>Kamel, Mohamed</au><au>Halpern, Michael T</au><au>Li, Chenghui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rural-Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2023-03-23</date><risdate>2023</risdate><volume>15</volume><issue>7</issue><spage>1939</spage><pages>1939-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>We sought to evaluate rural-urban disparities in patient care experiences (PCEs) among localized prostate cancer (PCa) survivors at intermediate-to-high risk of disease progression.
Using 2007-2015 Surveillance Epidemiology and End Results (SEER) data linked to Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys, we analyzed survivors' first survey ≥6 months post-diagnosis. Covariate adjusted linear regressions were used to estimate associations of treatment status (definitive treatment vs. none) and residence (large metro vs. metro vs. rural) with PCE composite and rating measures.
Among 3779 PCa survivors, 1798 (53.2%) and 370 (10.9%) resided in large metro and rural areas, respectively; more rural (vs. large metro) residents were untreated (21.9% vs. 16.7%;
= 0.017). Untreated (vs. treated) PCa survivors reported lower scores for doctor communication (ß = -2.0;
= 0.022), specialist rating (ß = -2.5;
= 0.008), and overall care rating (ß = -2.4;
= 0.006). While treated rural survivors gave higher (ß = 3.6;
= 0.022) scores for obtaining needed care, untreated rural survivors gave lower scores for obtaining needed care (ß = -7.0;
= 0.017) and a lower health plan rating (ß = -7.9;
= 0.003) compared to their respective counterparts in large metro areas.
Rural PCa survivors are less likely to receive treatment. Rural-urban differences in PCEs varied by treatment status.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37046601</pmid><doi>10.3390/cancers15071939</doi><orcidid>https://orcid.org/0000-0003-3049-7516</orcidid><orcidid>https://orcid.org/0000-0001-8514-6313</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Beliefs, opinions and attitudes Cancer Cancer survivors Cancer therapies Care and treatment Comorbidity Demographics Epidemiology Health care Health care disparities Hispanic people Low income groups Medicare Mortality Oncology, Experimental Patients Poverty Prostate cancer Radiation therapy Risk assessment Rural areas Statistical analysis Surgery Surveys Variables |
| title | Rural-Urban Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study |
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