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Introduction <p>Cancer survivors have unique healthcare needs that require frequent contact with the healthcare system to receive cancer-directed treatment and survivorship care. While there is growing evidence of survivors’ time burden for cancer care, we have less information about the trajectory of this burden across a broad range of cancers relative to those without cancer.</p> Methods <p>Using the Cancer Prevention Study-II Nutrition Cohort linked to Medicare claims from 1999–2017, we describe trajectories of and factors associated with healthcare contact after a cancer diagnosis relative to those without cancer. We use logistic regression to examine the relationship between sociodemographic and cancer characteristics and being in the highest quartile of healthcare contact days.</p> Results <p>In the month of diagnosis the median percentage of days with healthcare contact spiked at 20% compared with 4% among controls and remained higher than controls throughout the year after diagnosis. In the last year of life, cancer cases had a higher median percentage of contact days vs. controls for all months except for the month of death. The highest levels of healthcare contact were among individuals with lung and hematologic cancers, those receiving chemotherapy and/or radiation, older individuals, females, Non-Hispanic White individuals, those with more comorbidities or people living in metropolitan areas.</p> Conclusion <p>We identify substantial healthcare contact among cancer survivors relative to controls after diagnosis. Our findings can serve as a framework for discussion between providers and patients to inform interventions focused on non-value added healthcare contact across the cancer continuum.</p>

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Healthcare contact days in cancer survivors relative to those with no cancer history

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月16日

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  • Helen M. Parsons,
  • Christina C. Newton,
  • Arjun Gupta,
  • W. Dana Flanders,
  • Alpa V. Patel,
  • Clara Bodelon,
  • Charlie Zhong,
  • J. Lee Westmaas,
  • Erika Rees-Punia

摘要

Introduction

Cancer survivors have unique healthcare needs that require frequent contact with the healthcare system to receive cancer-directed treatment and survivorship care. While there is growing evidence of survivors’ time burden for cancer care, we have less information about the trajectory of this burden across a broad range of cancers relative to those without cancer.

Methods

Using the Cancer Prevention Study-II Nutrition Cohort linked to Medicare claims from 1999–2017, we describe trajectories of and factors associated with healthcare contact after a cancer diagnosis relative to those without cancer. We use logistic regression to examine the relationship between sociodemographic and cancer characteristics and being in the highest quartile of healthcare contact days.

Results

In the month of diagnosis the median percentage of days with healthcare contact spiked at 20% compared with 4% among controls and remained higher than controls throughout the year after diagnosis. In the last year of life, cancer cases had a higher median percentage of contact days vs. controls for all months except for the month of death. The highest levels of healthcare contact were among individuals with lung and hematologic cancers, those receiving chemotherapy and/or radiation, older individuals, females, Non-Hispanic White individuals, those with more comorbidities or people living in metropolitan areas.

Conclusion

We identify substantial healthcare contact among cancer survivors relative to controls after diagnosis. Our findings can serve as a framework for discussion between providers and patients to inform interventions focused on non-value added healthcare contact across the cancer continuum.