title: Association of number of follow-up providers with outcomes in survivors of hematologic malignancies.
abstract: Studies examining follow-up care among cancer survivors have increased in number, and are mostly focused on who best provides care. It is not known whether having single or multiple physicians as follow-up providers has outcome implications. We prospectively studied the association between number of follow-up providers among survivors of hematologic malignancies and serious medical utilization (defined as emergency room visits or hospitalizations) within a 6-month period. Patients completing treatment (n&#x2009;=&#x2009;314) were included. Patients seeing multiple follow-up providers were more likely to be younger, to reside farther away from the university hospital, to have prescription drug insurance, to have received prior cancer treatment, to have multiple myeloma, and to have undergone hematopoietic cell transplant as a part of cancer treatment. Multivariate analysis showed that the number of follow-up providers was not associated with serious medical utilization (odds ratio 1.29, 95% confidence interval 0.68&#x2013;2.48, p&#x2009;=&#x2009;0.44) after adjusting for patient factors. Our study showed that among survivors of hematologic malignancies, outcomes were not different for survivors who were seen by single or multiple follow-up providers.
authors.affiliation: Section of Oncology/Hematology, Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Cannon
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Darrington
authors.forename: Helen E
authors.initials: HE
authors.lastname: McIlvain
authors.forename: Linda K
authors.initials: LK
authors.lastname: Bauer
authors.forename: Julie M
authors.initials: JM
authors.lastname: Vose
authors.forename: James O
authors.initials: JO
authors.lastname: Armitage
authors.forename: Fausto R
authors.initials: FR
authors.lastname: Loberiza
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000379:methods / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D005260:Female; D019337:Hematologic Neoplasms / Q000628:therapy*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D017741:Survivors; D055815:Young Adult