ReCAP: Insights Into the Potential Preventability of Oncology Readmissions

Journal of Oncology Practice
Barry R MeisenbergDavid Weng

Abstract

The role of multidisciplinary care (MDC) on cancer care processes is not fully understood. We investigated the impact of MDC on the processes of care at cancer centers within the National Cancer Institute Community Cancer Centers Program (NCCCP). The study used data from patients diagnosed with stage IIB to III rectal cancer, stage III colon cancer, and stage III non–small-cell lung cancer at 14 NCCCP cancer centers from 2007 to 2012. We used an MDC development assessment tool—with levels ranging from evolving MDC (low) to achieving excellence (high)—to measure the level of MDC implementation in seven MDC areas, such as case planning and physician engagement. Descriptive statistics and cluster-adjusted regression models quantified the association between MDC implementation and processes of care, including time from diagnosis to treatment receipt. A total of 1,079 patients were examined. Compared with patients with colon cancer treated at cancer centers reporting low MDC scores, time to treatment receipt was shorter for patients with colon cancer treated at cancer centers reporting high or moderate MDC scores for physician engagement (hazard ratio [HR] for high physician engagement, 2.66; 95% CI, 1.70 to 4.17; HR for moderate ph...Continue Reading

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Citations

Dec 14, 2017·Journal of the American Geriatrics Society·Bernardo J ReyesJoseph G Ouslander
Aug 30, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Robin L WhitneyJill G Joseph
Jun 21, 2019·BMC Medical Research Methodology·Eva-Linda KneepkensFatma Karapinar-Çarkit
Aug 3, 2020·American Journal of Clinical Oncology·Barry R MeisenbergJohn Moxley
Jan 4, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·M L LongacreE E Kent
Jul 28, 2016·Pediatrics·Sara L ToomeyMark A Schuster

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