Stopping the revolving door: An exploratory analysis of health care super-utilization in gynecologic oncology.

Gynecologic Oncology Reports
Catherine N ZivanovLauren S Prescott

Abstract

The objective of this study was to determine the prevalence of and risk factors for health care super-utilization among gynecologic oncology patients at a single academic hospital. A retrospective cohort study of gynecologic oncology patients with an index unplanned encounter between January and December 2018 was performed. Super-utilizers were defined as patients with 3 or more unplanned hospital encounters during a 12-month period starting at the time of the index unplanned encounter. We identified 553 patients with gynecologic cancer. Of those, 37(7%) met inclusion criteria for super-utilizers accounting for 193/310(62%) of unplanned visits. The median number of unplanned visits was 4 (range 3-24). The most common cancers were uterine (N = 15 (41%)) and ovarian (N = 11 (30%)). Nineteen (51%) super-utilizers had advanced stage disease. Phases of oncologic care at index unplanned encounter included primary diagnosis (N = 24 (65%)), recurrence (N = 10 (27%)), and surveillance (N = 2 (5%)). Twelve super-utilizers (32%) had new diagnoses of cancer without prior therapy, 19(51%) had prior chemotherapy, 17(46%) had prior surgery, and 10(27%) had prior radiation therapy at the time of initial encounter. Fifteen super-utilizers (41%)...Continue Reading

References

Nov 1, 1994·Journal of Clinical Epidemiology·M CharlsonJ Gold
Mar 17, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Lisa BarberaDeborah Dudgeon
Jan 14, 2011·Journal of the National Cancer Institute·Angela B MariottoMartin L Brown
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Jun 15, 2011·Gynecologic Oncology·Melissa S HenrettaLinda R Duska
Aug 4, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Arti HurriaWilliam P Tew
Jun 23, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·G AprileG Fasola
Oct 8, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joanna-Grace M ManzanoMaria E Suarez-Almazor
Sep 4, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·John M NakayamaLinda R Duska
Dec 9, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ethan BaschDeborah Schrag
Mar 2, 2016·Gynecologic Oncology·Shitanshu UppalLaurel W Rice
Jun 19, 2016·Psycho-oncology·Jennifer L HayErica I Lubetkin
Sep 26, 2016·Gynecologic Oncology·MaryAnn B WilburAmanda N Fader
Jun 7, 2017·JAMA : the Journal of the American Medical Association·Ethan BaschDeborah Schrag
Nov 4, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Femke JansenIrma M Verdonck-de Leeuw
Feb 22, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Casey M HayJohn T Comerci
Apr 18, 2018·Journal of Oncology Practice·Nathan R HandleyJustin E Bekelman
Jul 20, 2018·Journal of Gynecologic Oncology·Michelle K WilsonMichael Friedlander
Sep 19, 2018·Expert Review of Anticancer Therapy·Felix Hilpert, Andreas Du Bois
May 13, 2019·Journal of Biomedical Informatics·Paul A HarrisUNKNOWN REDCap Consortium
Jul 20, 2019·Journal of Medical Internet Research·Kumiko O SchnockPatricia C Dykes
Nov 26, 2019·Obstetrics and Gynecology·Nevert BadreldinLynn M Yee
Jan 9, 2020·CA: a Cancer Journal for Clinicians·Rebecca L SiegelAhmedin Jemal

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