000079043 001__ 79043
000079043 005__ 20200716101506.0
000079043 0247_ $$2doi$$a10.1007/s11764-019-00755-z
000079043 0248_ $$2sideral$$a111538
000079043 037__ $$aART-2019-111538
000079043 041__ $$aeng
000079043 100__ $$aJansana, A.
000079043 245__ $$aHealth care services use among long-term breast cancer survivors: a systematic review
000079043 260__ $$c2019
000079043 5060_ $$aAccess copy available to the general public$$fUnrestricted
000079043 5203_ $$aPurpose: Long-term breast cancer survivors are women surviving at least 5 years after diagnosis. This systematic review aimed to summarize the main characteristics and patterns of healthcare service use (frequency of visits, health providers visited, and preventive care performed) among long-term breast cancer survivors.
Methods: We used standard Cochrane Collaboration methods and searched the MEDLINE and EMBASE databases up to January 2018. We included English language observational studies reporting health service use among long-term cancer survivors. The quality of the studies was appraised through the ROBINS-I assessment tool. Two independent reviewers performed both the study quality assessment and the data extraction.
Results: A total of 23 observational studies were included that reported data on health services use by long-term breast cancer survivors. Despite heterogeneity among studies, about half of them reported that breast cancer survivors visited a medical provider at least once a year, as recommended by breast cancer survival guidelines. Although survivors visited medical providers with the recommended frequency, a substantial number used specialist care instead of primary care during follow-up. The results showed underuse of the recommended annual mammogram.
Conclusions: Long-term breast cancer survivors differ in their health services use with regard to the frequency of visits as well as the health providers seen. Our results indicate the need for active surveillance through primary care providers in coordination with specialized care. Implications for cancer survivors: This review could help to standardize the management of breast cancer survivors and decision-makers to adapt their guidelines and clinical protocols.
000079043 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER-FSE/PI15-00098$$9info:eu-repo/grantAgreement/ES/ISCIII-FEDER-FSE/PI16-0024$$9info:eu-repo/grantAgreement/ES/REDISSEC/RD16-0001-0013
000079043 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000079043 590__ $$a3.296$$b2019
000079043 591__ $$aSOCIAL ISSUES$$b3 / 44 = 0.068$$c2019$$dQ1$$eT1
000079043 591__ $$aONCOLOGY$$b123 / 244 = 0.504$$c2019$$dQ3$$eT2
000079043 592__ $$a1.608$$b2019
000079043 593__ $$aOncology (nursing)$$c2019$$dQ1
000079043 593__ $$aOncology$$c2019$$dQ1
000079043 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/publishedVersion
000079043 700__ $$aPosso, M.
000079043 700__ $$aGuerrero, I.
000079043 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.
000079043 700__ $$aDel Cura, M.I.
000079043 700__ $$aCastells, X.
000079043 700__ $$aSala, M.
000079043 773__ $$g13 (2019), 477 - 493$$pJOURNAL OF CANCER SURVIVORSHIP-RESEARCH AND PRACTICE$$tJOURNAL OF CANCER SURVIVORSHIP-RESEARCH AND PRACTICE$$x1932-2259
000079043 8564_ $$s461554$$uhttps://zaguan.unizar.es/record/79043/files/texto_completo.pdf$$yVersión publicada
000079043 8564_ $$s82319$$uhttps://zaguan.unizar.es/record/79043/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000079043 909CO $$ooai:zaguan.unizar.es:79043$$particulos$$pdriver
000079043 951__ $$a2020-07-16-09:15:54
000079043 980__ $$aARTICLE