Availability of cancer survivorship support services across the National Cancer Institute Community Oncology Research Program network
Author:
Faro Jamie M1ORCID, Dressler Emily V2, Kittel Carol2, Beeler Dori M3, Bluethmann Shirley M4, Sohl Stephanie J4, McDonald Andrew M5, Weaver Kathryn E4, Nightingale Chandylen4ORCID, , Neuman Heather B, Nightingale Chandylen L, Parsons Susan K, Obeng-Gyasi Samilia, Cooley Mary E, Loh Kah Poh, Ramsey Scott D, McDonald Andrew M, Foust Melyssa, Braun-Inglis Christa, Kyono Wade T, Drescher Charles W, Wood Eden G, Dressler Emily V
Affiliation:
1. Department of Population and Quantitative Health Science, University of Massachusetts Chan Medical School , Worcester, MA, USA 2. Department of Biostatistics and Data Science, Wake Forest University School of Medicine , Winston-Salem, NC, USA 3. Department of Supportive Oncology, Levine Cancer Institute, Atrium Health , Charlotte, NC, USA 4. Department of Social Sciences and Health Policy, Wake Forest University School of Medicine , Winston-Salem, NC, USA 5. Department of Radiation Oncology, The University of Alabama at Birmingham, Heersink School of Medicine , Birmingham, AL, USA
Abstract
Abstract
Background
National cancer organizations recommend provision of nutrition, physical activity, and mental health supportive services to cancer survivors. However, the availability of these services across diverse community oncology settings remains unclear.
Methods
The National Cancer Institute Community Oncology Research Program (NCORP) is a national network of community oncology practices engaged in cancer research. The 2022 NCORP Landscape Assessment (5UG1CA189824) assessed individual practices’ establishment of survivorship clinics and nutrition, physical activity, and mental health services, resources, and/or referrals. Descriptive statistics summarized and logistic regression quantified the association between services, practice, and patient characteristics.
Results
Of 46 NCORP community sites, 45 (98%) responded to the survey, representing 259 adult practice groups. A total of 41% had a survivorship clinic; 96% offered mental health, 94% nutrition, and 53% physical activity services, resources, and/or referrals. All 3 services were offered in various formats (eg, in-house, referrals, education) by 51% and in-house only by 25% of practices. Practices with advanced practice providers were more likely to have a survivorship clinic (odds ratio [OR] = 3.19, 95% confidence interval [CI] = 1.04 to 9.76). Practices with at least 30% Medicare patients (OR = 2.54, 95% CI = 1.39 to 4.66) and more oncology providers (OR = 1.02, 95% CI = 1.01 to 1.04) were more likely to have all 3 services in any format. Practices with at least 30% Medicare patients (OR = 3.41, 95% CI = 1.50 to 7.77) and a survivorship clinic (OR = 2.84, 95% CI = 1.57 to 5.14) were more likely to have all 3 services in-house.
Conclusions
Larger oncology practices and those caring for more survivors on Medicare provided more supportive services, resources, and/or referrals. Smaller practices and those without survivorship clinics may need strategies to address potential gaps in supportive services.
Funder
National Cancer Institute National Heart, Lung, and Blood Institute
Publisher
Oxford University Press (OUP)
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