Perceptions of Primary Care Among Breast Cancer Survivors: The Effects of Weight Status.

作者: Allison Christian , Shawna V Hudson , Suzanne M Miller , Alicja Bator , Pamela A Ohman-Strickland

DOI: 10.1177/2333392815587487

关键词: OverweightFamily medicineWeight lossMedicinePhysical therapyPrimary careBreast cancerObesityCancerMedical historyQuality of life

摘要: Background: Obese breast cancer survivors (BCSs) are impacted by diminished quality of life (QOL), multiple comorbid conditions, and poor disease outcomes. Despite national guidelines recommending a healthy weight to improve QOL outcomes posttreatment, support education not routinely provided BCSs in primary care. To fill this gap, we assessed perceptions care received among status. Methods: Cross-sectional surveys were administered early-stage (N ¼ 188) from 2 New Jersey centers between May 2012 July 2013. Sociodemographics, medical history, functional health status, perceived satisfaction with one’s provider (PCP), PCP involvement follow-up assessed. Results: In total, 82% overweight 30% obese reported being told their doctor that they or obese, despite these conditions highly prevalent (35% 35%, respectively). more likely than be African American, have higher comorbidity score, poorer health, greater PCPs. Conclusion: The PCP–patient encounter may represent an opportunity for PCPs correct misperceptions promote reduction efforts BCSs, thus improving

参考文章(50)
Susan A. Flocke, Benjamin F. Crabtree, William L. Miller, Relationships between physician practice style, patient satisfaction, and attributes of primary care. Journal of Family Practice. ,vol. 51, pp. 835- 840 ,(2002)
Crystal S. Denlinger, Robert W. Carlson, Madhuri Are, K. Scott Baker, Elizabeth Davis, Stephen B. Edge, Debra L. Friedman, Mindy Goldman, Lee Jones, Allison King, Elizabeth Kvale, Terry S. Langbaum, Jennifer A. Ligibel, Mary S. McCabe, Kevin T. McVary, Michelle Melisko, Jose G. Montoya, Kathi Mooney, Mary Ann Morgan, Tracey O’Connor, Electra D. Paskett, Muhammad Raza, Karen L. Syrjala, Susan G. Urba, Mark T. Wakabayashi, Phyllis Zee, Nicole McMillian, Deborah Freedman-Cass, Survivorship: introduction and definition. Clinical practice guidelines in oncology. Journal of The National Comprehensive Cancer Network. ,vol. 12, pp. 34- 45 ,(2014) , 10.6004/JNCCN.2014.0005
Ron D. Hays, Grant N. Marshall, The Patient Satisfaction Questionnaire Short Form (PSQ-18): RAND Corporation. ,(1994)
J. C. Kurtz, Charles W. Given, Barbara A. Given, Margot E. Kurtz, Utilization of services among elderly cancer patients--relationship to age, symptoms, physical functioning, comorbidity, and survival status. Ethnicity & Disease. ,vol. 15, ,(2005)
Sheldon Greenfield, Maria Elizabeth Hewitt, Ellen Stovall, From cancer patient to cancer survivor : lost in transition National Academies Press. ,(2006)
Susan A. Flocke, Measuring attributes of primary care: development of a new instrument. Journal of Family Practice. ,vol. 45, pp. 64- 74 ,(1997)
Gary T. Deimling, Jacquelyn A. Arendt, George Kypriotakis, Karen F. Bowman, Functioning of older, long-term cancer survivors: the role of cancer and comorbidities. Journal of the American Geriatrics Society. ,vol. 57, pp. 289- 292 ,(2009) , 10.1111/J.1532-5415.2009.02515.X
Stephanie J. Sohl, Laurel A. Borowski, Erin E. Kent, Ashley Wilder Smith, Ingrid Oakley-Girvan, Russell L. Rothman, Neeraj K. Arora, Cancer survivors' disclosure of complementary health approaches to physicians: the role of patient-centered communication. Cancer. ,vol. 121, pp. 900- 907 ,(2015) , 10.1002/CNCR.29138
Lanell Bellury, Marjorie A. Pett, Lee Ellington, Susan L. Beck, Jane C. Clark, Kevin D. Stein, The effect of aging and cancer on the symptom experience and physical function of elderly breast cancer survivors Cancer. ,vol. 118, pp. 6171- 6178 ,(2012) , 10.1002/CNCR.27656
Lawrence H Kushi, Colleen Doyle, Marji McCullough, Cheryl L Rock, Wendy Demark-Wahnefried, Elisa V Bandera, Susan Gapstur, Alpa V Patel, Kimberly Andrews, Ted Gansler, None, American Cancer Society guidelines on nutrition and physical activity for cancer prevention CA: A Cancer Journal for Clinicians. ,vol. 62, pp. 30- 67 ,(2012) , 10.3322/CAAC.20140