Emergency Presentation and Short-Term Survival Among Patients With Colorectal Cancer Enrolled in the Government Health Plan of Puerto Rico:

Health Services Research & Managerial Epidemiology

Karen J.Ortiz-Ortiz¹ 

关键词: colorectal cancer;    survival analysis;    delayed diagnosis;    delivery of health care;    emergency room;    managed care programs;    primary care;    Puerto Rico;   

DOI  :  10.1177/2333392816646670

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Objective:In this study, we examine factors associated with the use of the emergency room (ER) as an entry point into the health-care system to initiate a cancer diagnosis among Puerto Rico’s Government Health Plan (GHP) patients and compare the 1-year survival of GHP patients that initiated cancer diagnosis in the emergency room (ER) presentation with those that initiated the diagnosis in a physician’s office.Methods:Data for patients with colorectal cancer (CRC) aged 50 to 64 years and diagnosed in 2012 were obtained from the Puerto Rico Central Cancer Registry and linked to the Puerto Rico Health Insurance Administration database (n = 190). Crude odds ratio, adjusted odds ratio, and their 95% confidence intervals were reported. We used the Kaplan-Meier method to generate survival curves. Multivariate Cox regression analysis was performed to evaluate the association between ER presentation and 1-year cause-specific survival.Results:We found that 37.37% of the study population had an ER presentation. Mal...

【 授权许可】

CC BY