Sherri Sheinfeld Gorin|David A. Haggstrom|Paul Han|Kathleen M. Fairfield|Paul Krebs|Steven B. Clauser
Cancer Care Coordination: a Systematic Review and Meta-Analysis of Over 30 Years of Empirical Studies
National Cancer Institute|Leidos (United States)|Regenstrief Institute|Indiana University – Purdue University Indianapolis|Maine Medical Center|Maine Medical Center Research Institute|Maine Medical Center|Maine Medical Center Research Institute|New York University|Patient-Centered Outcomes Research Institute
according landmark study institute medicine patients cancer often receive poorly coordinated care multiple settings many providers lack coordination associated poor symptom control medical errors higher coststhe aims systematic review metaanalysis 1 synthesize findings studies addressing cancer care coordination 2 describe study outcomes across cancer continuum 3 obtain quantitative estimate effect interventions cancer care coordination service system processes patient health outcomesof 1241 abstracts identified medline embase cinahl cochrane library 52 studies met inclusion criteria study us canadian participants comparison control groups measures times samples andor interventions two researchers independently applied standardized search strategy coding scheme online coding program study eleven studies met additional criteria metaanalysis random effects estimation model used data analysiscancer care coordination approaches led improvements 81 outcomes including screening measures patient experience care quality endoflife care across continuum cancer care patient navigation frequent care coordination intervention followed home telehealth nurse case management third frequency metaanalysis subset reviewed studies showed odds appropriate health care utilization cancer care coordination interventions almost twice 19 95 ci 1535 comparison interventionsthis review offers promising findings impact cancer care coordination increasing value reducing healthcare costs usa