Universität zu Köln

Hermes-Moll, Kerstin, Blaschke, Katja, Lappe, Veronika, Ihle, Peter, Schubert, Ingrid and Baumann, Walter (2019). Care trajectories of cancer patients. Analysis of the use of inpatient and ambulatory medical services. Onkologe, 25 (5). S. 456 - 466. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0415

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Abstract

BackgroundCare trajectories of cancer patients are characterized by cross-sectoral and multidisciplinary treatments. Yet, little is known about the actual use of inpatient and ambulatory services by cancer patients and differences according to cancer type.AimThe goal was to analyze use patterns of inpatient and ambulatory medical services by cancer patients.MethodsBased on routine data of the statutory health insurance AOK Hesse from 2009-2014 (about 1.4million insured persons in 2014), care trajectories of patients with incident breast, prostate, and colorectal cancer, respectively, were analyzed through descriptive statistics.ResultsIn all, 83% of breast, 63% of prostate, and 76% of colorectal cancer patients with incidence in 2013 had at least one hospital stay in the first year after diagnosis. On average, they had2 (breast and prostate cancer) and3 (colorectal cancer) stays, and alength of hospital stay of 15 (breast cancer), 17 (prostate cancer), and 35 (colorectal cancer) nights. The average number of ambulant medical services (number of EBM codes) was between 111 (colorectal cancer) and 127 (breast cancer). Compared to colorectal cancer patients, more patients with breast and prostate cancer, respectively, visited organ-specialists at least once in the first year after diagnosis (breast: 83%, prostate: 87%, colorectal: 15%) than hematologists/oncologists (breast: 14%, prostate: 3%, colorectal: 24%). A total of 78% of breast, 42% of prostate, and 34% of colorectal cancer patients received cancer drugs. Cancer drugs were primarily prescribed ambulatory. The time between operation and beginning of ambulant cancer drug treatment was longer than 42days for 33% of breast and 18% of colorectal cancer patients.DiscussionThe results show the intensity of medical services after cancer diagnoses and highlight the variety of care trajectories for different cancer types.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hermes-Moll, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Blaschke, Katja UNSPECIFIED UNSPECIFIED UNSPECIFIED Lappe, Veronika UNSPECIFIED UNSPECIFIED UNSPECIFIED Ihle, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumann, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-149997
DOI:	10.1007/s00761-019-0537-x
Journal or Publication Title:	Onkologe
Volume:	25
Number:	5
Page Range:	S. 456 - 466
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0415
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OUTPATIENT Multiple languages Oncology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14999