Journal article
The association between cancer care coordination and quality of life is stronger for breast cancer patients with lower health literacy: A Greater Plains Collaborative study
Supportive care in cancer, Vol.28(2), pp.887-895
02/2020
DOI: 10.1007/s00520-019-04894-y
PMCID: PMC6893112
PMID: 31168710
Abstract
Health literacy (HL) and cancer care coordination (CCC) were examined for their relationship to quality of life (QOL) among breast cancer survivors. CCC was hypothesized to have a stronger relationship to QOL for women with lower HL.
Women (N = 1138) who had completed treatment for Stage 0-III, ductal carcinoma breast cancer between January 2013 and May 2014 at one of eight large medical centers responded to a mailed questionnaire. Responses to questions about survivorship care planning and presence of professional care coordinator were combined to form an index of CCC. An index of HL was also derived. QOL was measured using the Functional Assessment of Cancer Therapy-Breast (FACT-B) scales.
74.3% (N = 845) of patients reported having a health professional coordinate their care during treatment and 78.8% (N = 897) reported receiving survivorship care planning. CCC was classified as none, partial, or high for 7.1%, 32.7%, and 60.2% of the patients, respectively. Except for emotional well-being, the interaction between HL and CCC was significant for all QOL domains (p < .05); the effect of CCC on FACT-B scores was largest for people with lower HL. For the 39.8% of patients with less than high CCC, 111 (27.3%) had a level of HL associated with clinically meaningful lower QOL.
The association between CCC and later QOL is strongest for people who have lower HL. Prioritizing care coordination for patients with lower health literacy may be an effective strategy in a setting of limited resources.
Details
- Title: Subtitle
- The association between cancer care coordination and quality of life is stronger for breast cancer patients with lower health literacy: A Greater Plains Collaborative study
- Creators
- Bradley D McDowell - 5240 MERF, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, 52242, USA. bradley-mcdowell@uiowa.eduJennifer Klemp - Department of Medicine, University of Kansas Medical Center and University of Kansas Cancer Center, Kansas City, KS, USAAnne Blaes - University of MinnesotaAndrea A Cohee - Community and Health Systems, Nursing W433, Indiana University, Indianapolis, IN, 47405, USAAmy Trentham-Dietz - Carbone Cancer Center and Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, 610 Walnut St., WARF Room 307, Madison, WI, 53726, USASailaja Kamaraju - Division of Hematology, Oncology and Transplantation, Medical College of Wisconsin, Watertown Plank Road, 4th Fl Cancer Center, Milwaukee, WI, 53226, USAJulie L Otte - Science of Nursing Care, Nursing W401, Indiana University, Indianapolis, IN, 46220, USASarah L Mott - N319 CPHB, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, 52242, USAElizabeth A Chrischilles - S441A CPHB, Department of Epidemiology, University of Iowa, Iowa City, IA, 52242, USA
- Resource Type
- Journal article
- Publication Details
- Supportive care in cancer, Vol.28(2), pp.887-895
- DOI
- 10.1007/s00520-019-04894-y
- PMID
- 31168710
- PMCID
- PMC6893112
- NLM abbreviation
- Support Care Cancer
- ISSN
- 1433-7339
- eISSN
- 1433-7339
- Publisher
- Germany
- Grant note
- P30 CA086862 / NIH HHS UL1 TR002537 / NCATS NIH HHS CDRN-1306-04631 / Patient-Centered Outcomes Research Institute P30 CA014520 / NIH HHS P30 CA014520 / NCI NIH HHS UL1 TR000427 / NCATS NIH HHS UL1TR000427 / NIH HHS P30 CA086862 / NCI NIH HHS UL1TR002537 / NIH HHS UL1 TR002373 / NCATS NIH HHS
- Language
- English
- Date published
- 02/2020
- Academic Unit
- Pharmacy; Epidemiology; Holden Comprehensive Cancer Center
- Record Identifier
- 9983996198802771
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