Does fragmented cancer care affect survival? Analysis of gastric cancer patients using national insurance claim data.

ABSTRACT:

Background

We aimed to investigate the association between fragmented cancer care in the early phase after cancer diagnosis and patient outcomes using national insurance claim data.

Methods

From a nationwide sampled cohort database, we identified National Health Insurance beneficiaries diagnosed with gastric cancer (ICD-10: C16) in South Korea during 2005-2013. We analyzed the results of a multiple logistic regression analysis using the generalized estimated equation model to investigate which patient and institution characteristics affected fragmented cancer care during the first year after diagnosis. Then, survival analysis using the Cox proportional hazard model was conducted to investigate the association between fragmented cancer care and five-year mortality.

Results

SUBMITTER: Choi DW 

PROVIDER: S-EPMC9773508 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature