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. 2012 Sep 13;12:316. doi: 10.1186/1472-6963-12-316

Table 1.

Study Characteristics

Author Year Country Sample characteristics Analysis Variables/Measures Outcome Quality appraisal
Andersen and Urban [36]
1998
USA
Breast cancer survivors n = 485 50–80 years old 3-20+ years post-diagnosis
Multiple logistic regression
Receipt of mammogram, usual source of care,1 recommendation by physician for mammogram and insurance coverage
Receipt of mammogram
Average
Andrykowski and Burris [45]
2010
USA
SEER database Breast cancer survivors n = 42 Colorectal cancer survivors n = 33 Hematological cancer survivors n = 38 1–5 years post-diagnosis Aged 25–75 years old
Multiple regression
Socio-demographics, cancer characteristics, mental health resource questionnaire
Use of formal and informal mental health services
Very good
Boehmer et al. [34]
2010
USA
Colorectal cancer survivors Aged 22–92 years old n = 253
Cox proportional hazard models
Colonoscopies, sigmoidoscopy, cancer type, stage, co-morbidities, outpatient visits, socio-demographics
Receipt of colorectal surveillance procedures
Very good
Cooper et al. [29]
2000
USA
SEER-MEDICARE database Colorectal cancer survivors Localised disease Surgically treated >65 years old n = 5, 716
Chi-square test
Socio-demographics, inpatient claims, outpatient claims, use of endoscopic procedures (colonoscopy, polypectomy or biopsy)
Receipt of colorectal surveillance procedures
Very good
Cooper and Payes [28]
2006
USA
SEER-MEDICARE database Colorectal cancer survivors >65 years old n = 62, 882 survived 1 year follow-up n = 35, 784 survived 3 year follow-up
Logistic regression
Medicare claims2 for colonoscopy, sigmoidoscopy or barium enema, co-morbidities
Use of surveillance procedures for colorectal cancer within 3 years of diagnosis
Very good
Cooper, Kou and Reynolds [31]
2008
USA
SEER database Colorectal cancer survivors >65 years old n = 9, 426
Multivariate regression
Number of physician visits, receipt of carcino-embryonic antigen blood test (CEA),3 colonoscopy, CT and PET scans
Adherence to guidelines for cancer follow-up
Good
Doubeni et al. [27]
2006
USA
Breast cancer survivors n = 797 at baseline (end of treatment) n = 262 after 5 yrs >55 years old 4 geographically diverse Health Maintenance Organisations (HMOs).4
Generalised estimated equations (GEE)
Receipt of mammograms. age, date and stage at/of diagnosis, treatment. co-morbidities. visits to primary care provider (primary care physician) and outpatient visits
Receipt of yearly mammogram and visits to physicians
Very good
Earle et al. [23]
2003
USA
SEER database Breast cancer survivors > 65 years old, n = 5,965 Controls n = 6,062
Multivariate regression
Frequency of visits to primary care physician, oncologists, other and teaching hospitals, receipt of flu vaccine, lipid test, cervical exam, colon exam, bone densitometry and diabetes test
Visits to physicians and receipt of preventive medicine
Very good
Earle and Neville [19]
2004
USA
SEER database Colorectal cancer survivors > 65 years old n = 14,884
Logistic regression
Co-morbidities, socio-demographics, receipt of flu vaccine, lipid testing, bone densitometry and cervical screening
Visits to physicians and receipt of preventive medicine
Very good
Earle, Neville and Fletcher [43]
2007
USA
Breast, lymphoma, colorectal, melanoma and other cancer survivors Mean age 60 years n = 1,111 Controls n = 4,444
Logistic regression `
Mental health diagnoses, co-morbidities, socio-demographics, use of primary care physician, oncologist, psychiatrists, psychologists, social workers and inpatient hospitalisations (both general and mental).
Use of mental health provider services
Good
Ellison et al. [33]
2003
USA
SEER database Colorectal cancer survivors >65 years old n = 52, 105
Kaplan-Meier survival analysis Unconditional regression analysis Cox regression
Socio-demographic, hospital and clinical characteristics, receipt of colonoscopy, sigmoidoscopy, endoscopy and barium enema
Differential receipt of colonoscopy, sigmoidoscopy, endoscopy and barium enema by race
Good
Gray et al. [41]
2000
Canada
Breast cancer survivors n = 731 Histologically confirmed and invasive
Stepwise logistic regression
Use of specialised supportive care services, wish to use services that were not accessed, social and demographic characteristics.
Use of professional supportive care services provided by the Ontario health care system
Very good
Gray et al. [42]
2002
Canada
Breast cancer survivors 63 % <60 years old 23–36 months post-diagnosis n = 731
Logistic regression
Supportive care from physicians and nurses, socio-demographics, illness and treatment information
Use of professional supportive care
Good
Grunfeld et al. [16]
1999
UK
Breast cancer survivors n = 148 Two district general hospitals
Two-tailed t-test and chi-square
Record of visits, average cost of visits, out-of patient expenses, waiting times, lost earnings and lost earnings of accompanying person
GP follow-up vs. Hospital follow-up. Cost-effectiveness and cost to patient,
Average
Grunfeld et al. [17]
2011
Canada
Breast cancer survivors n = 408 Nine tertiary cancer centres
Two-tailed t-test
Use of survivorship care plans (vs. no survivorship care plans) in primary care physician led follow-up. Frequency of visits to oncologists.
Primary care physician led follow-up
Very good
Keating et al. [25]
2006
USA
SEER-MEDICARE database Breast cancer survivors Stage 1 or 2 Underwent surgery >65 years old
Repeated-measures logistic regression
Mammogram receipt, visits to primary care physician medical oncologist, general surgeon, radiation oncologist and other specialists, socio-demographics
Factors related to mammography use
Very good
Keating et al. [11]
2007
USA
SEER database Breast cancer survivors >65 years old n = 37,967 in year 1 n = 30,406 in year 2 n = 23,016 in year 3
Repeated-measures logistic regression
Receipt of bone scans, tumour antigen tests (TAT), Chest x-rays and other abdominal/chest imaging, frequency of visits to physicians and socio-demographics
Receipt of a number of surveillance procedures and visits to physicians over time
Very good
Khan et al. [38]
2010
UK
GPRD database Breast cancer survivors N = 18, 612 Colorectal cancer survivors N = 5, 764 Prostate cancer survivors N = 4, 868 >30 years old 5 years post-diagnosis Controls N = 116,418
Multivariate regression
Socio-demographics, use of primary care, frequency of visits
Primary care consultations
Very good
Khan, Watson and Rose [20]
2011
UK
GPRD database Prostate cancer survivors N = 4,868 Breast cancer survivors N = 18,612 Colorectal cancer survivors N = 5,764 Controls N = 145,662
Logistic regression
Co-morbidities, screening (PSA, cervical, mammogram), receipt of preventative procedures and socio-demographics
Receipt of screening and preventative care
Very good
Knopf et al. [37]
2001
USA
SEER database Colorectal cancer survivors >65 years old n = 52, 283
Kaplan-Meier survival analysis
Receipt of colonoscopy, sigmoidoscopy, endoscopy and barium enema, age, tumour stage at diagnosis and year of diagnosis
Receipt of bowel surveillance procedures
Very Good
Lafata et al. [30]
2001
USA
Colorectal cancer survivors n = 251
Kaplan-Meier survival analysis Cox proportional hazards
Socio-demographics, receipt of colonoscopy, CEA, barium enema, chest x-ray, MRI’s, ultrasounds and liver analysis
Receipt of colon screening procedures and other procedures
Very good
Mahboubi et al. [15]
2007
France
Colorectal cancer survivors <65 years old N = 389
Logistic regression
Co-morbidities, chest radiograph, abdominal ultrasound, colonoscopy, CT, TAT, blood tests and reason for testing (routine or symptomatic)
Characteristics associated with visits to GPs
Very good
Mandelblatt et al. [13]
2006
USA
Breast cancer survivors n = 418 Stage 1 and 2
Multivariate linear regression
Calendar diary of health service use, socio-demographics, cancer treatment information, co-morbidities and psychological status survey
Patterns and determinants of health service use
Very good
Mayer et al. [35]
2007
USA
NCI 2003 HINTS5
n = 619 Breast cancer survivors n = 119 Prostate cancer survivors n = 62 Colorectal cancer survivors n = 49 Others n = 389
Logistic regression
Based on the health belief model (HBM),6 cancer communication, cancer history, general cancer knowledge, cancer risk and screening, health status and demographics.
Screening practices and beliefs
Very good
McBean, Yu and Virnig [39]
2008
USA
SEER database: Uterine cancer survivors >65 years old n = 14,575 Controls n = 58,420
Multivariate logistic regression Generalised equation modelling
Receipt of flu vaccine, bone densitometry, colorectal screening and mammogram no. of physician services and socio-demographics
Use of preventive services and frequency of physician visits
Very good
Mols, Helfenrath and van de Poll-Fanse [14]
2007a
Netherlands
Endometrial cancer Prostate cancer Non-Hodgkin’s lymphoma survivors n = 1,112
Linear regression Multivariate linear regression
SF-36, self-reported health service use, frequency of visits, co-morbidities and socio-demographics
Patterns of physician use
Very good
Mols, Coebergh and van de Poll-Fanse [22]
2007b
Netherlands
Endometrial cancer Prostate cancer, Hodgkin’s and non-Hodgkin’s lymphoma survivors n = 1,231
Chi-square and multivariate logistic regression
Co-morbidity, socio-demographics, use of medical specialist, general practitioner, additional services (physiotherapist. and psychologist)
Frequency of physician use
Very good
Oleske et al. [47]
2004
USA
Breast cancer survivors Aged between 21–65 years n = 123
Multivariate logistic regression
Use and frequency of physician and admissions, services in past 12 months. reasons for hospitalisations, SRS (social responsiveness scale) and CES-D (depression scale)
Determination of factors associated with hospitalisation
Very good
Peuckmann et al. [12]
2009
Denmark
Breast cancer survivors n = 1,316 Controls n = 4,865
Risk ratios and multiple logistic regression analysis
Frequency of physical visits, socio-demographics, physical activity and BMI. HR-QOL (SF-36) and chronic pain
Frequency and determinants of health service use
Very good
Schapira, McAuliffe and Nattinger [32]
2000
USA
SEER database Breast cancer survivors >65 years old n = 3,885
Logistic model
Receipt of mammogram, co-morbidity, socio-economic status (SES) and preventive treatment received
Receipt of Mammogram over two year period
Good
Schootman et al. [44]
2008
USA
SEER database Breast cancer survivors >65 years old n = 47, 643
Restricted iterative generalised least squares and first-order marginal quasi-likelihood estimation analysis
Frequency of Ambulatory-Care-Sensitive Hospitalizations (ACSH)7 SES, co-morbidity, demographics, availability of medical care, visits to primary care physician and oncologists
Frequency of Ambulatory-Care-Sensitive Hospitalizations
Very good
Simpson, Carlson and Trew [18]
2001
USA
Breast cancer survivors Time point 1 n = 46 Time point 4 n = 30 Controls Time point 1 n = 43 Time point 4 n = 25
ANOVA
Average cost of care, no. of cancer centre visits and a number of psychological distress indicators including BDI, POMS and Mental adjustment to cancer scale
Billing of Health care as a proxy to use. Visits to cancer centre Correlation of billing to distress.
Good
Snyder et al. [9]
2008a
USA
SEER database Colorectal cancer survivors >65 years old n = 1,541
Poisson regression and logistic regression
Clinical and socio-demographic characteristics, visits to primary care physician, oncologist or other physicians. Receipt of influenza vaccine, cholesterol screening, mammogram, cervical screening and bone densitometry
Frequency of physician visits and receipt of preventive care
Very good
Snyder et al. [10]
2008b
USA
SEER database Colorectal cancer survivors >65 years old n = 20,068
Poisson regression and logistic regression analysis
Co-morbidities, socio-demographics, visits to primary care physician, oncologist and other physicians, receipt of influenza vaccine, cholesterol screening, mammogram, and bone densitometry
Visits to physicians and receipt of preventive care
Good
Snyder et al. [24]
2009a
USA
SEER database Breast cancer survivors >65 years old n = 23, 73 Controls n = 23, 731
Poisson regression and logistic regression analysis
Use of physician and oncology services, receipt of 5 preventive care services and socio-demographics.
Visits to physicians and oncologists and preventive medicine
Good
Snyder et al. [26]
2009b
USA
SEER database Breast cancer survivors >65 years old Stages 1–3 n = 1,961 Controls n = 1,961
Poisson regression and logistic regression analysis
Co-morbidities, clinical and demographic characteristics, visits to primary care physician, oncologists and other physicians
Frequency of visits to physicians
Good
Van de Poll-Fanse et al. [21]
2006
Netherlands
Breast cancer survivors Invasive n = 183
Logistic regression
Co-morbidities, spontaneously reported problems, use of GP, medical specialist and physiotherapist, health status and psychological well-being
Use of physician services
Good
Yu, McBean and Virnig [40] 2007 USA SEER database Colorectal cancer survivors >65 years old n = 112, 737. Logistic regression and poisson regression Socio-demographic characteristics, co-morbidities, receipt of mammogram, visits to primary care physician, Gynaecologists only, oncologists and other Receipt of mammogram and visits to physicians Good

1Usual source of care refers to whether an individual receives care from the same physician or different physicians; 2Medicare is a government-funded medical care plan in USA, whereby individuals aged 65 and over that covers medical expenses such as doctor's visits, hospital stays, drugs and other treatment; 3CEA testing is used as a tumour marker for particular cancers, such as colorectal; 4HMOs provide their members with medical services for a fixed fee; 5NCI HINTS is the Health Information National Trends Survey, which collects nationally represented information on how the American public find and use information on cancer; 6Developed by Hochbaum (1958) is an explanatory and predictive model of health behaviours and includes attitudes and beliefs of an individual; 7ACSH are hospitalizations which could have been prevented if primary care services had been initially accessed by the individual.