دورية أكاديمية
Consuming Patients' Days: Time Spent on Ambulatory Appointments by People With Cancer.
| العنوان: | Consuming Patients' Days: Time Spent on Ambulatory Appointments by People With Cancer. |
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| المؤلفون: | Kagalwalla S; University of Minnesota, Minneapolis, MN, USA., Tsai AK; University of Minnesota, Minneapolis, MN, USA., George M; Paltown Development Foundation/COLONTOWN, Crownsville, MD, USA., Waldock A; University of Minnesota, Minneapolis, MN, USA., Davis S; University of Minnesota, Minneapolis, MN, USA., Jewett P; University of Minnesota, Minneapolis, MN, USA., Vogel RI; University of Minnesota, Minneapolis, MN, USA., Ganguli I; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA., Booth C; Department of Oncology, Queen's University, Kingston, Canada., Dusetzina SB; Department of Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA.; Vanderbilt-Ingram Cancer Center, Nashville, TN, USA., Rocque GB; Division of Hematology and Oncology, University of Alabama at Birmingham, Birmingham, AL, USA., Blaes AH; University of Minnesota, Minneapolis, MN, USA., Gupta A; University of Minnesota, Minneapolis, MN, USA. |
| المصدر: | The oncologist [Oncologist] 2024 May 03; Vol. 29 (5), pp. 400-406. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9607837 Publication Model: Print Cited Medium: Internet ISSN: 1549-490X (Electronic) Linking ISSN: 10837159 NLM ISO Abbreviation: Oncologist Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Oxford : Oxford University Press Original Publication: Dayton, Ohio : AlphaMed Press, c1996- |
| مواضيع طبية MeSH: | Neoplasms*/therapy , Ambulatory Care*/statistics & numerical data , Appointments and Schedules*, Humans ; Female ; Male ; Retrospective Studies ; Middle Aged ; Time Factors ; Aged ; Adult |
| مستخلص: | Background: In qualitative work, patients report that seemingly short trips to clinic (eg, a supposed 10-minute blood draw) often turn into "all-day affairs." We sought to quantify the time patients with cancer spend attending ambulatory appointments. Methods: We conducted a retrospective study of patients scheduled for oncology-related ambulatory care (eg, labs, imaging, procedures, infusions, and clinician visits) at an academic cancer center over 1 week. The primary exposure was the ambulatory service type(s) (eg, clinician visit only, labs and infusion, etc.). We used Real-Time Location System badge data to calculate clinic times and estimated round-trip travel times and parking times. We calculated and summarized clinic and total (clinic + travel + parking) times for ambulatory service types. Results: We included 435 patients. Across all service day type(s), the median (IQR) clinic time was 119 (78-202) minutes. The estimated median (IQR) round-trip driving distance and travel time was 34 (17-49) miles and 50 (36-68) minutes. The median (IQR) parking time was 14 (12-15) minutes. Overall, the median (IQR) total time was 197 (143-287) minutes. The median total times for specific service type(s) included: 99 minutes for lab-only, 144 minutes for clinician visit only, and 278 minutes for labs, clinician visit, and infusion. Conclusion: Patients often spent several hours pursuing ambulatory cancer care on a given day. Accounting for opportunity time costs and the coordination of activities around ambulatory care, these results highlight the substantial time burdens of cancer care, and support the notion that many days with ambulatory health care contact may represent "lost days." (© The Author(s) 2024. Published by Oxford University Press.) |
| References: | JCO Oncol Pract. 2021 May;17(5):e637-e644. (PMID: 33974834) JAMA Intern Med. 2015 Dec;175(12):1983-6. (PMID: 26437386) CA Cancer J Clin. 2023 Nov-Dec;73(6):565-589. (PMID: 37358040) Oncologist. 2024 Feb 2;29(2):e290-e293. (PMID: 38016182) Med Care. 2007 Jul;45(7):680-5. (PMID: 17571017) JCO Oncol Pract. 2020 May;16(5):215-217. (PMID: 32243240) JAMA Oncol. 2022 May 1;8(5):788. (PMID: 35266966) JCO Oncol Pract. 2022 Apr;18(4):245-246. (PMID: 34709950) Support Care Cancer. 2022 Dec 13;31(1):3. (PMID: 36512134) BMC Public Health. 2020 Feb 6;20(1):196. (PMID: 32028942) JCO Oncol Pract. 2023 Jun;19(6):e859-e866. (PMID: 36881786) J Palliat Med. 2021 Mar;24(3):453-454. (PMID: 33650911) JAMA Oncol. 2021 Dec 1;7(12):1757-1758. (PMID: 34436535) JAMA Netw Open. 2022 Aug 1;5(8):e2228452. (PMID: 36036938) Cancer Med. 2020 Nov;9(22):8423-8431. (PMID: 32955793) J Oncol Pract. 2012 May;8(3 Suppl):2s-8s. (PMID: 22942822) J Natl Cancer Inst Monogr. 2022 Jul 5;2022(59):79-84. (PMID: 35788373) J Clin Oncol. 2020 Feb 1;38(4):302-309. (PMID: 31804857) Lancet Gastroenterol Hepatol. 2023 Oct;8(10):908-918. (PMID: 37541263) Trends Cancer. 2023 May;9(5):373-375. (PMID: 36828772) Lancet Gastroenterol Hepatol. 2024 Jan;9(1):14-15. (PMID: 38070514) J Clin Oncol. 2019 Aug 1;37(22):1935-1945. (PMID: 31184952) Cancer. 2008 Feb 15;112(4):909-18. (PMID: 18189295) JAMA Netw Open. 2023 Jan 3;6(1):e2250211. (PMID: 36626174) JCO Oncol Pract. 2022 Aug;18(8):e1342-e1349. (PMID: 35623024) J Clin Oncol. 2022 May 20;40(15):1611-1615. (PMID: 35235366) JCO Oncol Pract. 2023 Nov;19(11):1031-1038. (PMID: 37738532) JAMA Dermatol. 2023 Nov 1;159(11):1195-1204. (PMID: 37672282) |
| معلومات مُعتمدة: | K23 AG068240 United States AG NIA NIH HHS; T32 CA009138 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: ambulatory appointments; contact days; logistic toxicity; time burdens; time toxicity |
| تواريخ الأحداث: | Date Created: 20240210 Date Completed: 20240503 Latest Revision: 20240524 |
| رمز التحديث: | 20240524 |
| مُعرف محوري في PubMed: | PMC11067814 |
| DOI: | 10.1093/oncolo/oyae016 |
| PMID: | 38339991 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1549-490X |
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| DOI: | 10.1093/oncolo/oyae016 |