Challenges of cancer survivorship care in Chile: a longitudinal study comparing the quality of care and quality of life for cancer survivors in a primary care network and a cancer centre in Chile

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dc.article.numbere097015
dc.catalogadorgrr
dc.contributor.authorPuschel Illanes, Klaus
dc.contributor.authorArancibia, Victor
dc.contributor.authorRioseco, Andrea
dc.contributor.authorPaz, Sarah
dc.contributor.authorSoto, María Gabriela
dc.contributor.author Martinez, Javiera
dc.contributor.author Faundez, Marcela
dc.contributor.authorAcevedo Claros, Francisco Nicolas
dc.contributor.authorDi Biase, Felipe
dc.contributor.authorEmery, Jon
dc.contributor.authorLeon Ramirez, Augusto
dc.contributor.author Are, Chandrakanth
dc.contributor.author Thompson, Beti
dc.date.accessioned2025-08-27T17:54:46Z
dc.date.available2025-08-27T17:54:46Z
dc.date.issued2025
dc.descriptionhttps://bmjopen.bmj.com/content/15/8/e097015
dc.description.abstractObjective: The rapid growth in the cancer survivor population in Chile and Latin America raises newchallenges in addressing their care needs. This study assesses the health status and compares the quality of care and quality of life in cancer survivors at a primary care network and a private cancer centre in Santiago, Chile. Design: Retrospective cohort study. Setting: Three primary care clinics and one cancer centre in Chile. Participants: All breast and colorectal cancer patients identified from a primary care retrospective cohort of 61 174 were followed from 2018 to 2023 and compared with an equivalent sample of patients from a university cancer centre identified during the same period.Outcome measures: Quality of care was assessed based on American Cancer Society standards, while quality of life was measured using the EuroQol 5 Dimensions-5 Levels survey instrument Results: A total of 420 cancer survivors participated in the study; 208 from primary care and 212 from the cancer centre. All participants received substandard care. Patients in primary care had lower educational levels and higher rates of comorbidity. They reported a lower quality of life score (72.22 vs 78.43, p<0.001), a higher prevalence of chronic pain (37.02% vs 25.6%, p=0.016) and more severe mental health symptoms (19.89% vs 10.05%, p=0.03). Differences in educational level and cancer stage at diagnosis explained the observed disparities in chronic pain and mental health disorders between the two populations. Primary care patients received more psychosocial care (OR=2.29; 95%CI: 1.55 to 3.39),cardiovascular assessment (OR=2.66; 95% CI:2.17 to 3.26) and psychosocial evaluations (OR: 9.07; 95%CI:4.75 to 17.32). Conclusion: Cancer survivors face a significant disease burden and receive substandard care in Chile. As the primary source of care for this population, primary care is challenged to better integrate with speciality care to develop an effective shared care model for cancer survivors.
dc.fechaingreso.objetodigital2025-08-27
dc.format.extent11 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1136/bmjopen-2024-097015
dc.identifier.eissn2044-6055
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/105314
dc.identifier.urihttps://doi.org/10.1136/bmjopen-2024-097015
dc.information.autorucEscuela de Medicina; Puschel Illanes, Klaus; 0000-0002-1362-1311; 83957
dc.information.autorucEscuela de Medicina; Acevedo Claros, Francisco Nicolas; 0000-0003-3482-7746; 119540
dc.information.autorucEscuela de Medicina; Leon Ramirez, Augusto; S/I; 99188
dc.issue.numero8
dc.language.isoen
dc.nota.accesocontenido completo
dc.revista BMJ Open
dc.rightsacceso abierto
dc.rights.licenseCC BY-NC 4.0 Attribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleChallenges of cancer survivorship care in Chile: a longitudinal study comparing the quality of care and quality of life for cancer survivors in a primary care network and a cancer centre in Chile
dc.typeartículo
dc.volumen15
sipa.codpersvinculados83957
sipa.codpersvinculados119540
sipa.codpersvinculados99188
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