Physicians’ influence on breast cancer patient compliance

[english] In recent years there have been major advances in the treatment of breast cancer. However, taking the prescribed medication for a sufficient period of time is crucial to the success of any therapy. Thus far, no database-based studies have been published in German-speaking countries empiric...

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Main Authors: Kostev, Karel, Waehlert, Lilia, Jockwig, Achim, Jockwig, Barbara, Hadji, Peyman
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2014-01-01
Series:GMS German Medical Science
Subjects:
Online Access:http://www.egms.de/static/en/journals/gms/2014-12/000188.shtml
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author Kostev, Karel
Waehlert, Lilia
Jockwig, Achim
Jockwig, Barbara
Hadji, Peyman
author_facet Kostev, Karel
Waehlert, Lilia
Jockwig, Achim
Jockwig, Barbara
Hadji, Peyman
author_sort Kostev, Karel
collection DOAJ
description [english] In recent years there have been major advances in the treatment of breast cancer. However, taking the prescribed medication for a sufficient period of time is crucial to the success of any therapy. Thus far, no database-based studies have been published in German-speaking countries empirically examining the influence of the physician on the compliance of patients. The aim of this study is to investigate, quantify, and critically discuss the effect treating physicians have on the compliance of their breast cancer patients. Patients with a confirmed breast cancer diagnosis who started therapy (tamoxifen or aromatase inhibitors) between January 2001 and December 2011 were selected from the representative IMS Disease Analyzer database and analyzed with regard to their compliance. Practices were grouped into two categories concerning the compliance of all treated patients. A regression model showed that a breast cancer patient who is treated in a practice with a trend toward poor compliance has a nearly 60% higher risk for treatment discontinuation than would be the case in a practice with good compliance. It shows how important it is to motivate physicians to strive toward good compliance rates.
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spelling doaj.art-f2aee6ba8317412db0578d57bd3788012022-12-21T23:20:57ZdeuGerman Medical Science GMS Publishing HouseGMS German Medical Science1612-31742014-01-0112Doc0310.3205/000188Physicians’ influence on breast cancer patient complianceKostev, Karel0Waehlert, Lilia1Jockwig, Achim2Jockwig, Barbara3Hadji, Peyman4IMS Health, Frankfurt, GermanyHochschule Fresenius, Fachbereich Wirtschaft & Medien, Idstein, GermanyHochschule Fresenius, Fachbereich Wirtschaft & Medien, Idstein, GermanyGynäkologische Praxis, Oberursel, GermanyPhilipps-Universität, Klinik für Gynäkologie, Endokrinologie und Onkologie, Marburg, Germany[english] In recent years there have been major advances in the treatment of breast cancer. However, taking the prescribed medication for a sufficient period of time is crucial to the success of any therapy. Thus far, no database-based studies have been published in German-speaking countries empirically examining the influence of the physician on the compliance of patients. The aim of this study is to investigate, quantify, and critically discuss the effect treating physicians have on the compliance of their breast cancer patients. Patients with a confirmed breast cancer diagnosis who started therapy (tamoxifen or aromatase inhibitors) between January 2001 and December 2011 were selected from the representative IMS Disease Analyzer database and analyzed with regard to their compliance. Practices were grouped into two categories concerning the compliance of all treated patients. A regression model showed that a breast cancer patient who is treated in a practice with a trend toward poor compliance has a nearly 60% higher risk for treatment discontinuation than would be the case in a practice with good compliance. It shows how important it is to motivate physicians to strive toward good compliance rates.http://www.egms.de/static/en/journals/gms/2014-12/000188.shtmlbreast cancercompliancepersistenceDisease Analyzer
spellingShingle Kostev, Karel
Waehlert, Lilia
Jockwig, Achim
Jockwig, Barbara
Hadji, Peyman
Physicians’ influence on breast cancer patient compliance
GMS German Medical Science
breast cancer
compliance
persistence
Disease Analyzer
title Physicians’ influence on breast cancer patient compliance
title_full Physicians’ influence on breast cancer patient compliance
title_fullStr Physicians’ influence on breast cancer patient compliance
title_full_unstemmed Physicians’ influence on breast cancer patient compliance
title_short Physicians’ influence on breast cancer patient compliance
title_sort physicians influence on breast cancer patient compliance
topic breast cancer
compliance
persistence
Disease Analyzer
url http://www.egms.de/static/en/journals/gms/2014-12/000188.shtml
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