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Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors
Background As cancer patients transition from treatment to survivorship, the responsibility of primary care providers (PCPs) versus oncology specialists is unclear. Objectives To explore (1) physician types (PCPs versus oncology specialists) survivors visit during survivorship year 1, (2) preventive...
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| Published in: | Journal of general internal medicine : JGIM 2008-03, Vol.23 (3), p.254-259 |
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| container_title | Journal of general internal medicine : JGIM |
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| creator | Snyder, Claire F. Earle, Craig C. Herbert, Robert J. Neville, Bridget A. Blackford, Amanda L. Frick, Kevin D. |
| description | Background
As cancer patients transition from treatment to survivorship, the responsibility of primary care providers (PCPs) versus oncology specialists is unclear.
Objectives
To explore (1) physician types (PCPs versus oncology specialists) survivors visit during survivorship year 1, (2) preventive care received, (3) how preventive care receipt relates to physician types visited, and (4) trends in physician types visited and preventive care received over time.
Design
Retrospective cross-sectional study of 5 cohorts of cancer survivors in survivorship year 1.
Subjects
Twenty thousand sixty-eight survivors diagnosed with stage 1–3 colorectal cancer between 1997 and 2001.
Measurements
Using the SEER-Medicare database, we assessed the mean number of visits to different physician types, the percentage of survivors receiving preventive services, how receipt of preventive services related to physician types visited, and trends over time in physician visits and preventive care.
Results
There was a trend over time of increased visits to all physician types, which was statistically significant for oncology specialists and other physicians (
p
|
| doi_str_mv | 10.1007/s11606-007-0497-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2359475</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2395250951</sourcerecordid><originalsourceid>FETCH-LOGICAL-c497t-33c505ee2a44055bf05ec1608ff52c47e6b8a9336b14b4359fbae69c9826369c3</originalsourceid><addsrcrecordid>eNp1kd9rFDEQx4Mo9lr9A3yRRbBv0fze7ItQDluFgoL1OWRzs3VLLjkntyv-92a9o1XBp5nJfPLNdzKEvODsDWesfVs4N8zQmlKmupbqR2TFtdCU1-oxWTFrFbWtVCfktJQ7xrgUwj4lJ9zyrlXarMjVDULalGZMzWWOMf-g067xadN8Rpgh7ccZmrVHaIaMzTrHjBD2PtazFACbLxPO45yxPCNPBh8LPD_GM_L18v3N-gO9_nT1cX1xTUO1tKdSBs00gPBKMa37oRahDmGHQYugWjC99Z2UpueqV1J3Q-_BdKGzwsga5Rl5d9DdTf0WNqFaRB_dDsetx58u-9H93UnjN3ebZyeqmGp1FTg_CmD-PkHZu-1YAsToE-SpuJZJJthv8NU_4F2eMNXhnG21sVoqWyF-gALmUhCGeyecuWVH7rAjt6TLjtwi_PLPER5uHJdSgddHwJfg44D1r8dyz4nqT1mzCIkDV2or3QI-OPz_678AFtWpCw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>875685348</pqid></control><display><type>article</type><title>Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors</title><source>Springer Nature</source><source>PubMed Central</source><creator>Snyder, Claire F. ; Earle, Craig C. ; Herbert, Robert J. ; Neville, Bridget A. ; Blackford, Amanda L. ; Frick, Kevin D.</creator><creatorcontrib>Snyder, Claire F. ; Earle, Craig C. ; Herbert, Robert J. ; Neville, Bridget A. ; Blackford, Amanda L. ; Frick, Kevin D.</creatorcontrib><description>Background
As cancer patients transition from treatment to survivorship, the responsibility of primary care providers (PCPs) versus oncology specialists is unclear.
Objectives
To explore (1) physician types (PCPs versus oncology specialists) survivors visit during survivorship year 1, (2) preventive care received, (3) how preventive care receipt relates to physician types visited, and (4) trends in physician types visited and preventive care received over time.
Design
Retrospective cross-sectional study of 5 cohorts of cancer survivors in survivorship year 1.
Subjects
Twenty thousand sixty-eight survivors diagnosed with stage 1–3 colorectal cancer between 1997 and 2001.
Measurements
Using the SEER-Medicare database, we assessed the mean number of visits to different physician types, the percentage of survivors receiving preventive services, how receipt of preventive services related to physician types visited, and trends over time in physician visits and preventive care.
Results
There was a trend over time of increased visits to all physician types, which was statistically significant for oncology specialists and other physicians (
p
< .001) but not PCPs. The percentage of survivors receiving preventive services remained relatively stable across the 5 cohorts, except for an increase in bone densitometry (
p
< .05). Survivors who visited both a PCP and oncology specialist were most likely to receive each preventive care service (
p
< .05).
Conclusions
Oncology specialist follow-up in survivorship year 1 is intensifying over time. Survivors not being followed-up by both PCPs and oncology specialists were less likely to receive preventive care. Clarifying the roles of PCPs and oncology specialists during follow-up can improve the quality of care for survivors.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-007-0497-5</identifier><identifier>PMID: 18197456</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Biological and medical sciences ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - mortality ; Colorectal Neoplasms - therapy ; Combined Modality Therapy ; Continuity of Patient Care - standards ; Continuity of Patient Care - trends ; Cross-Sectional Studies ; Female ; Follow-Up Studies ; General aspects ; Humans ; Internal Medicine ; Male ; Mammography ; Medical sciences ; Medicare ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Recurrence, Local - prevention & control ; Oncology ; Original ; Original Article ; Outcome Assessment, Health Care ; Physicians ; Practice Patterns, Physicians ; Prevention and actions ; Preventive medicine ; Primary care ; Probability ; Prognosis ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Registries ; Retrospective Studies ; Risk Assessment ; SEER Program ; Sex Factors ; Surveillance ; Survivors ; Time Factors ; Trends ; United States</subject><ispartof>Journal of general internal medicine : JGIM, 2008-03, Vol.23 (3), p.254-259</ispartof><rights>Society of General Internal Medicine 2007</rights><rights>2008 INIST-CNRS</rights><rights>Society of General Internal Medicine 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-33c505ee2a44055bf05ec1608ff52c47e6b8a9336b14b4359fbae69c9826369c3</citedby><cites>FETCH-LOGICAL-c497t-33c505ee2a44055bf05ec1608ff52c47e6b8a9336b14b4359fbae69c9826369c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359475/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2359475/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20204865$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18197456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Snyder, Claire F.</creatorcontrib><creatorcontrib>Earle, Craig C.</creatorcontrib><creatorcontrib>Herbert, Robert J.</creatorcontrib><creatorcontrib>Neville, Bridget A.</creatorcontrib><creatorcontrib>Blackford, Amanda L.</creatorcontrib><creatorcontrib>Frick, Kevin D.</creatorcontrib><title>Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>Background
As cancer patients transition from treatment to survivorship, the responsibility of primary care providers (PCPs) versus oncology specialists is unclear.
Objectives
To explore (1) physician types (PCPs versus oncology specialists) survivors visit during survivorship year 1, (2) preventive care received, (3) how preventive care receipt relates to physician types visited, and (4) trends in physician types visited and preventive care received over time.
Design
Retrospective cross-sectional study of 5 cohorts of cancer survivors in survivorship year 1.
Subjects
Twenty thousand sixty-eight survivors diagnosed with stage 1–3 colorectal cancer between 1997 and 2001.
Measurements
Using the SEER-Medicare database, we assessed the mean number of visits to different physician types, the percentage of survivors receiving preventive services, how receipt of preventive services related to physician types visited, and trends over time in physician visits and preventive care.
Results
There was a trend over time of increased visits to all physician types, which was statistically significant for oncology specialists and other physicians (
p
< .001) but not PCPs. The percentage of survivors receiving preventive services remained relatively stable across the 5 cohorts, except for an increase in bone densitometry (
p
< .05). Survivors who visited both a PCP and oncology specialist were most likely to receive each preventive care service (
p
< .05).
Conclusions
Oncology specialist follow-up in survivorship year 1 is intensifying over time. Survivors not being followed-up by both PCPs and oncology specialists were less likely to receive preventive care. Clarifying the roles of PCPs and oncology specialists during follow-up can improve the quality of care for survivors.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - mortality</subject><subject>Colorectal Neoplasms - therapy</subject><subject>Combined Modality Therapy</subject><subject>Continuity of Patient Care - standards</subject><subject>Continuity of Patient Care - trends</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Mammography</subject><subject>Medical sciences</subject><subject>Medicare</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - prevention & control</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Outcome Assessment, Health Care</subject><subject>Physicians</subject><subject>Practice Patterns, Physicians</subject><subject>Prevention and actions</subject><subject>Preventive medicine</subject><subject>Primary care</subject><subject>Probability</subject><subject>Prognosis</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>SEER Program</subject><subject>Sex Factors</subject><subject>Surveillance</subject><subject>Survivors</subject><subject>Time Factors</subject><subject>Trends</subject><subject>United States</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp1kd9rFDEQx4Mo9lr9A3yRRbBv0fze7ItQDluFgoL1OWRzs3VLLjkntyv-92a9o1XBp5nJfPLNdzKEvODsDWesfVs4N8zQmlKmupbqR2TFtdCU1-oxWTFrFbWtVCfktJQ7xrgUwj4lJ9zyrlXarMjVDULalGZMzWWOMf-g067xadN8Rpgh7ccZmrVHaIaMzTrHjBD2PtazFACbLxPO45yxPCNPBh8LPD_GM_L18v3N-gO9_nT1cX1xTUO1tKdSBs00gPBKMa37oRahDmGHQYugWjC99Z2UpueqV1J3Q-_BdKGzwsga5Rl5d9DdTf0WNqFaRB_dDsetx58u-9H93UnjN3ebZyeqmGp1FTg_CmD-PkHZu-1YAsToE-SpuJZJJthv8NU_4F2eMNXhnG21sVoqWyF-gALmUhCGeyecuWVH7rAjt6TLjtwi_PLPER5uHJdSgddHwJfg44D1r8dyz4nqT1mzCIkDV2or3QI-OPz_678AFtWpCw</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Snyder, Claire F.</creator><creator>Earle, Craig C.</creator><creator>Herbert, Robert J.</creator><creator>Neville, Bridget A.</creator><creator>Blackford, Amanda L.</creator><creator>Frick, Kevin D.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080301</creationdate><title>Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors</title><author>Snyder, Claire F. ; Earle, Craig C. ; Herbert, Robert J. ; Neville, Bridget A. ; Blackford, Amanda L. ; Frick, Kevin D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-33c505ee2a44055bf05ec1608ff52c47e6b8a9336b14b4359fbae69c9826369c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - mortality</topic><topic>Colorectal Neoplasms - therapy</topic><topic>Combined Modality Therapy</topic><topic>Continuity of Patient Care - standards</topic><topic>Continuity of Patient Care - trends</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Mammography</topic><topic>Medical sciences</topic><topic>Medicare</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Neoplasm Recurrence, Local - prevention & control</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Outcome Assessment, Health Care</topic><topic>Physicians</topic><topic>Practice Patterns, Physicians</topic><topic>Prevention and actions</topic><topic>Preventive medicine</topic><topic>Primary care</topic><topic>Probability</topic><topic>Prognosis</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>SEER Program</topic><topic>Sex Factors</topic><topic>Surveillance</topic><topic>Survivors</topic><topic>Time Factors</topic><topic>Trends</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Snyder, Claire F.</creatorcontrib><creatorcontrib>Earle, Craig C.</creatorcontrib><creatorcontrib>Herbert, Robert J.</creatorcontrib><creatorcontrib>Neville, Bridget A.</creatorcontrib><creatorcontrib>Blackford, Amanda L.</creatorcontrib><creatorcontrib>Frick, Kevin D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Snyder, Claire F.</au><au>Earle, Craig C.</au><au>Herbert, Robert J.</au><au>Neville, Bridget A.</au><au>Blackford, Amanda L.</au><au>Frick, Kevin D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><stitle>J GEN INTERN MED</stitle><addtitle>J Gen Intern Med</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>23</volume><issue>3</issue><spage>254</spage><epage>259</epage><pages>254-259</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Background
As cancer patients transition from treatment to survivorship, the responsibility of primary care providers (PCPs) versus oncology specialists is unclear.
Objectives
To explore (1) physician types (PCPs versus oncology specialists) survivors visit during survivorship year 1, (2) preventive care received, (3) how preventive care receipt relates to physician types visited, and (4) trends in physician types visited and preventive care received over time.
Design
Retrospective cross-sectional study of 5 cohorts of cancer survivors in survivorship year 1.
Subjects
Twenty thousand sixty-eight survivors diagnosed with stage 1–3 colorectal cancer between 1997 and 2001.
Measurements
Using the SEER-Medicare database, we assessed the mean number of visits to different physician types, the percentage of survivors receiving preventive services, how receipt of preventive services related to physician types visited, and trends over time in physician visits and preventive care.
Results
There was a trend over time of increased visits to all physician types, which was statistically significant for oncology specialists and other physicians (
p
< .001) but not PCPs. The percentage of survivors receiving preventive services remained relatively stable across the 5 cohorts, except for an increase in bone densitometry (
p
< .05). Survivors who visited both a PCP and oncology specialist were most likely to receive each preventive care service (
p
< .05).
Conclusions
Oncology specialist follow-up in survivorship year 1 is intensifying over time. Survivors not being followed-up by both PCPs and oncology specialists were less likely to receive preventive care. Clarifying the roles of PCPs and oncology specialists during follow-up can improve the quality of care for survivors.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18197456</pmid><doi>10.1007/s11606-007-0497-5</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0884-8734 |
| ispartof | Journal of general internal medicine : JGIM, 2008-03, Vol.23 (3), p.254-259 |
| issn | 0884-8734 1525-1497 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2359475 |
| source | Springer Nature; PubMed Central |
| subjects | Age Factors Aged Aged, 80 and over Attitude of Health Personnel Biological and medical sciences Colorectal cancer Colorectal Neoplasms - diagnosis Colorectal Neoplasms - mortality Colorectal Neoplasms - therapy Combined Modality Therapy Continuity of Patient Care - standards Continuity of Patient Care - trends Cross-Sectional Studies Female Follow-Up Studies General aspects Humans Internal Medicine Male Mammography Medical sciences Medicare Medicine Medicine & Public Health Middle Aged Miscellaneous Neoplasm Recurrence, Local - epidemiology Neoplasm Recurrence, Local - prevention & control Oncology Original Original Article Outcome Assessment, Health Care Physicians Practice Patterns, Physicians Prevention and actions Preventive medicine Primary care Probability Prognosis Public health. Hygiene Public health. Hygiene-occupational medicine Registries Retrospective Studies Risk Assessment SEER Program Sex Factors Surveillance Survivors Time Factors Trends United States |
| title | Trends in Follow-up and Preventive Care for Colorectal Cancer Survivors |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T03%3A41%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Trends%20in%20Follow-up%20and%20Preventive%20Care%20for%20Colorectal%20Cancer%20Survivors&rft.jtitle=Journal%20of%20general%20internal%20medicine%20:%20JGIM&rft.au=Snyder,%20Claire%20F.&rft.date=2008-03-01&rft.volume=23&rft.issue=3&rft.spage=254&rft.epage=259&rft.pages=254-259&rft.issn=0884-8734&rft.eissn=1525-1497&rft_id=info:doi/10.1007/s11606-007-0497-5&rft_dat=%3Cproquest_pubme%3E2395250951%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c497t-33c505ee2a44055bf05ec1608ff52c47e6b8a9336b14b4359fbae69c9826369c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=875685348&rft_id=info:pmid/18197456&rfr_iscdi=true |