Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

Abstract The majority of lung cancer patients are diagnosed with an advanced stage IV, which has short survival time. Many lung cancer patients have comorbidities, which influence treatment and patients’ quality of life. The aim of the study is to describe comorbidities in incident lung cancer patie...

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Autores principales:	Jasmin Bossert, Marion Ludwig, Pamela Wronski, Jan Koetsenruijter, Katja Krug, Matthias Villalobos, Josephine Jacob, Jochen Walker, Michael Thomas, Michel Wensing
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/2cc22d0825c941afb7c1dafab07427b4
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spelling	oai:doaj.org-article:2cc22d0825c941afb7c1dafab07427b42021-12-02T13:24:25ZLung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study10.1038/s41533-020-00214-82055-1010https://doaj.org/article/2cc22d0825c941afb7c1dafab07427b42021-01-01T00:00:00Zhttps://doi.org/10.1038/s41533-020-00214-8https://doaj.org/toc/2055-1010Abstract The majority of lung cancer patients are diagnosed with an advanced stage IV, which has short survival time. Many lung cancer patients have comorbidities, which influence treatment and patients’ quality of life. The aim of the study is to describe comorbidities in incident lung cancer patients and explore their attendance of ambulatory care physicians in Germany. In the observed period, 13,111 persons were first diagnosed with lung cancer (1-year incidence of 36.4 per 100,000). The mean number of comorbidities over 4 quarters was 30.77 ± 13.18; mean Charlson Comorbidity Index was 6.66 ± 2.24. In Germany, ambulatory care physicians most attended were general practitioners (2.6 quarters with contact within 4 quarters). Lung cancer was diagnosed by a general practitioner in 38% of the 13,111 incident patients. The average number of ambulatory care physician contacts over 4 quarters was 35.82 ± 27.31. High numbers of comorbidities and contacts in ambulatory care are common in patients with lung cancer. Therefore, a cross-sectoral and interdisciplinary approach is required for effective, patient-centred care. This was a 5-year cross-sectoral study, based on the InGef research database, which covers anonymized health insurance data of 7.2 million individuals in Germany. Incident lung cancer patients in a 5-year period (2013–2017) were identified. Descriptive statistics were calculated for sociodemographic characteristics, comorbidities, and attendance of ambulatory care physicians.Jasmin BossertMarion LudwigPamela WronskiJan KoetsenruijterKatja KrugMatthias VillalobosJosephine JacobJochen WalkerMichael ThomasMichel WensingNature PortfolioarticleDiseases of the respiratory systemRC705-779ENnpj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Jasmin Bossert Marion Ludwig Pamela Wronski Jan Koetsenruijter Katja Krug Matthias Villalobos Josephine Jacob Jochen Walker Michael Thomas Michel Wensing Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
description	Abstract The majority of lung cancer patients are diagnosed with an advanced stage IV, which has short survival time. Many lung cancer patients have comorbidities, which influence treatment and patients’ quality of life. The aim of the study is to describe comorbidities in incident lung cancer patients and explore their attendance of ambulatory care physicians in Germany. In the observed period, 13,111 persons were first diagnosed with lung cancer (1-year incidence of 36.4 per 100,000). The mean number of comorbidities over 4 quarters was 30.77 ± 13.18; mean Charlson Comorbidity Index was 6.66 ± 2.24. In Germany, ambulatory care physicians most attended were general practitioners (2.6 quarters with contact within 4 quarters). Lung cancer was diagnosed by a general practitioner in 38% of the 13,111 incident patients. The average number of ambulatory care physician contacts over 4 quarters was 35.82 ± 27.31. High numbers of comorbidities and contacts in ambulatory care are common in patients with lung cancer. Therefore, a cross-sectoral and interdisciplinary approach is required for effective, patient-centred care. This was a 5-year cross-sectoral study, based on the InGef research database, which covers anonymized health insurance data of 7.2 million individuals in Germany. Incident lung cancer patients in a 5-year period (2013–2017) were identified. Descriptive statistics were calculated for sociodemographic characteristics, comorbidities, and attendance of ambulatory care physicians.
format	article
author	Jasmin Bossert Marion Ludwig Pamela Wronski Jan Koetsenruijter Katja Krug Matthias Villalobos Josephine Jacob Jochen Walker Michael Thomas Michel Wensing
author_facet	Jasmin Bossert Marion Ludwig Pamela Wronski Jan Koetsenruijter Katja Krug Matthias Villalobos Josephine Jacob Jochen Walker Michael Thomas Michel Wensing
author_sort	Jasmin Bossert
title	Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
title_short	Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
title_full	Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
title_fullStr	Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
title_full_unstemmed	Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study
title_sort	lung cancer patients’ comorbidities and attendance of german ambulatory physicians in a 5-year cross-sectional study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2cc22d0825c941afb7c1dafab07427b4
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Lung cancer patients’ comorbidities and attendance of German ambulatory physicians in a 5-year cross-sectional study

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