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Research ArticleOriginal Research

Growing Need for Primary Care Physicians Caring for Cancer Survivors

Imam M. Xierali and William F. Rayburn
The Journal of the American Board of Family Medicine July 2022, 35 (4) 708-715; DOI: https://doi.org/10.3122/jabfm.2022.04.210445
Imam M. Xierali
From Department of Family and Community Medicine, UT Southwestern Medical Center, Dallas, Texas (IMX); University of New Mexico School of Medicine, Albuquerque, New Mexico and Board Member, Accreditation Council for Continuing Medical Education, Chicago, Illinois (WFR).
PhD
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William F. Rayburn
From Department of Family and Community Medicine, UT Southwestern Medical Center, Dallas, Texas (IMX); University of New Mexico School of Medicine, Albuquerque, New Mexico and Board Member, Accreditation Council for Continuing Medical Education, Chicago, Illinois (WFR).
MD, MBA
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    Figure 1.

    Proportion of cancer survivors seeking health care from primary care physicians of the 33 states participating in the optional Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship module, 2016 to 2020.

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    Table 1.

    Types of Physicians Providing Care for Survivors by Cancer Type, 2016 to 2020

    Cancer Type (N; % of total)Physician SpecialtyNPercent (95% CI)
    Skin
    (14,341; 36.9%)
    Primary Care10,78373.8 (72.4–75.1)
        Family Physician6,40443.8 (42.2–45.3)
        General Internist4,37930.0 (28.6–31.4)
    Subspecialist3,24223.8 (22.4–25.1)
    Unknown3162.5 (2.0–3.0)
    Breast
    (5,402; 12.6%)
    Primary Care3,81465.4 (62.9–67.9)
        Family Physician2,29739.6 (37.1–42.2)
        General Internist1,51725.8 (23.6–27.9)
    Subspecialist1,43331.1 (28.7–33.5)
    Unknown1553.5 (2.3–4.7)
    Male Reproductive
    (3,321; 8.8%)
    Primary Care2,37065.1 (61.9–68.2)
        Family Physician1,44840.8 (37.7–43.8)
        General Internist92224.3 (21.7–26.8)
    Subspecialist86531.3 (28.2–34.4)
    Unknown863.7 (2.3–5)
    Female Reproductive
    (2,509; 7.2%)
    Primary Care1,69564.5 (61–67.9)
        Family Physician1,16746.0 (42.4–49.7)
        General Internist52818.4 (15.8–21.1)
    Subspecialist74633.2 (29.8–36.5)
    Unknown682.4 (1.4–3.4)
    Gastrointestinal
    (1,810; 5.0%)
    Primary Care1,20264.4 (59.9–68.8)
        Family Physician73437.5 (33.1–42)
        -General Internist46826.8 (22.1–31.6)
    Subspecialist54231.1 (26.8–35.4)
    Unknown664.6 (2.5–6.6)
    Head/Neck
    (1,174; 3.6%)
    Primary Care76761.8 (56.4–67.3)
        Family Physician46240.0 (34.4–45.6)
        General Internist30521.9 (17.8–25.9)
    Subspecialist36934.8 (29.5–40.2)
    Unknown*383.3 (1.3–5.4)
    Leukemia/Lymphoma
    (987; 2.9%)
    Primary Care60457.5 (50.5–64.5)
        Family Physician37234.9 (28.7–41)
        General Internist23222.6 (16.6–28.6)
    Subspecialist34839.3 (32.2–46.3)
    Unknown*353.2 (1.8–4.7)
    Urinary
    (1,101; 2.7%)
    Primary Care73560.1 (54.5–65.8)
        Family Physician44834.4 (29.2–39.7)
        General Internist28725.7 (20.7–30.7)
    Subspecialist33236.4 (30.8–42)
    Unknown*343.5 (1.5–5.5)
    Thoracic
    (644; 1.6%)
    Primary Care42964.2 (57.5–70.9)
        Family Physician28446.0 (38.4–53.7)
        General Internist14518.2 (13–23.3)
    Subspecialist18931.2 (24.8–37.7)
    Unknown*264.6 (2.3–6.8)
    Other
    (1,889; 4.8%)
    Primary Care1,20358.1 (53.8–62.3)
        Family Physician77136.8 (32.9–40.7)
        General Internist43221.3 (18–24.5)
    Subspecialist63938.4 (34.2–42.6)
    Unknown*473.5 (2.1–5)
    Unknown
    (3,559; 13.8%)
    Primary Care2,63371.4 (68.7–74)
        Family Physician1,73246.5 (43.8–49.3)
        General Internist90124.8 (22.4–27.3)
    Subspecialist74023.8 (21.2–26.3)
    Unknown1864.9 (3.8–5.9)
    Total
    (36,737; 100%)
    Primary Care26,23568.3 (67.4–69.2)
        Family Physician16,11942.3 (41.3–43.2)
        General Internist10,11626.0 (25.2–26.9)
    Subspecialist9,44528.4 (27.5–29.3)
    Unknown1,0573.3 (2.9–3.7)
    • ↵* Numerators with less than 50 cases or standard error greater than 30% considered non-reliable in this study. All percentages are weighted percentages.

    • Abbreviation: CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 35 (4)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 4
July/August 2022
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Growing Need for Primary Care Physicians Caring for Cancer Survivors
Imam M. Xierali, William F. Rayburn
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 708-715; DOI: 10.3122/jabfm.2022.04.210445

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Growing Need for Primary Care Physicians Caring for Cancer Survivors
Imam M. Xierali, William F. Rayburn
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 708-715; DOI: 10.3122/jabfm.2022.04.210445
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