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Patient driven care in the management of prostate cancer: analysis of the United States military healthcare system

Overview of attention for article published in BMC Urology, July 2017
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  • Above-average Attention Score compared to outputs of the same age and source (52nd percentile)

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Title
Patient driven care in the management of prostate cancer: analysis of the United States military healthcare system
Published in
BMC Urology, July 2017
DOI 10.1186/s12894-017-0247-x
Pubmed ID
Authors

Muhammad Ali Chaudhary, Jeffrey J. Leow, Matthew Mossanen, Ritam Chowdhury, Wei Jiang, Peter A. Learn, Joel S. Weissman, Steven L. Chang

Abstract

Patient preferences are assumed to impact healthcare resource utilization, especially treatment options. There is limited data exploring this phenomenon. We sought to identify factors associated with patients transferring care for prostatectomy, from military to civilian facilities, and the receipt of minimally invasive radical prostatectomy (MIRP). Retrospective review of 2006-2010 TRICARE data identified men diagnosed with prostate cancer (ICD-9 185) receiving open radical prostatectomy (ORP; ICD-9: 60.5) or MIRP (ICD-9 60.5 + 54.21/17.42). Patients diagnosed at military facilities but underwent surgery at civilian facilities were defined as "transferring care". Logistic regression models identified predictors of transferring care for patients diagnosed at military facilities. A secondary analysis identified the predictors of MIRP receipt at civilian facilities. Of 1420 patients, 247 (17.4%) transferred care. These patients were more likely to undergo MIRP (OR = 7.83, p < 0.01), and get diagnosed at low-volume military facilities (OR = 6.10, p < 0.01). Our secondary analysis demonstrated that transferring care was strongly associated with undergoing MIRP (OR = 1.51, p = 0.04). Patient preferences induced a demand for greater utilization of MIRP and civilian facilities. Further work exploring factors driving these preferences and interventions tailoring them, based on evidence and cost considerations, is required.

X Demographics

X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 31 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 31 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 16%
Student > Master 4 13%
Student > Ph. D. Student 3 10%
Professor > Associate Professor 3 10%
Student > Bachelor 2 6%
Other 9 29%
Unknown 5 16%
Readers by discipline Count As %
Nursing and Health Professions 6 19%
Social Sciences 4 13%
Medicine and Dentistry 3 10%
Computer Science 2 6%
Linguistics 1 3%
Other 5 16%
Unknown 10 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 August 2017.
All research outputs
#13,561,653
of 22,988,380 outputs
Outputs from BMC Urology
#323
of 754 outputs
Outputs of similar age
#158,874
of 312,555 outputs
Outputs of similar age from BMC Urology
#7
of 17 outputs
Altmetric has tracked 22,988,380 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 754 research outputs from this source. They receive a mean Attention Score of 5.0. This one has gotten more attention than average, scoring higher than 55% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 312,555 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.