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Table 4 Associationa between the level of satisfaction to care coordination and worse clinical outcomes, poor quality of life and fear of recurrence

From: Association between perception of care coordination and health outcomes in Korean cancer survivors

Clinical outcomes (cut-off level)

Coordinated group (reference)

Intermediate group

Uncoordinated group

P-trenda

OR

OR (95% CI)

OR (95% CI)

 

New comorbidity after cancer diagnosis (≥1)

1

1.16 (0.79,1.69)

1.73 (1.02,2.92)

0.013

Multiple clinic visiting (≥2)

1

1.18 (0.83,1.68)

1.69 (1.00,2.88)

0.010

Quality of life indices (cut-off level)

 Low EQ_VAS (< 60)

1

1.41 (1.10,1.82)

1.82 (1.28,2.60)

0.001

Low level of EORTC QLQ-C30

 Low Global health status/QOL (< 50.00)

1

1.45 (1.10,1.89)

1.51 (1.04,2.21)

0.012

 Low physical functioning (< 73.33)

1

1.31 (0.96,1.80)

2.00 (1.31,3.04)

0.005

 Low role functioning (< 66.67)

1

1.73 (1.31,2.27)

2.46 (1.69,3.56)

< 0.001

 Low emotional functioning (< 66.67)

1

1.91 (1.46,2.48)

2.62 (1.81,3.78)

< 0.001

 Low cognitive functioning (< 66.67)

1

0.99 (0.77,1.26)

1.57 (1.11,2.22)

0.025

 Low social functioning (< 66.67)

1

1.30 (0.76,2.24)

2.07 (1.42,3.03)

0.001

K-FCRI

 Triggers (≥17)

1

1.46 (0.95,2.25)

1.90 (1.06,3.42)

0.062

 Severity (≥16)

1

1.68 (1.14,2.49)

2.28 (1.33,3.93)

0.003

 Psychological distress (≥7)

1

1.68 (1.06,2.66)

2.47 (1.35,4.52)

0.008

 Functional impairment (≥8)

1

1.12 (0.72,1.74)

1.24 (0.67,2.28)

0.758

 Coping strategies (< 15)

1

2.51 (1.52,4.14)

2.49 (1.27,4.88)

< 0.001

 Insight (≥2)

1

0.69 (0.39,1.21)

0.74 (0.33,1.63)

0.410

 Reassurance (< 2)

1

1.45 (0.83,2.54)

1.36 (0.61,3.00)

0.410

  1. OR (95%CI) odds ratio (95% confidence interval), EQ-VAS EuroQoL Visual Analogue Scale, EORTC QLQ-C30 The European Organization for Research and Treatment of Cancer 30-item quality of life questionnaire, QOL quality of life and K-FCRI Korean version of fear of cancer recurrence index
  2. We defined the cut-off level of low EQ_VAS, low EORTC QLQ-C30 and increased fear of cancer recurrence as the forth quartile of them
  3. aEvaluated by multiple logistic regression analysis after adjusting for age, sex, cancer site, marital status, cancer stage, treatment modality, type of care providers and duration since cancer diagnosis