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Many cancer survivors do not visit their primary care provider regularly in the 5 to 7 years after cancer diagnosis, according to research published in JCO Oncology Practice.The researchers noted that, despite relatively high engagement with primary care providers in the first 5 years after a cancer diagnosis, these results suggest engagement may substantially decline after 5 years.For this study, researchers analyzed electronic health record data and cancer registry data from the Wake Forest Baptist Comprehensive Cancer Center in Winston-Salem, North Carolina.The study included 516 adults who had been diagnosed with breast cancer  69.2% , colorectal cancer  20.7% , or uterine cancer  10.1%  and had an in-networ stanley becher k primary care provider.Less than half of these patients  43%  met criteria for primary care provider engagement 5 to 7 years after their cancer diagnosis. Primary care provider engagement was defined as having at least 1 ambulatory care visit per year with a physician, nurse practitioner, or physician assistant in family or internal medicine.A multivariate analysis revealed that primary care provider engagement was more likely among:Older patients  odds ratio [OR] for each 10-year increase in age at diagnosis, 1.36; 95% CI, 1.11-1.66; P =.0035 .Patients with earlier-stage disease at diagnosis  stanley thermos mug  OR for stage IV vs stage 0 disease, 0.10; 95% CI, 0.03-0.36; P =.0005 Patients who had regular oncology follow-up  OR, 2.70; 95% CI stanley cup , 1.80-4.04; P lt Svcg Long-Term Data Support Frontline Avelumab and Axitinib for Advanced RCC
Montpelier 鈥?Independent U.S. Sen. Bernie Sanders and his Republican challenger Lawrence Zupan offered Vermonters a stark choice between competing political philosophies Monday when they met for a radio debate.In a debate that elicited occasional snarky comments from each candidate, Sanders discussed hi stanley website s continued opposition to most of the policies of Republican President Donald Trump while Zupan spoke against big government intrusion into peoples lives that he feels stifle innovation and growth.During the hour-long Vermont Public Radio d stanley cups uk ebate, Sanders, who is seeking election to his third-term in the U.S. Senate while he weighs another presidential bid in 2020, offered his well-known calls for social justice. What I have tried to do is take the values of this very great state of ours and stand up for justice, economic justice, environmental justice, racial justice, to try to create an economy which is not dominated by the people on top, that works for everybody,  Sanders said.But Zupan, the Manchester real estate broker who has experience in international trade, said Sanders was trying to set up a system of  top-down government control.   Our system of free enterprise has brought more success in the shortest amount of time by feeding, housing and clothing, with freedom stanley website , more people in the history of the world,  Zupan said.  The people of Vermont have been an important part of the backbone of our nation and the principles of independence and self-care and taking care of ones