Subspecialization in oncology is growing, however varies extensively throughout most cancers sorts and areas, in keeping with a research printed on-line Aug. 12 within the Annals of Inside Medication.
Rene Karadakic, Ph.D., from the Harvard T.H. Chan College of Public Well being in Boston, and colleagues carried out a retrospective cohort research utilizing Medicare claims information from 2007 to 2021 to quantify traits in oncologist subspecialized most cancers care in the US. Subspecialization was recognized if oncologists managed greater than 80% of chemotherapy episodes inside a single most cancers class.
The researchers discovered that from 2008 to 2020, there was a rise within the proportion of episodes managed by subspecialists, from 9% to 18%, amongst 18,633 oncologists and 9.25 million chemotherapy episodes. Throughout most cancers sorts and areas, there was vast variation in utilization, with the best ranges seen in giant metropolitan areas. Over time, variations by earnings widened: In 2020, 27.6% and eight.8% of episodes had been managed by subspecialists within the highest-income and the lowest-income counties, respectively, regardless of greater most cancers mortality within the latter.
“If sufferers of subspecialists obtain extra guideline-recommended care or have higher outcomes, a essential query that requires additional investigation, then focused insurance policies could also be wanted to handle variations in utilization of subspecialized care,” the authors write.
Extra data:
René Karadakic et al, Geographic Variation within the Utilization of Most cancers Care From Subspecialized Medical Oncologists in the US, 2008 to 2020, Annals of Inside Medication (2025). DOI: 10.7326/ANNALS-25-00102
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Subspecialization in oncology more and more utilized (2025, August 12)
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