Subspecialization in oncology is growing, however varies broadly throughout most cancers varieties and areas, in accordance with a research revealed on-line Aug. 12 within the Annals of Inner Drugs.
Rene Karadakic, Ph.D., from the Harvard T.H. Chan College of Public Well being in Boston, and colleagues performed 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 varieties and areas, there was vast variation in utilization, with the best ranges seen in massive metropolitan areas. Over time, variations by revenue widened: In 2020, 27.6% and eight.8% of episodes have been managed by subspecialists within the highest-income and the lowest-income counties, respectively, regardless of increased most cancers mortality within the latter.
“If patients of subspecialists receive more guideline-recommended care or have better outcomes, a critical question that requires further investigation, then targeted policies may be needed to address differences in utilization of subspecialized care,” the authors write.
Extra info:
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 Inner Drugs (2025). DOI: 10.7326/ANNALS-25-00102
Quotation:
Subspecialization in oncology more and more utilized (2025, August 12)
retrieved 12 August 2025
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