{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T08:09:13Z","timestamp":1789027753683,"version":"build-2803163510"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100004802","name":"California Breast Cancer Research Program","doi-asserted-by":"publisher","award":["B31AB9929"],"award-info":[{"award-number":["B31AB9929"]}],"id":[{"id":"10.13039\/100004802","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013015","name":"Cedars-Sinai Medical Center","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100013015","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cancer Causes Control"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Despite the potential for primary care to optimize comorbidity management among breast cancer survivors, engagement with primary care providers (PCPs) remains low. This study comprehensively examined PCP-led care after breast cancer treatment to identify survivors who may benefit from targeted interventions to improve primary care engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified 1,582 posttreatment breast cancer survivors from the U.S. Behavioral Risk Factor Surveillance System survey. Weighted multivariable-adjusted logistic regression models were used to examine associations of sociodemographic, lifestyle, clinical, and survivorship-related factors with PCP-led care after cancer treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 72% of survivors reported receiving PCP-led follow-up (64% among those aged\u2009&lt;\u200965\u00a0years; 75% among those aged\u2009\u2265\u200965\u00a0years), with survivors aged\u2009&lt;\u200965\u00a0years having significantly lower odds of PCP-led care than those aged \u226565\u2009\u2009years (OR:\u00a00.63, 95% CI: 0.41\u20130.98). Racial and ethnic differences were also evident with lower odds of receiving primary care among Non-Hispanic (NH)-Black and NH-Asian survivors compared with NH-White survivors (OR:\u00a00.49, 95% CI: 0.24\u20130.97; OR:\u00a00.33, 95% CI: 0.11\u20130.97, respectively), with particularly lower odds among younger Hispanic survivors (OR:\u00a00.13, 95% CI: 0.03\u20130.49). Geographic variation across regions was also observed (South OR: 0.42, 95% CI: 0.25\u20130.72; West OR:\u00a00.60, 95% CI: 0.37\u20130.96, compared with Midwest). Survivors with a history of myocardial infarction further had lower odds of PCP-led care (OR:\u00a00.40, 95% CI: 0.20\u20130.80).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Gaps in PCP-led care after breast cancer treatment underscore the importance of improving access and support for PCP-led engagement throughout survivorship. Future studies are needed to examine barriers to PCP-led care among younger survivors, NH-Black and NH-Asian survivors, and\u00a0those with heart disease, and to characterize region-specific differences in PCP-led care across the U.S.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10552-026-02230-4","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:52:39Z","timestamp":1787136759000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing primary care in breast cancer survivors after completion of cancer therapy"],"prefix":"10.1007","volume":"37","author":[{"given":"Kendall","family":"Kay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yancen","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa N","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yelba","family":"Castellon-Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng-Han","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geetanjali D","family":"Datta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Henry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-2840","authenticated-orcid":false,"given":"Cody","family":"Ramin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"2230_CR1","doi-asserted-by":"publisher","first-page":"308","DOI":"10.3322\/caac.70011","volume":"75","author":"NS Wagle","year":"2025","unstructured":"Wagle NS, Nogueira L, Devasia TP et al (2025) Cancer treatment and survivorship statistics, 2025. CA Cancer J Clin 75:308\u2013340. https:\/\/doi.org\/10.3322\/caac.70011","journal-title":"CA Cancer J Clin"},{"key":"2230_CR2","doi-asserted-by":"publisher","first-page":"dju335","DOI":"10.1093\/jnci\/dju335","volume":"107","author":"L Fallowfield","year":"2015","unstructured":"Fallowfield L, Jenkins V (2015) Psychosocial\/survivorship issues in breast cancer: are we doing better? J Natl Cancer Inst 107:dju335. https:\/\/doi.org\/10.1093\/jnci\/dju335","journal-title":"J Natl Cancer Inst"},{"key":"2230_CR3","doi-asserted-by":"publisher","first-page":"1537","DOI":"10.1016\/S0140-6736(22)00242-2","volume":"399","author":"J Emery","year":"2022","unstructured":"Emery J, Butow P, Lai-Kwon J et al (2022) Management of common clinical problems experienced by survivors of cancer. Lancet 399:1537\u20131550. https:\/\/doi.org\/10.1016\/S0140-6736(22)00242-2","journal-title":"Lancet"},{"key":"2230_CR4","doi-asserted-by":"publisher","first-page":"1635","DOI":"10.1200\/jco.21.01738","volume":"40","author":"ML Kwan","year":"2022","unstructured":"Kwan ML, Cheng RK, Iribarren C et al (2022) Risk of cardiometabolic risk factors in women with and without a history of breast cancer: the pathways heart study. J Clin Oncol 40:1635\u20131646. https:\/\/doi.org\/10.1200\/jco.21.01738","journal-title":"J Clin Oncol"},{"key":"2230_CR5","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1093\/jnci\/djaa096","volume":"113","author":"C Ramin","year":"2021","unstructured":"Ramin C, Schaeffer ML, Zheng Z et al (2021) All-cause and cardiovascular disease mortality among breast cancer survivors in CLUE II, a long-standing community-based cohort. J Natl Cancer Inst 113:137\u2013145. https:\/\/doi.org\/10.1093\/jnci\/djaa096","journal-title":"J Natl Cancer Inst"},{"issue":"8","key":"2230_CR6","doi-asserted-by":"publisher","first-page":"1384","DOI":"10.1093\/jnci\/djae107","volume":"116","author":"JB Vo","year":"2024","unstructured":"Vo JB, Ramin C, Veiga LHS et al (2024) Long-term cardiovascular disease risk after anthracycline and trastuzumab treatments in U.S. breast cancer survivors. J Natl Cancer Inst. https:\/\/doi.org\/10.1093\/jnci\/djae107","journal-title":"J Natl Cancer Inst"},{"key":"2230_CR7","volume-title":"From cancer patient to cancer survivor: lost in transition","author":"Institute of Medicine, National Research Council","year":"2006","unstructured":"Institute of Medicine, National Research Council (2006) From cancer patient to cancer survivor: lost in transition. The National Academies Press, Washington, DC"},{"key":"2230_CR8","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1007\/s13187-013-0469-x","volume":"28","author":"SA Birken","year":"2013","unstructured":"Birken SA, Mayer DK, Weiner BJ (2013) Survivorship care plans: prevalence and barriers to use. J Cancer Educ 28:290\u2013296. https:\/\/doi.org\/10.1007\/s13187-013-0469-x","journal-title":"J Cancer Educ"},{"key":"2230_CR9","volume-title":"Optimal resources for cancer care: 2020 standards","author":"American College of Surgeons Commission on Cancer (CoC)","year":"2020","unstructured":"American College of Surgeons Commission on Cancer (CoC) (2020) Optimal resources for cancer care: 2020 standards. American College of Surgeons, Chicago, IL"},{"key":"2230_CR10","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1200\/JOP.19.00801","volume":"16","author":"AH Blaes","year":"2020","unstructured":"Blaes AH, Adamson PC, Foxhall L, Bhatia S (2020) Survivorship care plans and the Commission on Cancer standards: the increasing need for better strategies to improve outcomes for cancer survivors. JCO Oncol Pract 16:447\u2013450. https:\/\/doi.org\/10.1200\/JOP.19.00801","journal-title":"JCO Oncol Pract"},{"key":"2230_CR11","doi-asserted-by":"publisher","first-page":"2088","DOI":"10.1200\/JCO.2018.77.7482","volume":"36","author":"PB Jacobsen","year":"2018","unstructured":"Jacobsen PB, DeRosa AP, Henderson TO et al (2018) Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol 36:2088\u20132100. https:\/\/doi.org\/10.1200\/JCO.2018.77.7482","journal-title":"J Clin Oncol"},{"key":"2230_CR12","doi-asserted-by":"publisher","unstructured":"Birken SA, Peluso AG, Shalowitz DI et al (2024) Primary care provider visits among cancer survivors 5\u20137 years postdiagnosis. JCO Oncol Pract. https:\/\/doi.org\/10.1200\/OP.23.00699","DOI":"10.1200\/OP.23.00699"},{"key":"2230_CR13","doi-asserted-by":"publisher","unstructured":"Radhakrishnan A, Furgal AKC, Hamilton AS et al (2024) Oncology and primary care involvement in breast cancer survivorship care more than 5 years after initial treatment. JCO Oncol Pract. https:\/\/doi.org\/10.1200\/OP-24-00620","DOI":"10.1200\/OP-24-00620"},{"key":"2230_CR14","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.70181","volume":"131","author":"MA Mullins","year":"2025","unstructured":"Mullins MA, Wang T, Furgal A et al (2025) Changes in patient-reported primary care engagement in and communication about survivorship care from initial breast cancer treatment to longer-term survivorship. Cancer 131:e70181. https:\/\/doi.org\/10.1002\/cncr.70181","journal-title":"Cancer"},{"key":"2230_CR15","doi-asserted-by":"publisher","first-page":"1327","DOI":"10.1007\/s11764-022-01177-0","volume":"17","author":"DJ Attai","year":"2023","unstructured":"Attai DJ, Katz MS, Streja E et al (2023) Patient preferences and comfort for cancer survivorship models of care: results of an online survey. J Cancer Surviv 17:1327\u20131337. https:\/\/doi.org\/10.1007\/s11764-022-01177-0","journal-title":"J Cancer Surviv"},{"key":"2230_CR16","doi-asserted-by":"publisher","first-page":"2942","DOI":"10.1200\/JCO.2017.73.1307","volume":"35","author":"LP Wallner","year":"2017","unstructured":"Wallner LP, Li Y, Furgal AKC et al (2017) Patient preferences for primary care provider roles in breast cancer survivorship care. J Clin Oncol 35:2942\u20132948. https:\/\/doi.org\/10.1200\/JCO.2017.73.1307","journal-title":"J Clin Oncol"},{"key":"2230_CR17","doi-asserted-by":"publisher","first-page":"1712","DOI":"10.1002\/cncr.20560","volume":"101","author":"CC Earle","year":"2004","unstructured":"Earle CC, Neville BA (2004) Under use of necessary care among cancer survivors. Cancer 101:1712\u20131719. https:\/\/doi.org\/10.1002\/cncr.20560","journal-title":"Cancer"},{"key":"2230_CR18","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1007\/s11764-021-01128-1","volume":"17","author":"RJ Chan","year":"2023","unstructured":"Chan RJ, Crawford-Williams F, Crichton M et al (2023) Effectiveness and implementation of models of cancer survivorship care: an overview of systematic reviews. J Cancer Surviv 17:197\u2013221. https:\/\/doi.org\/10.1007\/s11764-021-01128-1","journal-title":"J Cancer Surviv"},{"key":"2230_CR19","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1007\/s11764-020-00911-w","volume":"15","author":"JAM Vos","year":"2021","unstructured":"Vos JAM, Wieldraaijer T, van Weert HCPM, van Asselt KM (2021) Survivorship care for cancer patients in primary versus secondary care: a systematic review. J Cancer Surviv 15:66\u201376. https:\/\/doi.org\/10.1007\/s11764-020-00911-w","journal-title":"J Cancer Surviv"},{"key":"2230_CR20","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1007\/s11764-024-01602-6","volume":"18","author":"MA Mollica","year":"2024","unstructured":"Mollica MA, McWhirter G, Tonorezos E et al (2024) Developing national cancer survivorship standards to inform quality of care in the United States using a consensus approach. J Cancer Surviv 18:1190\u20131199. https:\/\/doi.org\/10.1007\/s11764-024-01602-6","journal-title":"J Cancer Surviv"},{"key":"2230_CR21","doi-asserted-by":"publisher","first-page":"1775","DOI":"10.1007\/s11764-024-01623-1","volume":"19","author":"E Tonorezos","year":"2025","unstructured":"Tonorezos E, Mollica M, Tesauro G et al (2025) Primary care for cancer survivors: a review of national institutes of health-funded grants 2017\u20132022. J Cancer Surviv 19:1775\u20131780. https:\/\/doi.org\/10.1007\/s11764-024-01623-1","journal-title":"J Cancer Surviv"},{"key":"2230_CR22","doi-asserted-by":"publisher","first-page":"2669","DOI":"10.1007\/s00520-015-2629-5","volume":"23","author":"KP Wiseman","year":"2015","unstructured":"Wiseman KP, Bishop DL, Shen Q, Jones RM (2015) Survivorship care plans and time since diagnosis: factors that contribute to who breast cancer survivors see for the majority of their care. Support Care Cancer 23:2669\u20132676. https:\/\/doi.org\/10.1007\/s00520-015-2629-5","journal-title":"Support Care Cancer"},{"key":"2230_CR23","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s10549-014-2851-8","volume":"144","author":"CR Friese","year":"2014","unstructured":"Friese CR, Martinez KA, Abrahamse P et al (2014) Providers of follow-up care in a population-based sample of breast cancer survivors. Breast Cancer Res Treat 144:179\u2013184. https:\/\/doi.org\/10.1007\/s10549-014-2851-8","journal-title":"Breast Cancer Res Treat"},{"key":"2230_CR24","doi-asserted-by":"publisher","first-page":"5284","DOI":"10.1002\/cncr.24624","volume":"115","author":"LA Pollack","year":"2009","unstructured":"Pollack LA, Adamache W, Ryerson AB et al (2009) Care of long-term cancer survivors. Cancer 115:5284\u20135295. https:\/\/doi.org\/10.1002\/cncr.24624","journal-title":"Cancer"},{"key":"2230_CR25","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1200\/JCO.2005.02.2681","volume":"24","author":"JS Mandelblatt","year":"2006","unstructured":"Mandelblatt JS, Lawrence WF, Cullen J et al (2006) Patterns of care in early-stage breast cancer survivors in the first year after cessation of active treatment. J Clin Oncol 24:77\u201384. https:\/\/doi.org\/10.1200\/JCO.2005.02.2681","journal-title":"J Clin Oncol"},{"key":"2230_CR26","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1200\/JOP.200009","volume":"6","author":"E Grunfeld","year":"2010","unstructured":"Grunfeld E, Hodgson DC, Del Giudice ME, Moineddin R (2010) Population-based longitudinal study of follow-up care for breast cancer survivors. J Oncol Pract 6:174\u2013181. https:\/\/doi.org\/10.1200\/JOP.200009","journal-title":"J Oncol Pract"},{"key":"2230_CR27","unstructured":"US Centers for Disease Control and Prevention (CDC). BRFSS survey data and documentation. Accessed July 20, 2026 at https:\/\/www.cdc.gov\/brfss\/data_documentation\/index.htm"},{"key":"2230_CR28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004083","volume":"19","author":"R Aggarwal","year":"2022","unstructured":"Aggarwal R, Yeh RW, Dahabreh IJ et al (2022) Medicare eligibility and healthcare access, affordability, and financial strain for low- and higher-income adults in the United States: a regression discontinuity analysis. PLoS Med 19:e1004083. https:\/\/doi.org\/10.1371\/journal.pmed.1004083","journal-title":"PLoS Med"},{"key":"2230_CR29","unstructured":"United States Census Bureau (2021) geographic levels. United States (U.S.) Census Bureau, Washington, DC. Accessed July 20, 2026 at https:\/\/www.census.gov\/programs-surveys\/acs\/geography-acs\/geography-boundaries-by-year\/2021.html"},{"key":"2230_CR30","unstructured":"Institute of Medicine (US) and National Research Council (US) National Cancer Policy Board (2003). Fulfilling the potential of cancer prevention and early detection. Curry SJ, Byers T, Hewitt M, editors. National Academies Press, Washington, DC"},{"key":"2230_CR31","doi-asserted-by":"publisher","first-page":"92","DOI":"10.3322\/canjclin.52.2.92","volume":"52","author":"T Byers","year":"2002","unstructured":"Byers T, Nestle M, McTiernan A et al (2002) American Cancer Society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 52:92\u2013119. https:\/\/doi.org\/10.3322\/canjclin.52.2.92","journal-title":"CA Cancer J Clin"},{"key":"2230_CR32","doi-asserted-by":"publisher","first-page":"245","DOI":"10.3322\/caac.21591","volume":"70","author":"CL Rock","year":"2020","unstructured":"Rock CL, Thomson C, Gansler T et al (2020) American Cancer Society guideline for diet and physical activity for cancer prevention. CA Cancer J Clin 70:245\u2013271. https:\/\/doi.org\/10.3322\/caac.21591","journal-title":"CA Cancer J Clin"},{"key":"2230_CR33","first-page":"37","volume":"87","author":"Y He","year":"2023","unstructured":"He Y, Zhang G (2023) Multiple imputation of missing complex survey data using SAS\u00ae: a brief overview and an example based on the research and development survey. Surv Stat 87:37\u201347","journal-title":"Surv Stat"},{"key":"2230_CR34","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0292256","volume":"19","author":"A Habineza","year":"2024","unstructured":"Habineza A, Otieno RO, Orwa GO, Makumi N (2024) On bootstrap based variance estimation under fine stratification. PLoS ONE 19:e0292256. https:\/\/doi.org\/10.1371\/journal.pone.0292256","journal-title":"PLoS ONE"},{"key":"2230_CR35","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1007\/s11606-007-0497-5","volume":"23","author":"CF Snyder","year":"2008","unstructured":"Snyder CF, Earle CC, Herbert RJ et al (2008) Trends in follow-up and preventive care for colorectal cancer survivors. J Gen Intern Med 23:254\u2013259. https:\/\/doi.org\/10.1007\/s11606-007-0497-5","journal-title":"J Gen Intern Med"},{"key":"2230_CR36","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1002\/cncr.33913","volume":"128","author":"L Nekhlyudov","year":"2022","unstructured":"Nekhlyudov L, Campbell GB, Schmitz KH et al (2022) Cancer-related impairments and functional limitations among long-term cancer survivors: gaps and opportunities for clinical practice. Cancer 128:222\u2013229. https:\/\/doi.org\/10.1002\/cncr.33913","journal-title":"Cancer"},{"key":"2230_CR37","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1002\/ijc.34152","volume":"151","author":"ME Schmidt","year":"2022","unstructured":"Schmidt ME, Goldschmidt S, Hermann S, Steindorf K (2022) Late effects, long-term problems and unmet needs of cancer survivors. Int J Cancer 151:1280\u20131290. https:\/\/doi.org\/10.1002\/ijc.34152","journal-title":"Int J Cancer"},{"key":"2230_CR38","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1007\/s10552-025-01968-7","volume":"36","author":"RD Kehm","year":"2025","unstructured":"Kehm RD, Daaboul JM, Tehranifar P, Terry MB (2025) Geographic differences in early-onset breast cancer incidence trends in the USA, 2001\u20132020, is it time for a geographic risk score? Cancer Causes Control 36:707\u2013717. https:\/\/doi.org\/10.1007\/s10552-025-01968-7","journal-title":"Cancer Causes Control"},{"key":"2230_CR39","doi-asserted-by":"publisher","first-page":"961","DOI":"10.1200\/JCO.2012.45.9859","volume":"31","author":"JL Khatcheressian","year":"2013","unstructured":"Khatcheressian JL, Hurley P, Bantug E et al (2013) Breast cancer follow-up and management after primary treatment: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol 31:961\u2013965. https:\/\/doi.org\/10.1200\/JCO.2012.45.9859","journal-title":"J Clin Oncol"},{"key":"2230_CR40","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1007\/s10549-018-4699-9","volume":"169","author":"ML Shoemaker","year":"2018","unstructured":"Shoemaker ML, White MC, Wu M et al (2018) Differences in breast cancer incidence among young women aged 20\u201349 years by stage and tumor characteristics, age, race, and ethnicity, 2004\u20132013. Breast Cancer Res Treat 169:595\u2013606. https:\/\/doi.org\/10.1007\/s10549-018-4699-9","journal-title":"Breast Cancer Res Treat"},{"key":"2230_CR41","doi-asserted-by":"publisher","first-page":"951","DOI":"10.6004\/jnccn.2023.7037","volume":"21","author":"DW Chen","year":"2023","unstructured":"Chen DW, Banerjee M, He X et al (2023) Hidden disparities: how language influences patients\u2019 access to cancer care. J Natl Compr Canc Netw 21:951-959.e1. https:\/\/doi.org\/10.6004\/jnccn.2023.7037","journal-title":"J Natl Compr Canc Netw"},{"key":"2230_CR42","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1007\/s10900-011-9516-x","volume":"37","author":"S Thorburn","year":"2012","unstructured":"Thorburn S, Kue J, Keon KL, Lo P (2012) Medical mistrust and discrimination in health care: a qualitative study of Hmong women and men. J Community Health 37:822\u2013829. https:\/\/doi.org\/10.1007\/s10900-011-9516-x","journal-title":"J Community Health"},{"key":"2230_CR43","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1007\/s11764-012-0262-6","volume":"7","author":"ME L\u00f3pez","year":"2013","unstructured":"L\u00f3pez ME, Kaplan CP, N\u00e1poles AM et al (2013) Ductal carcinoma in situ (DCIS): posttreatment follow-up care among Latina and non-Latina White women. J Cancer Surviv 7:219\u2013226. https:\/\/doi.org\/10.1007\/s11764-012-0262-6","journal-title":"J Cancer Surviv"},{"key":"2230_CR44","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18137024","volume":"18","author":"E Ko","year":"2021","unstructured":"Ko E, Cardenas V, Z\u00fa\u00f1iga ML et al (2021) Challenges for Latina breast cancer patient survivorship care in a rural US\u2013Mexico border region. Int J Environ Res Public Health 18:7024. https:\/\/doi.org\/10.3390\/ijerph18137024","journal-title":"Int J Environ Res Public Health"},{"key":"2230_CR45","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1007\/s11524-016-0054-9","volume":"93","author":"MJ Arnett","year":"2016","unstructured":"Arnett MJ, Thorpe RJ, Gaskin DJ et al (2016) Race, medical mistrust, and segregation in primary care as usual source of care: findings from the exploring health disparities in integrated communities study. J Urban Health 93:456\u2013467. https:\/\/doi.org\/10.1007\/s11524-016-0054-9","journal-title":"J Urban Health"},{"key":"2230_CR46","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1080\/14737140.2024.2398490","volume":"24","author":"DM Kim","year":"2024","unstructured":"Kim DM, Freedland SJ, Gong J (2024) Nature and nurture: addressable causes of disparities in prostate cancer care and survivorship in Black men. Expert Rev Anticancer Ther 24:921\u2013924. https:\/\/doi.org\/10.1080\/14737140.2024.2398490","journal-title":"Expert Rev Anticancer Ther"},{"key":"2230_CR47","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/s12939-025-02401-w","volume":"24","author":"AM Chen","year":"2025","unstructured":"Chen AM (2025) Barriers to health equity in the United States of America: can they be overcome? Int J Equity Health 24:39. https:\/\/doi.org\/10.1186\/s12939-025-02401-w","journal-title":"Int J Equity Health"},{"key":"2230_CR48","unstructured":"Kerns-D\u2019Amore K, McKenzie B, Locklear LS (2023). Migration in the United States: 2006 to 2019. Accessed July 20, 2026 at https:\/\/www.census.gov\/library\/publications\/2023\/acs\/acs-53.html"},{"key":"2230_CR49","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-025-01787-7","author":"M Arsenault","year":"2025","unstructured":"Arsenault M, C\u00f4t\u00e9 D (2025) Immigrant and mistrust in the healthcare setting: a thematic review. J Immigr Minor Health. https:\/\/doi.org\/10.1007\/s10903-025-01787-7","journal-title":"J Immigr Minor Health"},{"key":"2230_CR50","doi-asserted-by":"publisher","first-page":"2","DOI":"10.22605\/RRH7769","volume":"23","author":"A Maganty","year":"2023","unstructured":"Maganty A, Byrnes ME, Hamm M et al (2023) Barriers to rural health care from the provider perspective. Rural Remote Health 23:2. https:\/\/doi.org\/10.22605\/RRH7769","journal-title":"Rural Remote Health"},{"key":"2230_CR51","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1001\/jama.287.1.108-JMS0102-2-1","volume":"287","author":"J van Dis","year":"2002","unstructured":"van Dis J (2002) Where we live: health care in rural vs urban America. JAMA 287:108. https:\/\/doi.org\/10.1001\/jama.287.1.108-JMS0102-2-1","journal-title":"JAMA"},{"key":"2230_CR52","doi-asserted-by":"publisher","DOI":"10.2196\/29575","volume":"23","author":"M Butzner","year":"2021","unstructured":"Butzner M, Cuffee Y (2021) Telehealth interventions and outcomes across rural communities in the United States: narrative review. J Med Internet Res 23:e29575. https:\/\/doi.org\/10.2196\/29575","journal-title":"J Med Internet Res"},{"key":"2230_CR53","doi-asserted-by":"publisher","first-page":"e30","DOI":"10.1161\/CIR.0000000000000556","volume":"137","author":"LS Mehta","year":"2018","unstructured":"Mehta LS, Watson KE, Barac A et al (2018) Cardiovascular disease and breast cancer: where these entities intersect: a scientific statement from the American Heart Association. Circulation 137:e30\u2013e66. https:\/\/doi.org\/10.1161\/CIR.0000000000000556","journal-title":"Circulation"},{"key":"2230_CR54","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.mayocp.2024.08.014","volume":"100","author":"RD Kidane","year":"2025","unstructured":"Kidane RD, Ruddy KJ, Lin G, Sandhu NP (2025) Cardiovascular health considerations for primary care physicians treating breast cancer survivors. Mayo Clin Proc 100:124\u2013140. https:\/\/doi.org\/10.1016\/j.mayocp.2024.08.014","journal-title":"Mayo Clin Proc"},{"key":"2230_CR55","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1161\/ATVBAHA.124.319863","volume":"45","author":"AAC Newman","year":"2025","unstructured":"Newman AAC, Dalman JM, Moore KJ (2025) Cardiovascular disease and cancer: a dangerous liaison. Arterioscler Thromb Vasc Biol 45:359\u2013371. https:\/\/doi.org\/10.1161\/ATVBAHA.124.319863","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"2230_CR56","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1161\/CIRCULATIONAHA.112.000737","volume":"127","author":"A Czarnecki","year":"2013","unstructured":"Czarnecki A, Chong A, Lee DS et al (2013) Association between physician follow-up and outcomes of care after chest pain assessment in high-risk patients. Circulation 127:1386\u20131394. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.112.000737","journal-title":"Circulation"},{"key":"2230_CR57","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.cct.2015.07.008","volume":"45","author":"LM Nicholson","year":"2015","unstructured":"Nicholson LM, Schwirian PM, Groner JA (2015) Recruitment and retention strategies in clinical studies with low-income and minority populations: progress from 2004\u20132014. Contemp Clin Trials 45:34\u201340. https:\/\/doi.org\/10.1016\/j.cct.2015.07.008","journal-title":"Contemp Clin Trials"},{"key":"2230_CR58","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1200\/JOP.777005","volume":"6","author":"D Debono","year":"2010","unstructured":"Debono D (2010) Coping with the oncology workforce shortage: transitioning oncology follow-up care to primary care providers. J Oncol Pract 6:203\u2013205. https:\/\/doi.org\/10.1200\/JOP.777005","journal-title":"J Oncol Pract"}],"container-title":["Cancer Causes &amp; Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10552-026-02230-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10552-026-02230-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10552-026-02230-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:49:08Z","timestamp":1789026548000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10552-026-02230-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":58,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["2230"],"URL":"https:\/\/doi.org\/10.1007\/s10552-026-02230-4","relation":{},"ISSN":["0957-5243","1573-7225"],"issn-type":[{"value":"0957-5243","type":"print"},{"value":"1573-7225","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"assertion":[{"value":"24 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study used deidentified, publicly available data and was determined by the Cedars-Sinai Medical Center Institutional Review Board to be exempt from IRB review and informed consent requirements.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"146"}}