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Impact of Survivorship Care Plans and Planning on Breast, Colon, and Prostate Cancer Survivors in a Community Oncology Practice

  • Alexandra Hua
  • Mary E. Sesto
  • Xiao Zhang
  • Timothy R. Wassenaar
  • Amye J. Tevaarwerk
Article
  • 31 Downloads

Abstract

With a growing number of cancer survivors, survivorship care plans (SCPs) are recommended to communicate information about late effects of treatment and follow-up care. Community oncology practices follow 85% of adult cancer survivors but report more difficulty in providing SCPs compared to academic centers. Our objective was to evaluate the impact of delivering SCPs in a community oncology practice by examining awareness of SCP receipt as well as how provision affects survivors’ perception of care quality and of their condition. Survivors who accepted a SCP as standard of care were recruited from a community oncology practice in the Midwest and completed surveys prior to SCP provision (baseline) and 4 weeks later (follow-up). Within-survivor changes in knowledge of SCP receipt, satisfaction and perceived care coordination were assessed. Thirty cancer survivors (breast, colon, and prostate) completed the baseline survey, while 24 completed the follow-up survey (80% response rate). Participants reported receiving SCPs and treatment summaries more frequently at follow-up after receiving a SCP. At follow-up, there was a significant increase in survivor activation and involvement in care along with satisfaction of knowledge of care. Communication about and during SCP provision may need to be clearer: 34% of survivors could not correctly identify SCP receipt in this study. This may place these survivors at a disadvantage, if this leads to less awareness of important information regarding follow-up surveillance and management. Of those aware of SCP receipt, SCP provision had positive impacts in this small, short-term study.

Keywords

Survivorship care plans Survivor satisfaction Care coordination Community oncology 

Notes

Acknowledgments

The authors would like to thank the following: participating patients, providers, members of the UW Breast DOT (Renae Quale), and the Wisconsin Survivorship research Program (WiSP).

Funding

This work was supported by the NCI Cancer Center Support Grant P30 CA014520 and by grant UL1TR000427 to UW ICTR from NIH/NCATS. AJT received support from the Clinical and Translational Science Award (CTSA) program through the NIH National Center for Advancing Translational Sciences (NCATS), grants UL1TR000427 and KL2TR000428. The Summer Research Program was funded by institutional foundation award from the Herman and Gwen Shapiro Foundation. This work is supported in part by NIH/NCI P30CA014520, the University of Wisconsin Carbone Cancer Center Support Grant.

Compliance with Ethical Standards

This study was approved by the institutional review boards at the both the academic medical center and the community oncology practice (PHC).

Conflict of Interest

Hua, Alexandra—none

Sesto, Mary E—none

Tevaarwerk, Amye J—Epic Systems (family member)

Wassenaar, Timothy—none

Zhang, Xiao—none

Supplementary material

13187_2018_1457_MOESM1_ESM.pdf (525 kb)
Supplemental Material 1 Survivor surveys (PDF 524 kb)
13187_2018_1457_MOESM2_ESM.docx (76 kb)
Supplemental Table 1 PICS results (DOCX 75 kb)

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Copyright information

© American Association for Cancer Education 2019

Authors and Affiliations

  1. 1.University of WisconsinSchool of Medicine & Public HealthMadisonUSA
  2. 2.Carbone Cancer CenterMadisonUSA
  3. 3.ProHealth CareWaukeshaUSA

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