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. 2015 Jun;9(2):269-78.
doi: 10.1007/s11764-014-0406-y. Epub 2014 Oct 30.

Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study

Elizabeth A Chrischilles  1 , Bradley D McDowell, Linda Rubenstein, Mary Charlton, Jane Pendergast, Grelda Yazmin Juarez, Neeraj K Arora
Affiliations

Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study

Elizabeth A Chrischilles et al. J Cancer Surviv. 2015 Jun.

Abstract

Purpose: This study aims to evaluate the relationship between survivorship care planning (SCP) and survivorship care and health outcomes reported by long-term lung and colorectal cancer survivors.

Methods: Participants (n = 832) were diagnosed and enrolled during 2003-2005. In 2012, patient-reported outcomes (survivorship care and health outcomes) and two patient-reported SCP measures (receipt of written summary of cancer treatment and receipt of instructions on who to see for routine cancer follow-up) were collected. Analyses controlled for SCP predictors collected from medical records and an interview 1 year after diagnosis.

Results: One in four survivors reported receiving both SCP elements. Those receiving both were more certain which doctor was in charge (odds ratio (OR) 7.0; 95 % confidence intervals (95 % CI) 3.9-12.5), more likely to report follow-up checkup (OR 5.1; 95 % CI 3.3-8.0), and had an MRI/PET/CT scan in the past 2 years (OR 2.8; 95 % CI 1.7-4.7) compared to those receiving neither. Physician communication experiences were significantly more positive and having physical exams (OR 2.0; 95 % CI 1.2-3.4) and meeting exercise guidelines (OR 1.6; 95 % CI 1.004-2.4) more likely. Physical health (p = 0.012) and good-to-excellent self-perceived health status (OR 2.2; 95 % CI 1.3-3.9) were better for those receiving both elements.

Conclusion: SCP may lead to better cancer follow-up care, long-term physical health, and physician-patient communication experiences.

Implications for cancer survivors: The positive association between outcomes and SCP suggests that efforts to implement SCP should be fruitful.

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Figures

Figure 1
Figure 1
Timing and source of data elements included in analyses (exact wording of survey questions provided for selected elements).
See this image and copyright information in PMC

References

    1. Hewitt M, Greenfield S, Stovall E. From Cancer Patient to Cancer Survivor: Lost in Transition. National Academies Press; Washington, D.C.: 2006.
    1. Arora NK, Reeve BB, Hays RD, Clauser SB, Oakley-Girvan I. Assessment of quality of cancer-related follow-up care from the cancer survivor's perspective. J Clin Oncol. 2011;29(10):1280–9. doi:10.1200/JCO.2010.32.1554; 10.1200/JCO.2010.32.1554. - PMC - PubMed
    1. Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, et al. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol. 2011;29(36):4755–62. doi:10.1200/JCO.2011.36.8373; 10.1200/JCO.2011.36.8373. - PubMed
    1. Hershman DL, Greenlee H, Awad D, Kalinsky K, Maurer M, Kranwinkel G, et al. Randomized controlled trial of a clinic-based survivorship intervention following adjuvant therapy in breast cancer survivors. Breast Cancer Res Treat. 2013;138(3):795–806. doi:10.1007/s10549-013-2486-1. - PubMed
    1. Brothers BM, Easley A, Salani R, Andersen BL. Do survivorship care plans impact patients' evaluations of care? A randomized evaluation with gynecologic oncology patients. Gynecol Oncol. 2013;129(3):554–8. doi:10.1016/j.ygyno.2013.02.037. - PMC - PubMed

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