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Randomized Controlled Trial
. 2025 Aug 2;33(8):745.
doi: 10.1007/s00520-025-09774-2.

Baseline characteristics of survivors, primary care clinicians, and oncologists in a randomized trial of a shared care, self-management intervention for cancer survivors

Maria Berkeley  1 , Harold Urman  2 , Janet Lee  2 , Yi Xiao  3 , Betty Ferrell  3 , Anne Reb  3 , Marc Debay  4 , Stuart Miller  5 , Linda Lucero  6 , Anne Charity Hudley  7 , Virginia Sun  8
Affiliations
Randomized Controlled Trial

Baseline characteristics of survivors, primary care clinicians, and oncologists in a randomized trial of a shared care, self-management intervention for cancer survivors

Maria Berkeley et al. Support Care Cancer. .

Abstract

Purpose: Lung and colorectal cancer (CRC) survivors experience late and long-term treatment effects and challenges with navigating care. Few evidence-based interventions exist to support survivor needs. This paper describes participant recruitment and pre-randomization baseline characteristics and outcomes from a survivorship self-management intervention trial in lung and CRC.

Methods: Baseline outcome measures were collected from survivors, primary care providers (PCP), and oncologists. Enrolled participants were survivors of lung or CRC, were 4-6 months post-treatment completion, age 18 or older, and could read and understand English. Survivor outcome measures included geriatric assessment, quality of life (QOL), communication, knowledge, and self-efficacy. PCP and oncologist outcome measures assessed perceived knowledge, communication, and care coordination regarding survivorship care.

Results: The trial completed accrual over 4 years and enrolled 404 participants across 15 clinical practice sites in Southern California. At baseline, most survivors reported high (mean = 71.11/100) levels of physical functioning and social support but moderate (mean = 53.29/100) levels of social interactions. QOL scores were low for emotional and functional well-being, with survivors of lung cancer reporting lower physical well-being (20.92/28) and total QOL (101.1/136). PCPs and oncologists reported minimal problems with exchanging information or transferring care in a timely manner. Survivors reported challenges with timely care, appointments, and support managing treatment effects.

Conclusions: Baseline characteristics illustrate persistent challenges in survivor QOL and perceived quality of care coordination and communication among survivors, oncologists, and PCPs.

Implications for cancer survivors: Opportunities for improvements in cancer survivorship care delivery exist and will ultimately support survivors' QOL and outcomes.

Keywords: Cancer survivor; Care coordination; Communication; Self-management; Telehealth.

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Conflict of interest statement

Declarations. Ethics approval: This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the City of Hope Institutional Review Board (IRB). Consent to participate: Informed consent was obtained from all individual participants included in the study. Conflict of interests: The authors have no relevant financial or non-financial interests to disclose.

Figures

Fig. 1
Fig. 1
Primary care provider and oncologists perception of care coordination and communication (PCP N = 75; oncologist N = 129)
See this image and copyright information in PMC

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