Main Article Content
Survivorship care plans, breast cancer, perceptions of care, women’s health
Background: In 2006, the Institute of Medicine (IOM) issued a report recommending that all cancer survivors receive a customized survivorship care plan (SCP) to increase survivors’ understanding of diagnoses, long-term treatment effects, and ideas for improving overall health. Therefore, the purpose of this study was to compare a tailored SCP program (POST) to treatment as usual (TAU) on patient ratings of quality and content of discussion with providers at the end of their breast cancer treatment.
Methods: Two hundred participants were randomized to receive either the POST treatment (n=100) or TAU (n=100) at their last treatment visit. Women were presented with a checklist of 29 survivorship topics and indicated whether their healthcare provider discussed it at their last visit. They were also asked to rate overall quality of discussion (QOD) with their providers and across several QOD subscales.
Results: Analyses indicated that on average, POST women endorsed 20 out of the 29 topics compared to 14 topics endorsed by TAU. Additionally, POST women reported a better QOD overall and across all subscales.
Conclusion: POST women remembered discussing more survivorship topics and reported better discussions with their providers. As a practical implication, cancer survivors should receive an individualized SCP to ensure that patients feel well informed of their road to survivorship.
2. Baravelli, C., Krishnasamy, M., Pezaro, C., Schofield, P., Lofti-Jam, K., Rogers, M., & et al. (2009). The views of bowel cancer survivors and health care professionals regarding survivorship care plans and post treatment follow up. J. Cancer. Surviv., 3(2), 99-108. doi: 10.1007/s11764-009-0086-1.
3. Boekhout, A., Maunsell, E., Pond, G., Julian, J., Coyle, D., Levine, M., & et al. (2015). A survivorship care plan for breast cancer survivors: Extended results of a randomized clinical trial. J. Cancer. Surviv., 9(4), 683-91. doi: 10.1007/s11764-015-0443-1.
4. Burke, N., Napoles, T., Banks, P., Orenstein, F., Luce, J., & Joseph, G. (2016). Survivorship care plan information needs: Perspective of safety-net breast cancer patients. PLos One, 11, 1-27. doi: 10.1371/journal.pone.0168383.
5. Hershman, D., Greenlee, H., Awad, D., Kalinsky, K., Maurer, M., Kranwinkel, G., & et al. (2013). Randomized controlled trial of a clinic-based survivorship intervention following adjuvant therapy in breast cancer survivors. Cancer Res Tr., 138, 795-806. doi: 10.1007/s10549-013-2486-1.
6. Jefford, M., Gough, K., Drosdowsky, A., Russell, L., Aranda, S., Butow, P., & et al. (2016). A randomized controlled trial of nurse-led supportive care package (SurvivorCare) for survivors of colorectal cancer. Oncologist, 21, 1014-23. doi: 10.1634/theoncologist.2015-0533.
7. Burg, MA., Lopez, E., Dailey, A., Keller, M., & Prendergast, B. (2009). The potential of survivorship care plans in primary care follow-up of minority breast cancer patients. J. Gen. Intern., 24, 467-71. doi: 10.1007/s11606-009-1012-y.
8. Marbach, T., & Griffie, J. (2011). Patient preferences concerning treatment plans, survivorship care plans, education, and support services. Oncol. Nurs. Forum., 38(3), 335-42. doi: 10.1188/11.ONF.335-342.
9. Mayer, D., Gerstel, A., Leak, A., & Smith, S. (2012). Patient and provider preferences for survivorship care plans. J. Oncol. Pract., 8(4), e80-6. doi: 10.1200/JOP.2011.000401.
10. Nicolaije, K., Husson, O., Exendin, N., Vos, M., Kruitwagen, R., Lybeert, M., & et al. (2012). Endometrial cancer survivors are unsatisfied with received information about diagnosis, treatment, and follow up: A study from the population-based PROFILES registry. Patient. Educ. Couns., 38(3), 427-35. doi: 10.1016/j.pec.2012.05.002.
11. O'Hea, E., Creamer, S., Flahive, J., Keating, B., Crocker, C., Williamson, S., & et al. (2021). Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer. J. Psychosocial. Oncol, 1-21. doi: 10.1080/07347332.2021.1936336.
12. O'Hea, E., Wu, J., Harralson, T., & Boudreaux, E. (2016). The Polaris Oncology Survivorship Transition (POST) system: A patient- and provider driven cancer survivorship planning program. J. Oncol. Navig. Surviv., 7(10), 11-24.
13. Sprague, B., Dittus, K., Pace, C., Dulko, D., Pollack, L., Hawkins , N., & et al. (2013). Patient satisfaction with breast and colorectal cancer survivorship care plans. Clin. J. Oncol. Nurs., 17(3), 266-72. doi: 10.1188/13.CJON.17-03AP.
14. Tevaawerk, A., Hocking, W., Buhr, K., Gribble, M., Seaborne, L., Wisinski, K., & et al. (2019). A randomized trial of immediate versus delayed
survivorship care plan receipt on patient satisfaction and knowledge of diagnosis and treatment. Cancer., 125(6), 1000-7. doi: 10.1002/cncr.31875.
15. Tucker, J., & Kelley, V. (2000). The influence of patient sociodemographic characteristics on patient satisfaction. Mil. Med., 165(1), 72-6. doi: 10.1093/milmed/165.1.72.
16. Zainal, N., Nik-Jaafar, N., Baharudin, A., Sabki, Z., & Ng, C. (2013). Prevalence of depression in breast cancer survivors: A systematic review of observational studies. Asian. Pac. J. Cancer. P., 14(4), 2649-56. doi: 10.7314/apjcp.2013.14.4.2649.
Article Statistics :Views : 187 | Downloads : 115 : 32