Steven C Palmer1, Carrie Tompkins Stricker2, SarahLena L Panzer2, Sarah A Arvey2, K Scott Baker2, Jackie Casillas2, Patricia A Ganz2, Mary S McCabe2, Larissa Nekhlyudov2, Linda Overholser2, Ann H Partridge2, Betsy Risendal2, Donald L Rosenstein2, Karen L Syrjala2, Linda A Jacobs2. 1. Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA; LIVESTRONG, Austin, TX; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California, Los Angeles, Jonsson Comprehensive Cancer Center, Los Angeles, CA; Memorial Sloan Kettering Cancer Center, New York, NY; Dana-Farber Cancer Institute, Boston, MA; University of Colorado Cancer Center, Denver, CO; and University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC Stpalmer@mail.med.upenn.edu. 2. Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA; LIVESTRONG, Austin, TX; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California, Los Angeles, Jonsson Comprehensive Cancer Center, Los Angeles, CA; Memorial Sloan Kettering Cancer Center, New York, NY; Dana-Farber Cancer Institute, Boston, MA; University of Colorado Cancer Center, Denver, CO; and University of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
Abstract
PURPOSE: Survivorship care plans (SCPs) have been suggested to reduce fragmentation of care experienced by cancer survivors. Acceptance of SCPs is high, but trials in the United States are few. This pilot study used a quasiexperimental design to examine the outcomes achieved by breast cancer survivors receiving a standardized SCP visit at one of seven comprehensive cancer centers. MATERIALS AND METHODS: Outcomes were assessed before and again 3 months after delivery of an SCP and included survivors' use of and satisfaction with SCPs, perceived knowledge about survivorship, and assessment of the quality and coordination of survivorship care. RESULTS: One hundred thirty-nine survivors of breast cancer completed baseline and follow-up measures and received a standardized SCP visit. Participants most commonly used SCP materials to make decisions about exercise (64%), which tests to receive and when (62%), and dietary changes (62%). Only 21% shared the SCP with their primary care provider during that time. Satisfaction with the SCP was high, with 90% of participants reporting being at least satisfied with the SCP. Perceived knowledge about survivorship improved after SCP delivery, as did perceived care coordination and the provider's knowledge of the effects of cancer on survivors (all P < .001). Individuals closer to the time of diagnosis reported greater satisfaction with and use of SCPs. CONCLUSION: This study demonstrates improvements in perceived knowledge and quality of survivorship care after receipt of a comprehensive SCP. Survivors were satisfied with their SCP, and those closer to diagnosis reported greater satisfaction with and use of the materials.
PURPOSE: Survivorship care plans (SCPs) have been suggested to reduce fragmentation of care experienced by cancer survivors. Acceptance of SCPs is high, but trials in the United States are few. This pilot study used a quasiexperimental design to examine the outcomes achieved by breast cancer survivors receiving a standardized SCP visit at one of seven comprehensive cancer centers. MATERIALS AND METHODS: Outcomes were assessed before and again 3 months after delivery of an SCP and included survivors' use of and satisfaction with SCPs, perceived knowledge about survivorship, and assessment of the quality and coordination of survivorship care. RESULTS: One hundred thirty-nine survivors of breast cancer completed baseline and follow-up measures and received a standardized SCP visit. Participants most commonly used SCP materials to make decisions about exercise (64%), which tests to receive and when (62%), and dietary changes (62%). Only 21% shared the SCP with their primary care provider during that time. Satisfaction with the SCP was high, with 90% of participants reporting being at least satisfied with the SCP. Perceived knowledge about survivorship improved after SCP delivery, as did perceived care coordination and the provider's knowledge of the effects of cancer on survivors (all P < .001). Individuals closer to the time of diagnosis reported greater satisfaction with and use of SCPs. CONCLUSION: This study demonstrates improvements in perceived knowledge and quality of survivorship care after receipt of a comprehensive SCP. Survivors were satisfied with their SCP, and those closer to diagnosis reported greater satisfaction with and use of the materials.
Authors: Steven C Palmer; Linda A Jacobs; Angela DeMichele; Betsy Risendal; Alison F Jones; Carrie Tompkins Stricker Journal: Support Care Cancer Date: 2014-01-12 Impact factor: 3.603
Authors: Christine E Hill-Kayser; Carolyn C Vachani; Margaret K Hampshire; Gloria Di Lullo; Linda A Jacobs; James M Metz Journal: Cancer Date: 2013-08-06 Impact factor: 6.860
Authors: Brian L Sprague; Kim L Dittus; Claire M Pace; Dorothy Dulko; Lori A Pollack; Nikki A Hawkins; Berta M Geller Journal: Clin J Oncol Nurs Date: 2013-06 Impact factor: 1.027
Authors: Sarah J Skuli; Jennifer Y Sheng; Elissa T Bantug; Nelli Zafman; Carol Riley; Jessica M Ruck; Katherine C Smith; Claire F Snyder; Karen L Smith; Vered Stearns; Antonio C Wolff Journal: Breast Cancer Res Treat Date: 2018-11-07 Impact factor: 4.872
Authors: Joseph L Benci; Carolyn C Vachani; Christina Bach; Karen Arnold-Korzeniowski; Margaret K Hampshire; James M Metz; Christine E Hill-Kayser Journal: J Cancer Surviv Date: 2018-07-03 Impact factor: 4.442
Authors: Dava Szalda; Marilyn M Schapira; Linda A Jacobs; Steven C Palmer; Carolyn Vachani; James Metz; Christine Hill-Kayser Journal: J Adolesc Young Adult Oncol Date: 2018-03-23 Impact factor: 2.223
Authors: Rebecca E Hill; Claire E Wakefield; Richard J Cohn; Joanna E Fardell; Mary-Ellen E Brierley; Emily Kothe; Paul B Jacobsen; Kate Hetherington; Rebecca Mercieca-Bebber Journal: Oncologist Date: 2019-10-25
Authors: Rebecca E Hill; Claire E Wakefield; Richard J Cohn; Joanna E Fardell; Mary-Ellen E Brierley; Emily Kothe; Paul B Jacobsen; Kate Hetherington; Rebecca Mercieca-Bebber Journal: Oncologist Date: 2019-10-25
Authors: Jaime M Preussler; Ellen M Denzen; Navneet S Majhail; K Scott Baker; Meggan McCann; Linda J Burns; Jean Yi; Karen L Syrjala Journal: Support Care Cancer Date: 2019-11-15 Impact factor: 3.603