Paul Viscuse1, Kathleen J Yost2, Sarah Jenkins2, Kandace Lackore2, Thomas Habermann3, Gita Thanarajasingam3, Carrie Thompson4. 1. Department of Medicine, Mayo Clinic, Rochester, MN, USA. 2. Department of Health Science Research, Mayo Clinic, Rochester, MN, USA. 3. Division of Hematology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. 4. Division of Hematology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. Thompson.Carrie@mayo.edu.
Abstract
PURPOSE: Cancer survivors may experience physical, social, and emotional effects of cancer and its treatments. National Comprehensive Cancer Network (NCCN) guidelines recommend the development of a survivorship care plan (SCP) for cancer patients following completion of treatment with curative intent. Our institution developed a lymphoma survivorship clinic (SC) to assess patient needs, provide education, and create and deliver SCPs. This study analyzed the impact of a SC visit on patient-centered outcomes. METHODS: Surveys were sent to lymphoma patients at Mayo Clinic Rochester within 4 weeks of their post-treatment visit to the SC that queried patient-reported outcomes, including experience of care, quality of life (QOL), and distress. We compared survey responses between those who attended the SC and those who were eligible but did not attend. RESULTS: From November 2013 to May 2015, 236 lymphoma patients were surveyed, 96 of whom had a SC visit and 140 of who were eligible but did not attend. Those who attended the SC were more likely to "definitely" recall discussion on improving health, preventing illness, and making changes in habits/lifestyle, diet, and exercise. There were no differences in QOL or distress. Adjusted analyses revealed that SC attendance was associated with better self-reported overall health among younger patients and better physical well-being in Hodgkin lymphoma patients compared to those with other subtypes of lymphoma. CONCLUSIONS: Participation in the lymphoma SC improved patient education on survivorship issues, particularly health behaviors. There may be a particular benefit in younger patients. However, there were no differences in QOL or distress. Further study is needed to determine if improved survivorship education and SCP delivery leads to long-term health benefits in cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Our study evaluates the clinical impact of a SC in patients treated for lymphoma. We demonstrate that a SC visit improves patient education regarding health behaviors.
PURPOSE:Cancer survivors may experience physical, social, and emotional effects of cancer and its treatments. National Comprehensive Cancer Network (NCCN) guidelines recommend the development of a survivorship care plan (SCP) for cancerpatients following completion of treatment with curative intent. Our institution developed a lymphoma survivorship clinic (SC) to assess patient needs, provide education, and create and deliver SCPs. This study analyzed the impact of a SC visit on patient-centered outcomes. METHODS: Surveys were sent to lymphomapatients at Mayo Clinic Rochester within 4 weeks of their post-treatment visit to the SC that queried patient-reported outcomes, including experience of care, quality of life (QOL), and distress. We compared survey responses between those who attended the SC and those who were eligible but did not attend. RESULTS: From November 2013 to May 2015, 236 lymphomapatients were surveyed, 96 of whom had a SC visit and 140 of who were eligible but did not attend. Those who attended the SC were more likely to "definitely" recall discussion on improving health, preventing illness, and making changes in habits/lifestyle, diet, and exercise. There were no differences in QOL or distress. Adjusted analyses revealed that SC attendance was associated with better self-reported overall health among younger patients and better physical well-being in Hodgkin lymphomapatients compared to those with other subtypes of lymphoma. CONCLUSIONS: Participation in the lymphoma SC improved patient education on survivorship issues, particularly health behaviors. There may be a particular benefit in younger patients. However, there were no differences in QOL or distress. Further study is needed to determine if improved survivorship education and SCP delivery leads to long-term health benefits in cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Our study evaluates the clinical impact of a SC in patients treated for lymphoma. We demonstrate that a SC visit improves patient education regarding health behaviors.
Entities:
Keywords:
Cancer care; Distress; Lymphoma; Patient education; Quality of life; Survivorship
Authors: Claire F Snyder; Kevin D Frick; Melinda E Kantsiper; Kimberly S Peairs; Robert J Herbert; Amanda L Blackford; Antonio C Wolff; Craig C Earle Journal: J Clin Oncol Date: 2009-01-21 Impact factor: 44.544
Authors: Laura P Forsythe; Carla Parry; Catherine M Alfano; Erin E Kent; Corinne R Leach; David A Haggstrom; Patricia A Ganz; Noreen Aziz; Julia H Rowland Journal: J Natl Cancer Inst Date: 2013-10-04 Impact factor: 13.506
Authors: Neeraj K Arora; Bryce B Reeve; Ron D Hays; Steven B Clauser; Ingrid Oakley-Girvan Journal: J Clin Oncol Date: 2011-02-28 Impact factor: 44.544
Authors: Lawrence N Shulman; Linda A Jacobs; Sheldon Greenfield; Barbara Jones; Mary S McCabe; Karen Syrjala; Lisa Diller; Charles L Shapiro; Alfred C Marcus; Marci Campbell; Sheila Santacroce; Marjorie Kagawa-Singer; Patricia A Ganz Journal: J Oncol Pract Date: 2009-05 Impact factor: 3.840
Authors: Claire F Snyder; Kevin D Frick; Kimberly S Peairs; Melinda E Kantsiper; Robert J Herbert; Amanda L Blackford; Antonio C Wolff; Craig C Earle Journal: J Gen Intern Med Date: 2009-01-21 Impact factor: 5.128