Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery.

Published on May 18, 2018in Journal of Clinical Oncology44.544
· DOI :10.1200/JCO.2018.77.7482
P. Jacobsen12
Estimated H-index: 12
(NIH: National Institutes of Health)
Sources
Abstract
PurposeNumerous organizations recommend that patients with cancer receive a survivorship care plan (SCP) comprising a treatment summary and follow-up care plans. Among current barriers to implementation are providers’ concerns about the strength of evidence that SCPs improve outcomes. This systematic review evaluates whether delivery of SCPs has a positive impact on health outcomes and health care delivery for cancer survivors.MethodsRandomized and nonrandomized studies evaluating patient-reported outcomes, health care use, and disease outcomes after delivery of SCPs were identified by searching MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and Cochrane Library. Data extracted by independent raters were summarized on the basis of qualitative synthesis.ResultsEleven nonrandomized and 13 randomized studies met inclusion criteria. Variability was evident across studies in cancer types, SCP delivery timing and method, SCP recipients and content, SCP-related counseling, a...
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#1Rajshekhar Chakraborty (CUMC: Columbia University Medical Center)H-Index: 1
#3Jame Abraham (Cleveland Clinic)H-Index: 31
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#1Kain Phansuwon (USYD: University of Sydney)
#2Sim Yee Cindy Tan (USYD: University of Sydney)H-Index: 1
Last. Janette Vardy (USYD: University of Sydney)H-Index: 46
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PURPOSE The transitioning of cancer survivors from active treatment to surveillance care has been described as uncoordinated, with lack of communication between healthcare professionals. Survivorship care plans (SCP) are recommended to bridge this transitioning period and help improve coordination of care. SCP contain individualized information about a survivor's cancer diagnosis, treatment, and recommendations for managing treatment-related side effects and improving lifestyle risk factors for ...
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#1Jessica D. Austin (Columbia University)H-Index: 1
#2Marlyn Allicock (University of Texas Health Science Center at Houston)H-Index: 1
Last. Simon J. Craddock Lee (UTSW: University of Texas Southwestern Medical Center)H-Index: 19
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Introduction:Understanding key elements of the survivorship care planning process, such as patient-centered communication (PCC) and health self-efficacy, are critical for delivering patient-centere...
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#6Kevan L. Hartshorn (BU: Boston University)H-Index: 5
Background null The purpose of this study was to examine the health-related quality of life of sexual minority survivors in comparison with heterosexual survivors. null Methods null Four hundred eighty eligible survivors participated in a telephone survey that measured survivors' outcomes, which consisted of physical and mental quality of life and self-rated fair or poor health. These survivors were diagnosed with stage I, II, or III colorectal cancer an average of 3 years before the survey and ...
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Abstract null null Background null The French National Cancer Institute recommends the use of survivorship care plans (SCP) for all cancer survivors. Developing useful SCP's requires understanding of what survivors and their providers need and how SCP's can be implemented in practice. We conducted a study to assess the delivery of SCP comprehensive binders for breast cancer women (BCW) and their general practitioners (GP) in a Cancer center from January 2019. null null null Methods null SCP bind...
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#1Karen L. Syrjala (UW: University of Washington)H-Index: 58
#2Casey Walsh (UW: University of Washington)H-Index: 4
Last. K. Scott Baker (UW: University of Washington)H-Index: 69
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Young adult (YA) cancer survivors have high rates of adverse health and psychosocial outcomes. This risk-stratified, multicenter, randomized controlled trial (RCT) compared a self-management survivorship intervention to usual care in YA survivors with symptoms of cancer-related distress, insomnia, fatigue, pain, and/or depression. Eligibility included age 18–39 at diagnosis with an invasive malignancy in the previous 1–5 years. Baseline assessment determined “high need” participants, with 2–5 el...
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#1Silvie Hm Janssen (NKI-AVL: Netherlands Cancer Institute)
Last. Olga HussonH-Index: 28
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Worldwide, more than 1.2 million adolescents and young adults (AYAs; those aged 15–39 years) are diagnosed with cancer each year. Although considerable variability exists according to cancer site and stage of disease, the 5-year relative survival at the time of diagnosis has been estimated at >80% for all AYA patients with cancer combined. Extensive survivorship research in recent decades has focused on patients diagnosed with cancer as children ( 39 years), yet few studies to date have reported...
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#1Sean P. Mikles (UNC: University of North Carolina at Chapel Hill)H-Index: 5
#2Ashley C. Griffin (UNC: University of North Carolina at Chapel Hill)H-Index: 4
Last. Arlene E. ChungH-Index: 12
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Objective null The study sought to conduct a systematic review to explore the functions utilized by electronic cancer survivorship care planning interventions and assess their effects on patient and provider outcomes. null Materials and methods null Based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines, studies published from January 2000 to January 2020 were identified in PubMed, CINAHL, EMBASE, PsychINFO, Scopus, Web of Science, and the ACM Digital Lib...
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#1Colleen M. Morken (UW: University of Wisconsin-Madison)H-Index: 2
#2Amye J. Tevaarwerk (UW: University of Wisconsin-Madison)H-Index: 21
Last. Timothy R WassenaarH-Index: 1
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PURPOSE Survivors of hematopoietic stem cell transplants (HSCT) have complex care needs for the remainder of their lives, known as the survivorship period. Survivorship care plans (SCPs) have been proposed to improve care coordination and ultimately survivorship outcomes. We explored the barriers and facilitators of SCP use among HSCT survivors and their clinicians in order to develop more useful SCPs for the HSCT context. METHODS Analogous surveys regarding perceived barriers to and facilitator...
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