Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors

Shay, L. Aubree; Schmidt, Susanne; Dioun, Shayda I.; Grimes, Allison; Embry, Leanne

doi:10.1007/s11764-019-00740-6

Cited by 15 publications

(23 citation statements)

References 22 publications

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“…Results from our study suggest lower levels of colonoscopy screening (51.5%) in a community‐based practice in Southern Maryland compared to CRC screening levels based on nationally representative samples 8,9,27 . In a sample of cancer survivors from the 2014 BRFSS, Shay et al reported 81% of survivors being up‐to‐date with CRC screening 27 .…”

Section: Discussioncontrasting

confidence: 51%

Disparities in colorectal cancer screening among breast and prostate cancer survivors

Dash

Parikh

et al. 2021

Cancer Medicine

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Background Colorectal cancer (CRC) screening is recommended as an integral part of cancer survivorship care. We compared the rates of CRC screening among breast and prostate cancer survivors by primary cancer type, patient, and geographic characteristics in a community‐based health‐care system with a mix of large and small metro urban areas. Materials and Methods Data for this retrospective study were abstracted from medical records of a multi‐specialty practice serving about 250,000 individuals in southern Maryland. Breast (N = 1056) and prostate (N = 891) cancer patients diagnosed prior to 2015 were followed up till June 2018. Screening colonoscopy within the last 10 years was considered to be guideline concordant. Multivariate logistic regression was used to determine the prevalence odds ratios of being concordant on CRC screening by age, gender, race, metro area type, obesity, diabetes, and hypertension. Results Overall 51% of survivors had undergone a screening colonoscopy. However, there was a difference in CRC screening rate between prostate (54%) and breast (44%) cancer survivors. Older age (≥65 years), being a breast cancer survivor compared to prostate cancer, and living in a large compared to small metropolitan area were associated with a lower probability of receiving CRC screening. Having hypertension was associated with higher likelihood of being current on colonoscopy screening guidelines among survivors; but diabetes and obesity were not associated with CRC screening. Conclusions Low levels of CRC screening utilization were found among breast and prostate cancer survivors in a single center in Southern Maryland. Gender, comorbidities, and residential factors were associated with receipt of CRC screening.

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Section: Discussioncontrasting

confidence: 51%

Disparities in colorectal cancer screening among breast and prostate cancer survivors

Dash

Parikh

et al. 2021

Cancer Medicine

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“…[34][35][36] This study corresponds with previous studies 18,19,22,37 that reported breast cancer survivors' desire for additional information within SCPs related to self-care strategies and guidance for diet, nutrition, and exercise. A 2019 study by Shay and colleagues 38 demonstrated found that SCP receipt was associated with exercise in the past month among cancer survivors, offering preliminary evidence that SCPs are helpful in promoting healthy behaviors.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study

et al. 2020

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The Commission on Cancer’s standard 3.3 represents a paradigm shift in the care of cancer survivors, recommending that survivors receive a treatment summary and survivorship care plan (SCPs). A focus on older breast cancer survivors is needed, as they are the majority of the breast cancer population and their experiences and perspectives of SCPs is limited in the literature. This pilot study utilized a mixed methods approach (focus groups and self-report questionnaire data) to gather information on older (≥65 years) breast cancer survivors’ perspectives of their SCPs, cancer survivorship, and communication with their health-care providers. The questionnaire was completed individually by the participants prior to the focus group and contained items on basic demographics and their health status following cancer treatment. The focus groups indicated that only a minority of women actually developed a SCP. Those who developed a SCP in collaboration with their providers valued the personal care and attention received. However, some participants reported poor communication with their providers and within their health-care team, resulting in frustration and confusion. Participants’ suggestions for ideal SCPs included better education and personalization, particularly in appropriate nutrition and exercise, and managing side effects and comorbidities. Lastly, the women believed that additional long-term care resources, such as health coaches, were important in improving their survivorship. These findings provide insight into enhancing the content, communication, and application of SCPs to improve the survivorship experience of older breast cancer survivors.

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“…Considering the factors associated with CRC screening uptake, screening behaviors are likely mediated by sociodemographic characteristics (i.e., race/ethnicity, education, income, and rural areas), lifestyle choices (i.e., smoking status and alcohol consumption), family history of CRC, and influenced by health service factors linked to health insurance coverage and physician recommendation [ 20 , 22 , 23 ]. Cancer survivors with higher education, higher household income, family history of CRC, and those with physician recommendation were more likely to receive CRC screening [ 23 , 24 ]. Non-Hispanic White (NHW) and Asian breast cancer survivors were more likely to receive endoscopic screening within the past 10 years [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Non-Hispanic White (NHW) and Asian breast cancer survivors were more likely to receive endoscopic screening within the past 10 years [ 23 ]. Additionally, several cancer survivors reported visiting their primary care physicians (PCPs) for their continuing care [ 24 ], which makes physician recommendation a key factor of receiving screening. Given an increased risk of developing CRC among cancer survivors, having regular appointments with PCPs regarding CRC screening is necessary.…”

Section: Introductionmentioning

confidence: 99%

Colorectal cancer screening utilization among breast, cervical, prostate, skin, and lung cancer survivors

et al. 2022

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Purpose To examine whether sociodemographic characteristics, access to care, risk behavior factors, and chronic health conditions were associated with colorectal cancer (CRC) screening utilization among breast, cervical, prostate, skin, and lung cancer survivors. Methods We analyzed the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data on 9780 eligible cancer survivors. Descriptive statistics and multivariable logistic regression models were applied to assess the association between guideline-concordant CRC screening and the mentioned characteristics. Results Overall, 81.9%, 65%, 88%,78.1%, and 80.1% of breast, cervical, prostate, skin, and lung cancer survivors received CRC screening, respectively ( p -value < 0.001). In multivariable analysis, breast, cervical, and skin cancer survivors aged 60 years or older were associated with higher odds of receiving CRC screening. Respondents that had their recency of routine checkup two or more years before had lower odds of having CRC screening among cervical (OR = 0.06; 95% CI, 0.02–0.22), prostate (OR = 0.26; 95% CI, 0.14–0.49), and skin cancer (OR = 0.50; 95% CI, 0.36–0.70) survivors. The presence of chronic diseases was also associated with guideline-concordant CRC screening among breast, prostate, and skin cancer survivors. Conclusions Our findings provide important evidence on potential factors that are associated with guideline-concordant CRC screening utilization across different cancer survivors, which include older age, recency of routine checkup, and multiple chronic diseases. Moreover, variation in CRC screening utilization across cancer survivors may highlight missed opportunities for secondary cancer prevention. Implications for Cancer Survivors Establishing clear CRC screening guidelines and including patient-provider communication on recommendation in cancer survivorship care may increase adherence to CRC screening. Supplementary Information The online version contains supplementary material available at 10.1007/s11764-022-01258-0.

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Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors

Cited by 15 publications

References 22 publications

Disparities in colorectal cancer screening among breast and prostate cancer survivors

Disparities in colorectal cancer screening among breast and prostate cancer survivors

Perspectives of Survivorship Care Plans Among Older Breast Cancer Survivors: A Pilot Study

Colorectal cancer screening utilization among breast, cervical, prostate, skin, and lung cancer survivors

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