The Impact of Survivorship Care Planning on Patients, General Practitioners, and Hospital-Based Staff

Nolte, Linda; Kinnane, Nicole; Lai-Kwon, Julia; Gates, Priscilla; Shilkin, Pauline; Jefford, Michael

doi:10.1097/ncc.0000000000000329

Cited by 14 publications

(29 citation statements)

References 37 publications

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“…Consistent with recent literature, our results demonstrate that survivors strongly support receiving a SCP at EOT [9,10,[13][14][15]. Similarly, participants receiving ongoing treatments also desire this information.…”

Section: Discussionsupporting

confidence: 80%

“…In 2013, the Australian Cancer Survivorship Centre, a Richard Pratt legacy (ACSC, a department of Peter Mac) evaluated the impact of the project [10]. Recommendations included creating systems to deliver post-treatment support, improved care coordination, and developing strategies to embed SCPs into usual care [10]. These recommendations were supported by an evaluation reporting the outcomes of six pilot projects across Victoria [3,12].…”

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confidence: 88%

“…Reviews of SCP implementation report high levels of survivor satisfaction with SCPs [9,10]. Primary care providers who receive a SCP are more likely to engage in survivorship discussions with their patients [11].…”

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confidence: 99%

“…In 2011, a pilot project commenced aiming to provide survivors from four clinical services with SCPs. In 2013, the Australian Cancer Survivorship Centre, a Richard Pratt legacy (ACSC, a department of Peter Mac) evaluated the impact of the project [10]. Recommendations included creating systems to deliver post-treatment support, improved care coordination, and developing strategies to embed SCPs into usual care [10].…”

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confidence: 99%

“…For HCPs common barriers to using SCPs in clinical practice include: limited time [3,9,10,[12][13][14][15]; concerns about cost and remuneration [3,9,10,[13][14][15]; uncertainty about effectiveness and limited long-term outcome data [3,9,12,14]; limited advocacy for SCPs from clinical leaders within health services [3,10,12,16]; lack of resources [3,8,9,12,13] and absence of clearly identified personnel responsible for preparation, delivery and update of the SCP [3,9,10,12,13,16].…”

mentioning

confidence: 99%

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How will cancer survivors use survivorship care plans?

2016

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Background: Survivorship care plans (SCPs) are internationally endorsed as an important tool to enhance post-treatment survivorship care. To support broad implementation of SCPs, we investigated survivors' preferences regarding SCPs. Material and methods: The study was conducted at a comprehensive cancer center. Eligible patients from 10 clinical services, generally up to 12 months following end of treatment (EOT) were approached in clinics or via telephone. A purpose-designed survey assessed survivors' intended use of a SCP and preferences regarding format and content. Intended minimum sample size of 200. Results: Two hundred and thirty surveys were returned (response rate 68%). Of the 230 participants, over 55% had completed treatment within six months, 35% between six and 12 months, and 10% were receiving ongoing treatments. Most (82%) had not received a SCP and more than one third (42%) reported receiving no information resources at EOT. Almost all (98%) desired further information. Most common information elements desired in a SCP: 'list of symptoms to watch out for and report' (76%), 'summary of treatment received' (70%) and 'things I can do to look after myself' (67%). Most common suggested uses were as: 'a record of cancer treatment' (63%), 'a reminder of things to do to look after myself ' (57%) and 'to help me understand my cancer experience' (56%). Over half (52%) would share the information with their general practitioner. Most indicated preference for paper-based SCPs (91%). There was support for both brief (36%) and detailed versions (42%). Over half requested the information be delivered in a face-to-face discussion with a health professional. Regular telephone support from the treating health care team was most commonly suggested as an additional service to support survivors after EOT. Conclusions: Although similar to international findings, results suggest alternate ways of providing the information that survivors desire. Most desired SCP elements have been defined. A flexible approach to SCP interventions is justified.

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Section: Discussionsupporting

confidence: 80%

mentioning

confidence: 88%

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confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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How will cancer survivors use survivorship care plans?

2016

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Efficacy of a survivorship‐focused consultation versus a time‐controlled rehabilitation consultation in patients with lymphoma: A cluster randomized controlled trial

Parker

Banerjee

Matasar

et al. 2018

Cancer

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Background: Survivors of cancer often describe a sense of abandonment post treatment, with heightened uncertainty, and limited knowledge of what lies ahead. This study examined the efficacy of a survivorship care planning intervention to help physicians address survivorship issues through communication skills training plus a new consultation focused on the use of a survivorship care plan for patients with Hodgkin’s lymphoma (HL) and diffuse large B-cell lymphoma (DLBCL). Methods: This cluster randomized, four-site trial examined the efficacy of a Survivorship Planning Consultation (SPC; physicians received communication skills training and applied these skills in a survivorship-focused office visit using a survivorship care plan) with patients who achieved complete remission after completion of first-line therapy versus a control arm in which physicians were trained to and subsequently provided a time-controlled, manualized Wellness Rehabilitation Consultation (WRC) focused only on discussion of healthy nutrition and exercise as rehabilitation post-chemotherapy. The primary outcomes for patients were changes in knowledge about lymphoma and adherence to physicians’ recommendations for vaccinations and cancer screenings. Results: Forty-two physicians and 198 patients participated across the four sites. Patients whose physicians were in the SPC arm had greater knowledge about their lymphoma (p = 0.01) and had greater adherence to physician recommendations for influenza vaccinations (p = 0.02) and colonoscopy (p = 0.02) than patients whose physicians were in the WRC arm. Conclusions: A dedicated consultation using a survivorship care plan and supported by communication skills training may enhance patient knowledge and adherence to some health promotion recommendations.

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Cancer survivorship care after curative treatment: Chinese oncology practitioners’ practices

Lin

et al. 2019

Support Care Cancer

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The Impact of Survivorship Care Planning on Patients, General Practitioners, and Hospital-Based Staff

Abstract: Nurses are instrumental to SCP implementation. Attention to enablers and barriers is important for successful implementation.

Cited by 14 publications

References 37 publications

How will cancer survivors use survivorship care plans?

How will cancer survivors use survivorship care plans?

Efficacy of a survivorship‐focused consultation versus a time‐controlled rehabilitation consultation in patients with lymphoma: A cluster randomized controlled trial

Cancer survivorship care after curative treatment: Chinese oncology practitioners’ practices

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