Evaluation of survivorship care plans in patients attending the Sydney Cancer Survivorship Centre

Support Care Cancer. 2022 Mar;30(3):2207-2213. doi: 10.1007/s00520-021-06636-5. Epub 2021 Oct 27.

Abstract

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 cancer recurrence and chronic disease. The aims of the study were to assess the delivery, usefulness, and compliance with SCP of survivors attending a multidisciplinary survivorship clinic and to determine patient suggestions regarding how to improve SCP.

Methods: A total of 110 survivors were interviewed in-person or by phone regarding their SCP following a script with formalized questions. Data were analyzed quantitatively using descriptive statistics.

Results: Overall, 65% of participants (72/110) acknowledged having received a SCP and 86% found them useful. Only 11% of survivors (8/72) showed their SCP to other health professionals and about half (33/72) showed it to family/friends. Ninety percent of survivors (65/72) reported following at least one recommendation in their SCP.

Conclusion: Survivors found SCP helpful but did not share them with other healthcare providers, which questions their usefulness in coordinating care. There were challenges with SCP delivery. Survivors reported they were compliant with SCP lifestyle recommendations. Further research is required to address the utility of SCP to other stakeholders, such as general practitioners, to determine whether they receive the SCP, if they find them helpful, and their expectations regarding SCP.

Keywords: Cancer survivor; Survivorship; Survivorship care plans.

MeSH terms

  • Cancer Survivors*
  • General Practitioners*
  • Humans
  • Neoplasms* / therapy
  • Patient Care Planning
  • Survival
  • Survivors
  • Survivorship