Impact of Survivorship Care Plans and Planning on Breast, Colon, and Prostate Cancer Survivors in a Community Oncology Practice

J Cancer Educ. 2020 Apr;35(2):249-255. doi: 10.1007/s13187-018-1457-y.

Abstract

With a growing number of cancer survivors, survivorship care plans (SCPs) are recommended to communicate information about late effects of treatment and follow-up care. Community oncology practices follow 85% of adult cancer survivors but report more difficulty in providing SCPs compared to academic centers. Our objective was to evaluate the impact of delivering SCPs in a community oncology practice by examining awareness of SCP receipt as well as how provision affects survivors' perception of care quality and of their condition. Survivors who accepted a SCP as standard of care were recruited from a community oncology practice in the Midwest and completed surveys prior to SCP provision (baseline) and 4 weeks later (follow-up). Within-survivor changes in knowledge of SCP receipt, satisfaction and perceived care coordination were assessed. Thirty cancer survivors (breast, colon, and prostate) completed the baseline survey, while 24 completed the follow-up survey (80% response rate). Participants reported receiving SCPs and treatment summaries more frequently at follow-up after receiving a SCP. At follow-up, there was a significant increase in survivor activation and involvement in care along with satisfaction of knowledge of care. Communication about and during SCP provision may need to be clearer: 34% of survivors could not correctly identify SCP receipt in this study. This may place these survivors at a disadvantage, if this leads to less awareness of important information regarding follow-up surveillance and management. Of those aware of SCP receipt, SCP provision had positive impacts in this small, short-term study.

Keywords: Care coordination; Community oncology; Survivor satisfaction; Survivorship care plans.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast Neoplasms / psychology
  • Breast Neoplasms / therapy
  • Cancer Survivors / psychology*
  • Colonic Neoplasms / psychology
  • Colonic Neoplasms / therapy
  • Community Health Services / standards*
  • Continuity of Patient Care / trends*
  • Female
  • Humans
  • Male
  • Medical Oncology / education*
  • Middle Aged
  • Neoplasms / psychology
  • Neoplasms / therapy*
  • Patient Care Planning / standards*
  • Practice Patterns, Physicians' / standards*
  • Prostatic Neoplasms / psychology
  • Prostatic Neoplasms / therapy
  • Quality of Health Care
  • Surveys and Questionnaires
  • Survivorship