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Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study
Journal article   Peer reviewed

Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study

Elizabeth A Chrischilles, Bradley D McDowell, Linda Rubenstein, Mary Charlton, Jane Pendergast, Grelda Yazmin Juarez and Neeraj K Arora
Journal of cancer survivorship, Vol.9(2), pp.269-278
06/2015
DOI: 10.1007/s11764-014-0406-y
PMCID: PMC4416063
PMID: 25354481

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Abstract

This study aims to evaluate the relationship between survivorship care planning (SCP) and survivorship care and health outcomes reported by long-term lung and colorectal cancer survivors. Participants (n = 832) were diagnosed and enrolled during 2003-2005. In 2012, patient-reported outcomes (survivorship care and health outcomes) and two patient-reported SCP measures (receipt of written summary of cancer treatment and receipt of instructions on who to see for routine cancer follow-up) were collected. Analyses controlled for SCP predictors collected from medical records and an interview 1 year after diagnosis. One in four survivors reported receiving both SCP elements. Those receiving both were more certain which doctor was in charge (odds ratio (OR) 7.0; 95 % confidence intervals (95 % CI) 3.9-12.5), more likely to report follow-up checkup (OR 5.1; 95 % CI 3.3-8.0), and had an MRI/PET/CT scan in the past 2 years (OR 2.8; 95 % CI 1.7-4.7) compared to those receiving neither. Physician communication experiences were significantly more positive and having physical exams (OR 2.0; 95 % CI 1.2-3.4) and meeting exercise guidelines (OR 1.6; 95 % CI 1.004-2.4) more likely. Physical health (p = 0.012) and good-to-excellent self-perceived health status (OR 2.2; 95 % CI 1.3-3.9) were better for those receiving both elements. SCP may lead to better cancer follow-up care, long-term physical health, and physician-patient communication experiences. The positive association between outcomes and SCP suggests that efforts to implement SCP should be fruitful.
 Colorectal Neoplasms - mortality Patient Care Planning - standards Follow-Up Studies Colorectal Neoplasms - rehabilitation Lung Neoplasms - mortality Lung Neoplasms - rehabilitation Patient Care Planning - statistics & numerical data Humans Middle Aged Self Report Survivors - statistics & numerical data Male Physician-Patient Relations Treatment Outcome Long-Term Care Disease-Free Survival Quality of Life Female Aged Survivors - psychology Communication

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