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Survivorship care plans in cancer: a systematic review of care plan outcomes

BACKGROUND: Eight years after the Institute of Medicine recommended survivorship care plans (SCPs) for all cancer survivors, this study systematically reviewed the evidence for their use. METHODS: Studies evaluating outcomes after implementation of SCPs for cancer survivors were identified by search...

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Autores principales: Brennan, M E, Gormally, J F, Butow, P, Boyle, F M, Spillane, A J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229639/
https://www.ncbi.nlm.nih.gov/pubmed/25314068
http://dx.doi.org/10.1038/bjc.2014.505
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author Brennan, M E
Gormally, J F
Butow, P
Boyle, F M
Spillane, A J
author_facet Brennan, M E
Gormally, J F
Butow, P
Boyle, F M
Spillane, A J
author_sort Brennan, M E
collection PubMed
description BACKGROUND: Eight years after the Institute of Medicine recommended survivorship care plans (SCPs) for all cancer survivors, this study systematically reviewed the evidence for their use. METHODS: Studies evaluating outcomes after implementation of SCPs for cancer survivors were identified by searching databases (MEDLINE, EMBASE and Cochrane). Data were extracted and summarised. RESULTS: Ten prospective studies (2286 survivors) met inclusion criteria (5 randomised controlled trials (RCTs)). Study populations included survivors of breast, gynaecological, colorectal and childhood cancer. Several models of SCP were evaluated (paper based/on-line, oncologist/nurse/primary-care physician-delivered and different templates). No significant effect of SCPs was found on survivor distress, satisfaction with care, cancer-care coordination or oncological outcomes in RCTs. Breast cancer survivors with SCPs were better able to correctly identify the clinician responsible for their follow-up care. One study suggested a positive impact on reducing unmet needs. Levels of survivor satisfaction with, and self-reported understanding of, their SCP were very high. Feasibility was raised by health professionals as a significant barrier, as SCPs took 1–4 h of their time to develop. CONCLUSIONS: Emerging evidence shows very few measurable benefits of SCPs. Survivors reported high levels of satisfaction with SCPs. Resource issues were identified as a significant barrier to implementation.
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spelling pubmed-42296392015-11-11 Survivorship care plans in cancer: a systematic review of care plan outcomes Brennan, M E Gormally, J F Butow, P Boyle, F M Spillane, A J Br J Cancer Clinical Study BACKGROUND: Eight years after the Institute of Medicine recommended survivorship care plans (SCPs) for all cancer survivors, this study systematically reviewed the evidence for their use. METHODS: Studies evaluating outcomes after implementation of SCPs for cancer survivors were identified by searching databases (MEDLINE, EMBASE and Cochrane). Data were extracted and summarised. RESULTS: Ten prospective studies (2286 survivors) met inclusion criteria (5 randomised controlled trials (RCTs)). Study populations included survivors of breast, gynaecological, colorectal and childhood cancer. Several models of SCP were evaluated (paper based/on-line, oncologist/nurse/primary-care physician-delivered and different templates). No significant effect of SCPs was found on survivor distress, satisfaction with care, cancer-care coordination or oncological outcomes in RCTs. Breast cancer survivors with SCPs were better able to correctly identify the clinician responsible for their follow-up care. One study suggested a positive impact on reducing unmet needs. Levels of survivor satisfaction with, and self-reported understanding of, their SCP were very high. Feasibility was raised by health professionals as a significant barrier, as SCPs took 1–4 h of their time to develop. CONCLUSIONS: Emerging evidence shows very few measurable benefits of SCPs. Survivors reported high levels of satisfaction with SCPs. Resource issues were identified as a significant barrier to implementation. Nature Publishing Group 2014-11-11 2014-10-14 /pmc/articles/PMC4229639/ /pubmed/25314068 http://dx.doi.org/10.1038/bjc.2014.505 Text en Copyright © 2014 Cancer Research UK http://creativecommons.org/licenses/by-nc-sa/3.0/ From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/
spellingShingle Clinical Study
Brennan, M E
Gormally, J F
Butow, P
Boyle, F M
Spillane, A J
Survivorship care plans in cancer: a systematic review of care plan outcomes
title Survivorship care plans in cancer: a systematic review of care plan outcomes
title_full Survivorship care plans in cancer: a systematic review of care plan outcomes
title_fullStr Survivorship care plans in cancer: a systematic review of care plan outcomes
title_full_unstemmed Survivorship care plans in cancer: a systematic review of care plan outcomes
title_short Survivorship care plans in cancer: a systematic review of care plan outcomes
title_sort survivorship care plans in cancer: a systematic review of care plan outcomes
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229639/
https://www.ncbi.nlm.nih.gov/pubmed/25314068
http://dx.doi.org/10.1038/bjc.2014.505
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