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Moving survivorship care plans forward: focus on care coordination

After completing treatment for cancer, the coordination of oncology and primary care presents a challenge for cancer survivors. Many survivors need continued oncology follow‐up, and all survivors require primary care. Coordinating the shared care of a cancer survivor, or facilitating an informed han...

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Detalles Bibliográficos
Autores principales: Salz, Talya, Baxi, Shrujal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944899/
https://www.ncbi.nlm.nih.gov/pubmed/27075650
http://dx.doi.org/10.1002/cam4.733
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author Salz, Talya
Baxi, Shrujal
author_facet Salz, Talya
Baxi, Shrujal
author_sort Salz, Talya
collection PubMed
description After completing treatment for cancer, the coordination of oncology and primary care presents a challenge for cancer survivors. Many survivors need continued oncology follow‐up, and all survivors require primary care. Coordinating the shared care of a cancer survivor, or facilitating an informed handoff from oncology to primary care, is essential for cancer survivors. Survivorship care plans are personalized documents that summarize cancer treatment and outline a plan of recommended ongoing care, with the goal of facilitating the coordination of post‐treatment care. Despite their face validity, five trials have failed to demonstrate the effectiveness of survivorship care plans. We posit that these existing trials have critical shortcomings and do not adequately address whether survivorship care plans improve care coordination. Moving forward, we propose four criteria for future trials of survivorship care plans: focusing on high‐needs survivor populations, tailoring the survivorship care plan to the care setting, facilitating implementation of the survivorship care plan in clinical practice, and selecting appropriate trial outcomes to assess care coordination. When trials meet these criteria, we can finally assess whether survivorship care plans help cancer survivors receive optimal oncology and primary care.
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spelling pubmed-49448992016-07-25 Moving survivorship care plans forward: focus on care coordination Salz, Talya Baxi, Shrujal Cancer Med Commentary After completing treatment for cancer, the coordination of oncology and primary care presents a challenge for cancer survivors. Many survivors need continued oncology follow‐up, and all survivors require primary care. Coordinating the shared care of a cancer survivor, or facilitating an informed handoff from oncology to primary care, is essential for cancer survivors. Survivorship care plans are personalized documents that summarize cancer treatment and outline a plan of recommended ongoing care, with the goal of facilitating the coordination of post‐treatment care. Despite their face validity, five trials have failed to demonstrate the effectiveness of survivorship care plans. We posit that these existing trials have critical shortcomings and do not adequately address whether survivorship care plans improve care coordination. Moving forward, we propose four criteria for future trials of survivorship care plans: focusing on high‐needs survivor populations, tailoring the survivorship care plan to the care setting, facilitating implementation of the survivorship care plan in clinical practice, and selecting appropriate trial outcomes to assess care coordination. When trials meet these criteria, we can finally assess whether survivorship care plans help cancer survivors receive optimal oncology and primary care. John Wiley and Sons Inc. 2016-04-14 /pmc/articles/PMC4944899/ /pubmed/27075650 http://dx.doi.org/10.1002/cam4.733 Text en © 2016 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Salz, Talya
Baxi, Shrujal
Moving survivorship care plans forward: focus on care coordination
title Moving survivorship care plans forward: focus on care coordination
title_full Moving survivorship care plans forward: focus on care coordination
title_fullStr Moving survivorship care plans forward: focus on care coordination
title_full_unstemmed Moving survivorship care plans forward: focus on care coordination
title_short Moving survivorship care plans forward: focus on care coordination
title_sort moving survivorship care plans forward: focus on care coordination
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4944899/
https://www.ncbi.nlm.nih.gov/pubmed/27075650
http://dx.doi.org/10.1002/cam4.733
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