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Cited by 88Cancer survivorship and carePatient-Provider Communication in HealthcareWomen's cancer prevention and management

A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial

for the FUPII Trial Investigators, Boekhout, Annelies H., Maunsell, Elizabeth, Pond, Gregory R., Julian, Jim A., Coyle, Doug, Levine, Mark N., Grunfeld, Eva·2015·Journal of Cancer Survivorship
DOI 10.1007/s11764-015-0443-1
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Abstract

Purpose Prevailing wisdom suggests that implementation of a survivorship care plan (SCP) will address deficits in survivorship care planning and delivery for cancer patients. Here, we present 24-month results of a randomized clinical trial on health service and patient-reported outcomes among breast cancer patients transferred to their primary care physician for follow-up care. The 24-month assessments represent the long-term benefit and sustainability of the implantation of a SCP.Methods In all, 408 patients with early-stage breast cancer were randomized to the SCP or control group. Patient self-completed questionnaires, supplemented with telephone interviews, during the 24-month study period assessed health service and patient-reported outcomes. The primary outcome was cancer-specific distress. Secondary outcomes included health-related quality of life, patient satisfaction, continuity and coordination of care, and health service outcomes such as adherence to guidelines.Results Over the course of 24 months, there were no differences between both groups in health service and patient-reported outcomes. Women from Quebec compared to those from Western Canada (p < 0.001), women within 2 years of completion of primary treatment compared to a longer period (p = 0.013), and those with a higher SF-36 mental component score compared to a lower score (p = 0.044) were positively associated with adherence to guidelines.Conclusion The implementation of a SCP in the transition of survivorship care from cancer center to primary care did not contribute to improved health service or patient-reported outcomes in this study population. Therefore, additional research is needed before widespread implementation of a SCP in clinical practice.Implications of cancer survivors The transition of survivorship care from cancer center to the primary care setting showed no negative effect on health service and patient-reported outcomes.

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Crossref · 10.1007/s11764-015-0443-1

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  • Delivery of SCPs resulted in a greater likelihood of survivors correctly identifying their PCP as responsible for follow-up care.

    “Consistent with this view are results described in the current article showing delivery of SCPs resulted in survivors reporting a greater amount of information received34 and greater likelihood of survivors correctly identifying their PCP as responsible for follow-up care.23”

    From Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery (2018) · cites this paper as [23]

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Authors
for the FUPII Trial Investigators, Boekhout, A. H., Maunsell, E., Pond, G. R., Julian, J. A., Coyle, D., Levine, M. N., & Grunfeld, E.
Affiliations
  • University of Toronto (CA)
  • Ontario Clinical Oncology Group (CA)
  • University of Ottawa (CA)
  • Ontario Institute for Cancer Research (CA)
Corresponding author
Boekhout, Annelies H.
ORCID
Venue
Journal of Cancer Survivorship
Publisher
Springer Science and Business Media LLC
Published
2015-04-21
Volume
9
Issue
4
Pages
683-691
ISSN
  • 1932-2259 (ISSN-L)
  • 1932-2267
DOI
10.1007/s11764-015-0443-1
OpenAlex
W1985283452
Cited by
88
References
36
Citations by year
2026: 1 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 6 · 2021: 11 · 2020: 5 · 2019: 15 · 2018: 19 · 2017: 9 · 2016: 11 · 2015: 5
FWCI
6.41
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Cancer Survivorship (publishedVersion)
  • PubMed (publishedVersion)
Funders
American Society of Clinical Oncology
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords
breast cancer survivors, survivorship care plans, care transitions, primary care follow-up, cancer-specific distress, health-related quality of life, patient satisfaction, continuity of care, care coordination, guideline adherence, early breast cancer, care plan implementation
MeSH terms
Adult, Aged, Aged, 80 and over, Breast Neoplasms, Canada, Continuity of Patient Care, Female, Follow-Up Studies, Health Systems Plans, Humans, Middle Aged, Primary Health Care, Quality of Life, Quebec, Surveys and Questionnaires, Patient Satisfaction, Survivors

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