Cited by 221Cancer survivorship and carePatient-Provider Communication in HealthcareChildhood Cancer Survivors' Quality of Life

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

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Brennan, M E, Gormally, J F, Butow, P, Boyle, F M, Spillane, A J·2014·British Journal of Cancer

DOI 10.1038/bjc.2014.505PMC PMC4229639

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Abstract

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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See all 221

Authors: Brennan, M. E., Gormally, J. F., Butow, P., Boyle, F. M., & Spillane, A. J.
Affiliations: The University of Sydney (AU)
Corresponding author: Brennan, M E
ORCID: Brennan, M E
Butow, P
Boyle, F M
Spillane, A J
Venue: British Journal of Cancer
Publisher: Springer Science and Business Media LLC
Published: 2014-10-14
Volume: 111
Issue: 10
Pages: 1899-1908
ISSN: 0007-0920 (ISSN-L)
1532-1827
DOI: 10.1038/bjc.2014.505
PMC: PMC4229639
OpenAlex: W2055970016
Cited by: 221
References: 38
Citations by year: 2026: 7 · 2025: 10 · 2024: 9 · 2023: 10 · 2022: 12 · 2021: 26 · 2020: 19 · 2019: 30 · 2018: 31 · 2017: 26 · 2016: 20 · 2015: 21
FWCI: 2.53
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
www.springer.com/tdm (unspecified)
Locations: British Journal of Cancer (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
PubMed Central (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
Funders: Mater Foundation
Friends of The Mater Foundation
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: survivorship care plans, cancer survivors, survivorship care, breast cancer survivors, gynaecological cancer survivors, colorectal cancer survivors, childhood cancer survivors, satisfaction with care, care coordination, unmet needs, implementation barriers, follow-up care
MeSH terms: Clinical Trials as Topic, Continuity of Patient Care, Health Services Needs and Demand, Humans, Neoplasms, Patient Care Planning, Meta-Analysis as Topic, Survivors

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

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