Impact of an Automatically Generated Cancer Survivorship Care Plan on Patient-Reported Outcomes in Routine Clinical Practice: Longitudinal Outcomes of a Pragmatic, Cluster Randomized Trial
Abstract
Purpose: This study was conducted to longitudinally assess the impact of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine clinical practice. Primary outcomes were patient satisfaction with information and care. Secondary outcomes included illness perceptions and health care use. Methods: Twelve hospitals were randomly assigned to SCP care or usual care in a pragmatic, cluster randomized trial. Newly diagnosed patients with endometrial cancer completed questionnaires after diagnosis (n = 221; 75% response), 6 months (n = 158), and 12 months (n = 147). An SCP application was built in the Web-based ROGY (Registration System Oncological Gynecology). By clicking the SCP button, a patient-tailored SCP was generated. Results: In the SCP care arm, 74% of patients received an SCP. They reported receiving more information about their treatment (mean [M] = 57, standard deviation [SD] = 20 v M = 47, SD = 24; P = .03), other services (M = 35, SD = 22 v M = 25, SD = 22; P = .03), and different places of care (M = 27, SD = 25 v M = 23, SD = 26; P = .04) than the usual care arm (scales, 0 to 100). However, there were no differences regarding satisfaction with information or care. Patients in the SCP care arm experienced more symptoms (M = 3.3, SD = 2.0 v M = 2.6, SD = 1.6; P = .03), were more concerned about their illness (M = 4.4, SD = 2.3 v M = 3.9, SD = 2.1; P = .03), were more affected emotionally (M = 4.0, SD = 2.2 v M = 3.7, SD = 2.2; P = .046), and reported more cancer-related contact with their primary care physician (M = 1.8, SD = 2.0 v M = 1.1, SD = 0.9; P = .003) than those in the usual care arm (scale, 1 to 10). These effects did not differ over time. Conclusion: The present trial showed no evidence of a benefit of SCPs on satisfaction with information and care. Furthermore, SCPs increased patients' concerns, emotional impact, experienced symptoms, and the amount of cancer-related contact with the primary care physician. Whether this may ultimately lead to more empowered patients should be investigated further.
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Delivery of SCPs resulted in survivors reporting a greater amount of information received.
“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 [34]
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- Authors
- Nicolaije, K. A. H., Ezendam, N. P. M., Vos, M. C., Pijnenborg, J. M. A., Boll, D., Boss, E. A., Hermans, R. H. M., Engelhart, K. C. M., Haartsen, J. E., Pijlman, B. M., van Loon-Baelemans, I. E. A. M., Mertens, H. J. M. M., Nolting, W. E., van Beek, J. J., Roukema, J. A., Zijlstra, W. P., Kruitwagen, R. F. P. M., & van de Poll-Franse, L. V.
- Affiliations
- Tilburg University (NL)
- Kim A.H. Nicolaije, Nicole P.M. Ezendam, Wobbe P. Zijlstra, and Lonneke V. van de Poll-Franse, Tilburg University, Tilburg; Kim A.H. Nicolaije, Nicole P.M. Ezendam, and Lonneke V. van de Poll-Franse, Comprehensive Cancer Center the Netherlands, Eindhoven; M. Caroline Vos and Dorry Boll, Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk; Erik A. Boss, Maxima Medical Center, Veldhoven and Eindhoven, the Netherlands; Ralph H.M. Hermans, Catharina Hospital, Eindhoven; Karin C.M. Engelhart, St Anna Hospital...
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2015-11-01
- Volume
- 33
- Issue
- 31
- Pages
- 3550-3559
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2153716218
- Cited by
- 112
- References
- 35
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 11 · 2020: 11 · 2019: 11 · 2018: 23 · 2017: 14 · 2016: 19 · 2015: 1
- FWCI
- 8.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- cancer survivorship care plans, endometrial cancer, patient-reported outcomes, patient satisfaction, illness perception, health care utilization, symptom burden, emotional distress, gynecologic oncology, routine clinical practice, longitudinal outcomes, newly diagnosed cancer
- MeSH terms
- Aged, Automation, Female, Humans, Longitudinal Studies, Medical Oncology, Middle Aged, Netherlands, Patient Care Planning, Physician-Patient Relations, Surveys and Questionnaires, Registries, Social Class, Software, Time Factors, Endometrial Neoplasms, Patient Satisfaction, Survivors, Physicians, Primary Care, Patient Outcome Assessment
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