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Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901.

Publication ,  Journal Article
Faul, LA; Luta, G; Sheppard, V; Isaacs, C; Cohen, HJ; Muss, HB; Yung, R; Clapp, JD; Winer, E; Hudis, C; Tallarico, M; Wang, J; Barry, WT ...
Published in: J Cancer Surviv
December 2014

PURPOSE: Survivorship care plans (SCP) are recommended for all cancer patients and could be especially useful to survivors 65 years and over ("older"). This study examined receipt of SCPs among older breast cancer survivors and whether SCPs were associated with improved patient-reported outcomes. METHODS: Three hundred and twenty-eight older women diagnosed with invasive, nonmetastatic breast cancer between 2007-2011 were recruited from 78 cooperative-group sites. Participants completed telephone interviews at baseline and 1-year posttreatment. Regression analyses examined SCP receipt (yes/no) and functioning (EORTC-QLQ-C30), cancer worry, and experiences of survivorship care (care coordination, knowledge). RESULTS: Only 35% of women received SCPs. For each 1-year increase in age, there was a 5% lower odds of receiving an SCP (odds ratio (OR) = 0.94, 95% confidence interval (CI) 0.91-0.98, p = 0.007). Besides age, no other factor predicted SCPs. SCP receipt was associated with greater knowledge and understanding of requisite follow-up care (p < 0.05); however, functioning was not significantly different among those with vs. without SCPs. CONCLUSIONS: Receipt of care plans was limited. SCPs improved understanding of breast cancer follow-up care among older survivors, but did not impact functioning one year post-treatment. IMPLICATIONS FOR CANCER SURVIVORS: To impact functioning and salient needs of the growing cohort of older survivors, survivorship care plans likely should be tailored to geriatric-specific issues. To improve functioning, SCP content should expand to include exercise, nutrition, polypharmacy, social support and management of symptom burden from cancer, and other comorbid conditions. To improve follow-up care for cancer survivors, SCPs should delineate shared care roles between oncology and primary care in managing recurrence surveillance, screening, and cancer sequelae.

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Published In

J Cancer Surviv

DOI

EISSN

1932-2267

Publication Date

December 2014

Volume

8

Issue

4

Start / End Page

627 / 637

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survivors
  • Survival Rate
  • Surveys and Questionnaires
  • Oncology & Carcinogenesis
  • Longitudinal Studies
  • Humans
  • Female
  • Cohort Studies
  • Breast Neoplasms
 

Citation

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Chicago
ICMJE
MLA
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Faul, L. A., Luta, G., Sheppard, V., Isaacs, C., Cohen, H. J., Muss, H. B., … Mandelblatt, J. S. (2014). Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901. J Cancer Surviv, 8(4), 627–637. https://doi.org/10.1007/s11764-014-0371-5
Faul, Leigh Anne, Gheorghe Luta, Vanessa Sheppard, Claudine Isaacs, Harvey J. Cohen, Hyman B. Muss, Rachel Yung, et al. “Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901.J Cancer Surviv 8, no. 4 (December 2014): 627–37. https://doi.org/10.1007/s11764-014-0371-5.
Faul LA, Luta G, Sheppard V, Isaacs C, Cohen HJ, Muss HB, et al. Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901. J Cancer Surviv. 2014 Dec;8(4):627–37.
Faul, Leigh Anne, et al. “Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901.J Cancer Surviv, vol. 8, no. 4, Dec. 2014, pp. 627–37. Pubmed, doi:10.1007/s11764-014-0371-5.
Faul LA, Luta G, Sheppard V, Isaacs C, Cohen HJ, Muss HB, Yung R, Clapp JD, Winer E, Hudis C, Tallarico M, Wang J, Barry WT, Mandelblatt JS. Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901. J Cancer Surviv. 2014 Dec;8(4):627–637.
Journal cover image

Published In

J Cancer Surviv

DOI

EISSN

1932-2267

Publication Date

December 2014

Volume

8

Issue

4

Start / End Page

627 / 637

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Survivors
  • Survival Rate
  • Surveys and Questionnaires
  • Oncology & Carcinogenesis
  • Longitudinal Studies
  • Humans
  • Female
  • Cohort Studies
  • Breast Neoplasms