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Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer.

Publication ,  Journal Article
Grunfeld, E; Julian, JA; Pond, G; Maunsell, E; Coyle, D; Folkes, A; Joy, AA; Provencher, L; Rayson, D; Rheaume, DE; Porter, GA; Paszat, LF ...
Published in: J Clin Oncol
December 20, 2011

PURPOSE: An Institute of Medicine report recommends that patients with cancer receive a survivorship care plan (SCP). The trial objective was to determine if an SCP for breast cancer survivors improves patient-reported outcomes. PATIENTS AND METHODS: Women with early-stage breast cancer who completed primary treatment at least 3 months previously were eligible. Consenting patients were allocated within two strata: less than 24 months and ≥ 24 months since diagnosis. All patients were transferred to their own primary care physician (PCP) for follow-up. In addition to a discharge visit, the intervention group received an SCP, which was reviewed during a 30-minute educational session with a nurse, and their PCP received the SCP and guideline on follow-up. The primary outcome was cancer-related distress at 12 months, assessed by the Impact of Event Scale (IES). Secondary outcomes included quality of life, patient satisfaction, continuity/coordination of care, and health service measures. RESULTS: Overall, 408 survivors were enrolled through nine tertiary cancer centers. There were no differences between groups on cancer-related distress or on any of the patient-reported secondary outcomes, and there were no differences when the two strata were analyzed separately. More patients in the intervention than control group correctly identify their PCP as primarily responsible for follow-up (98.7% v 89.1%; difference, 9.6%; 95% CI, 3.9 to 15.9; P = .005). CONCLUSION: The results do not support the hypothesis that SCPs are beneficial for improving patient-reported outcomes. Transferring follow-up to PCPs is considered an important strategy to meet the demand for scarce oncology resources. SCPs were no better than a standard discharge visit with the oncologist to facilitate transfer.

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Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

December 20, 2011

Volume

29

Issue

36

Start / End Page

4755 / 4762

Location

United States

Related Subject Headings

  • Survival Rate
  • Physicians, Primary Care
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Breast Neoplasms
  • Aged
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
 

Citation

APA
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Grunfeld, E., Julian, J. A., Pond, G., Maunsell, E., Coyle, D., Folkes, A., … Levine, M. N. (2011). Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol, 29(36), 4755–4762. https://doi.org/10.1200/JCO.2011.36.8373
Grunfeld, Eva, Jim A. Julian, Gregory Pond, Elizabeth Maunsell, Douglas Coyle, Amy Folkes, Anil A. Joy, et al. “Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer.J Clin Oncol 29, no. 36 (December 20, 2011): 4755–62. https://doi.org/10.1200/JCO.2011.36.8373.
Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, et al. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol. 2011 Dec 20;29(36):4755–62.
Grunfeld, Eva, et al. “Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer.J Clin Oncol, vol. 29, no. 36, Dec. 2011, pp. 4755–62. Pubmed, doi:10.1200/JCO.2011.36.8373.
Grunfeld E, Julian JA, Pond G, Maunsell E, Coyle D, Folkes A, Joy AA, Provencher L, Rayson D, Rheaume DE, Porter GA, Paszat LF, Pritchard KI, Robidoux A, Smith S, Sussman J, Dent S, Sisler J, Wiernikowski J, Levine MN. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol. 2011 Dec 20;29(36):4755–4762.

Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

December 20, 2011

Volume

29

Issue

36

Start / End Page

4755 / 4762

Location

United States

Related Subject Headings

  • Survival Rate
  • Physicians, Primary Care
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Breast Neoplasms
  • Aged
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis