Randomized Trial of the Impact of Empowering Childhood Cancer Survivors With Survivorship Care Plans

Journal of the National Cancer Institute
Nina S Kadan-LottickXiaomei Ma

Abstract

A survivorship care plan (SCP), that is, individualized treatment summary and schedule of off-therapy surveillance, will be mandated by January 2019. It is unclear whether SCPs improve adherence to recommended follow-up care in the community. In this trial, we evaluated the impact of randomly assigning childhood cancer survivors to 1) SCPs to be taken to their primary care physician (PCP) to implement or 2) survivorship clinic (SC) on health care quality measures. Eligibility included cancer diagnosis younger than age 18 years (2000-2012), cancer free, one or more years off therapy, and no prior survivorship clinic attendance. At 12 months, the random assignment groups were compared (SCP+PCP vs SC) by intent-to-treat analysis with two-sided statistical tests in terms of patient adherence to guideline-recommended surveillance tests (eg, echocardiogram) and number of newly identified late complications of therapy. From 2011 to 2013, 96 participants (46.9% female, mean age = 15.9 ± 6.1 years) were randomly assigned. Adherence to 14 evaluated guideline-recommended surveillance tests ranged from 0% to 46.9% in the SCP+PCP group (n = 47) and from 50.0% to 86.4% in the SC group (n = 47). Adherence to 10 tests was statistically signifi...Continue Reading

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Citations

Jan 12, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Marquita W Lewis-ThamesYamilé Molina
Jul 25, 2019·Journal of Cancer Survivorship : Research and Practice·Veda ZabihPaul C Nathan
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Nov 3, 2020·Pediatric Clinics of North America·Michael HawkinsLindsay M Morton
Jun 17, 2021·Journal of Cancer Survivorship : Research and Practice·Erin M MobleySusanne Hempel

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