Implementing Survivorship Care Plans for Colon Cancer Survivors
- 25 April 2014
- journal article
- Published by Oncology Nursing Society (ONS) in Oncology Nursing Forum
- Vol. 41 (3), 266-273
- https://doi.org/10.1188/14.onf.266-273
Abstract
To evaluate the feasibility, usability, and satisfaction of a survivorship care plan (SCP) and identify the optimum time for its delivery during the first 12 months after diagnosis. Prospective, descriptive, single-arm study. A National Cancer Institute-designated cancer center in the southeastern United States. 28 nonmetastatic colon cancer survivors within the first year of diagnosis and their primary care physicians (PCPs). Regular screening identified potential participants who were followed until treatment ended. An oncology certified nurse developed the JourneyForward™ SCP, which then was delivered to the patient by the oncology nurse practitioner (NP) during a routine follow-up visit and mailed to the PCP. Time to complete, time to deliver, usability, and satisfaction with the SCP. During one year, 75 patients were screened for eligibility, 34 SCPs were delivered, and 28 survivors and 15 PCPs participated in the study. It took an average of 49 minutes to complete a surgery SCP and 90 minutes to complete a surgery plus chemotherapy SCP. Most survivors identified that before treatment ended or within the first three months was the preferred time to receive an SCP. The SCPs were well received by the survivors and their PCPs, but were too time and labor intensive to track and complete. More work needs to be done to streamline processes that identify eligible patients and to develop and implement SCPs. Measuring outcomes will be needed to demonstrate whether SCPs are useful or not.Keywords
This publication has 49 references indexed in Scilit:
- Primary care perspectives on prostate cancer survivorship: Implications for improving quality of careUrologic Oncology, 2013
- Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot studyBMC Medical Informatics and Decision Making, 2013
- Models of care for post-treatment follow-up of adult cancer survivors: a systematic review and quality appraisal of the evidenceJournal of Cancer Survivorship, 2012
- Differences Between Primary Care Physicians’ and Oncologists’ Knowledge, Attitudes and Practices Regarding the Care of Cancer SurvivorsJournal of General Internal Medicine, 2011
- The Interface Between Primary and Oncology Specialty Care: Treatment Through SurvivorshipJNCI Monographs, 2010
- Views of primary care physicians and oncologists on cancer follow-up initiatives in primary care: an online surveyJournal of Cancer Survivorship, 2010
- Transitioning to Breast Cancer Survivorship: Perspectives of Patients, Cancer Specialists, and Primary Care ProvidersJournal of General Internal Medicine, 2009
- The views of bowel cancer survivors and health care professionals regarding survivorship care plans and post treatment follow upJournal of Cancer Survivorship, 2009
- Patient Experiences with Coordination of Care: The Benefit of Continuity and Primary Care Physician as Referral SourceJournal of General Internal Medicine, 2008
- Trends in Follow-up and Preventive Care for Colorectal Cancer SurvivorsJournal of General Internal Medicine, 2008