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The impact of the survivorship care plan on health care use: 2-year follow-up results of the ROGY care trial

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Abstract

Purpose

The purpose of this paper was to assess the impact of survivorship care plan (SCP) provision and moderating factors on health care use following endometrial cancer treatment.

Methods

Women newly diagnosed with endometrial cancer were included in a pragmatic cluster randomized trial at 12 hospitals in the Netherlands and were randomly assigned to SCP or usual care (n = 221; 75% response). The SCP was generated using the web-based Registrationsystem Oncological GYnecology (ROGY) and provided tailored information regarding disease, treatment, and possible late-effects. Cancer-related use of general practitioner, specialist, and additional health care was collected through questionnaires after diagnosis and at 6-, 12-, and 24-month follow-up and compared using linear multilevel regression analyses.

Results

Women who received an SCP had more cancer-related primary care visits compared to the usual care arm during the first year after diagnosis (β = 0.7, p < 0.01). At 6-month follow-up, women in the SCP group used more additional health care compared to women receiving usual care (24 vs. 11%, p = 0.04). Women with anxious symptoms (p = 0.03) and women who received radiotherapy (p = 0.01) had a higher primary care use within the first year after treatment, when receiving an SCP.

Conclusions

The SCP increases primary health care consumption the first year after treatment, particularly in women treated with radiotherapy and women with anxious symptoms.

Implications for cancer survivors

These findings imply that the SCP enables women in need of supportive care to seek relevant care at an early stage after treatment. Whether this results in improved patient-reported outcomes in the long-term needs to be further studied.

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Funding

The ROGY (Registration System Oncology Gynecology) Care Trial was supported by Grant No. UVT-2010-4743 from the Dutch Cancer Society. The Dutch Cancer Society did not contribute to the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.

Author information

Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Faculty of Health Sciences, Odense University Hospital, Clinical Institute, University of Southern Denmark, Kloevervaenget 10, 10th floor, 5000, Odense C, Denmark

    Mette Moustgaard Jeppesen & Pernille Tine Jensen

  2. CoRPS-Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands

    Nicole P. M. Ezendam & Lonneke V. van de Poll-Franse

  3. Netherlands Comprehensive Cancer Organisation (IKNL), Research Department, Utrecht, the Netherlands

    Nicole P. M. Ezendam & Lonneke V. van de Poll-Franse

  4. Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, the Netherlands

    Johanna M. A. Pijnenborg

  5. Department of Obstetrics and Gynecology, Elisabeth-Tweesteden Hospital, Tilburg, the Netherlands

    M. Caroline Vos

  6. Department of Obstetrics and Gynecology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands

    Dorry Boll

  7. Department of Gynecology and GROW–School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands

    Roy F. P. M. Kruitwagen

  8. Division of Psychosocial Oncology and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands

    Lonneke V. van de Poll-Franse

Authors
  1. Mette Moustgaard Jeppesen
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  2. Nicole P. M. Ezendam
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  3. Johanna M. A. Pijnenborg
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  4. M. Caroline Vos
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  6. Roy F. P. M. Kruitwagen
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  8. Lonneke V. van de Poll-Franse
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Corresponding author

Correspondence to Mette Moustgaard Jeppesen.

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Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Jeppesen, M.M., Ezendam, N.P.M., Pijnenborg, J.M.A. et al. The impact of the survivorship care plan on health care use: 2-year follow-up results of the ROGY care trial. J Cancer Surviv 12, 18–27 (2018). https://doi.org/10.1007/s11764-017-0639-7

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  • DOI: https://doi.org/10.1007/s11764-017-0639-7

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