Abstract
Purpose
As a treatment summary (TS) documents information for follow-up care, it is believed to be an important communication tool for the patient, their GP, and other health professionals. The aim of this systematic review (SR) was to evaluate the impact of receiving a TS for cancer survivors when compared to receiving standard care and to identify knowledge gaps to inform future research.
Methods
A systematic search of electronic databases and grey literature was undertaken from August 2018 to October 2018. Studies were included if participants (cancer survivors) were over 18 years of age and had received a TS, and if outcomes for TS could be separated from other survivorship interventions. The McMaster Critical Appraisal Tool was used to evaluate the methodological quality of the included studies. A narrative synthesis of the study outcomes was then conducted.
Results
Seven studies (one prospective cohort and six cross-sectional studies) met the inclusion criteria. The impact of TS was assessed using widely varied outcomes in these studies. Overall, receipt of a TS was related to greater patient understanding and perception of the quality of care provided. However, caution is required when interpreting these results due to methodological limitations.
Conclusions
This systematic review found that TS may have a positive impact on patient understandings about and perceptions of cancer care. However, more robust research including perspectives of cancer survivors is required.
Implications for Cancer Survivors
TS could play an important role for cancer survivors especially in terms of knowledge of cancer care.
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References
Australian Institute of Health and Welfare. Cancer in Australia. Canberra: AIHW2019.
Committee on Cancer Survivorship: Improving Care and Quality of Life, National Cancer Policy Board, Institute of Medicine, National Research Council. From cancer patient to cancer survivor lost in transition. Washington DC2006.
Hahn EE, Ganz PA. Survivorship programs and care plans in practice: variations on a theme. J Oncol Pract. 2011;7(2):70–5. https://doi.org/10.1200/jop.2010.000115.
Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, et al. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol. 2018;36(20):2088–100. https://doi.org/10.1200/jco.2018.77.7482.
Halpern MT, Viswanathan M, Evans TS, Birken SA, Basch E, Mayer DK. Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract. 2015;11(1):e19–27. https://doi.org/10.1200/jop.2014.001403.
Daudt HML, van Mossel C, Dennis DL, Leitz L, Watson HC, Tanliao JJ. Survivorship care plans: a work in progress. Current oncology (Toronto, Ont). 2014;21(3):e466–e79. https://doi.org/10.3747/co.21.1781.
Salz T, Oeffinger KC, McCabe MS, Layne TM, Bach PB. Survivorship care plans in research and practice. CA Cancer J Clin. 2012;62(2):101–17. https://doi.org/10.3322/caac.20142.
Mayer DK, Birken SA, Check DK, Chen RC. Summing it up: an integrative review of studies of cancer survivorship care plans (2006–2013). Cancer. 2015;121(7):978–96. https://doi.org/10.1002/cncr.28884.
Mulvey TM. Treatment plan and summary templates: the experience of one practice. J Oncol Pract. 2009;5(3):106–7. https://doi.org/10.1200/jop.0934403.
Mayer DK, Nekhlyudov L, Snyder CF, Merrill JK, Wollins DS, Shulman LN. American Society of Clinical Oncology clinical expert statement on cancer survivorship care planning. J Oncol Pract. 2014;10(6):345–51. https://doi.org/10.1200/jop.2014.001321.
Beesley VL, Alemayehu C, Webb PM. A systematic literature review of trials of survivorship interventions for women with gynaecological cancer and their caregivers. 0(0):e13057. https://doi.org/10.1111/ecc.13057.
Brennan ME, Gormally JF, Butow P, Boyle FM, Spillane AJ. Survivorship care plans in cancer: a systematic review of care plan outcomes. Br J Cancer. 2014;111:1899–908. https://doi.org/10.1038/bjc.2014.505.
Howell D, Hack TF, Oliver TK, Chulak T, Mayo S, Aubin M, et al. Models of care for post-treatment follow-up of adult cancer survivors: a systematic review and quality appraisal of the evidence. J Cancer Surviv. 2012;6(4):359–71. https://doi.org/10.1007/s11764-012-0232-z.
Kenzik KM. Health care use during cancer survivorship: review of 5 years of evidence. 2018;0(0). https://doi.org/10.1002/cncr.31852.
Klemanski DL, Browning KK, Kue J. Survivorship care plan preferences of cancer survivors and health care providers: a systematic review and quality appraisal of the evidence. Journal of cancer survivorship : research and practice. 2016;10(1):71–86. https://doi.org/10.1007/s11764-015-0452-0.
Lawrence RA, McLoone JK, Wakefield CE, Cohn RJJJoGIM. Primary care physicians’ perspectives of their role in cancer care: a systematic review. 2016;31(10):1222–36. https://doi.org/10.1007/s11606-016-3746-7.
Monterosso L, Platt V, Bulsara M, Berg M. Systematic review and meta-analysis of patient reported outcomes for nurse-led models of survivorship care for adult cancer patients. Cancer Treat Rev. 2019. https://doi.org/10.1016/j.ctrv.2018.12.007.
Jabson JM. Treatment summaries, follow-up care instructions, and patient navigation: could they be combined to improve cancer survivor's receipt of follow-up care? Journal of cancer survivorship : research and practice. 2015;9(4):692–8. https://doi.org/10.1007/s11764-015-0444-0.
Centre for Reviews and Dissemination. PROSPERO: International prospective register of systematic reviews. University of York.
Law M, Stewart D, Pollock N, Letts L, Bosch J. Westmorland M. Critical review form—quantitative studies. In: Evidence-based practice research group at McMaster University, editor. McMaster University: McMaster University; 1998.
Coleman K. NHMRC additional levels of evidence and grades for recommendations for developers of guidelines: stage 2 consultation. Canberra: National Health and Medical Research Council; 2008.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700. https://doi.org/10.1136/bmj.b2700.
Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, et al. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ Couns. 2015;98(10):1274–9. https://doi.org/10.1016/j.pec.2015.06.005.
Jabson JM. Follow-up care instructions, treatment summaries, and cancer survivors’ receipt of follow-up health care and late/long term effects. Support Care Cancer. 2015;23(7):1851–6. https://doi.org/10.1007/s00520-014-2532-5.
Jabson JM, Bowen DJ. How do follow-up care instructions and treatment summaries relate to cancer survivors' cancer-related pain? J Pain Symptom Manag. 2014;48(6):1247–53. https://doi.org/10.1016/j.jpainsymman.2014.03.004.
Kenzik KM, Kvale EA, Rocque GB, Demark-Wahnefried W, Martin MY, Jackson BE, et al. Treatment summaries and follow-up care instructions for cancer survivors: improving survivor self-efficacy and health care utilization. Oncologist. 2016;21(7):817–24. https://doi.org/10.1634/theoncologist.2015-0517.
Nissen MJ, Tsai ML, Blaes AH, Swenson KK, Koering S. Effectiveness of treatment summaries in increasing breast and colorectal cancer survivors’ knowledge about their diagnosis and treatment. Journal of cancer survivorship : research and practice. 2013;7(2):211–8. https://doi.org/10.1007/s11764-012-0261-7.
Oancea SC, Cheruvu VK. Psychological distress among adult cancer survivors: importance of survivorship care plan. J Supportive Care in Cancer. 2016;24(11):4523–31. https://doi.org/10.1007/s00520-016-3291-2.
Rechis RB, Ellen B, Nutt S. Potential benefits of treatment summaries for survivors’ health and information needs: results from a LIVESTRONG Survey. J Oncol Pract. 2014;10(1):75–8. https://doi.org/10.1200/jop.2013.000973.
Maher J, Petchey L, Greenfield D, Levitt G, Fraser M. Implementation of nationwide cancer survivorship plans: experience from the UK. J Cancer Policy. 2018;15:76–81. https://doi.org/10.1016/j.jcpo.2018.01.002.
de Rooij BH, Ezendam NP, Nicolaije KA, Vos MC, Pijnenborg JM, Boll D, et al. Effects of survivorship care plans on patient reported outcomes in ovarian cancer during 2-year follow-up—the ROGY care trial. 2017;145(2):319–28.
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;29(36):4755–62. https://doi.org/10.1200/jco.2011.36.8373.
Hershman DL, Greenlee H, Awad D, Kalinsky K, Maurer M, Kranwinkel G, et al. Randomized controlled trial of a clinic-based survivorship intervention following adjuvant therapy in breast cancer survivors. Breast Cancer Res Treat. 2013;138(3):795–806. https://doi.org/10.1007/s10549-013-2486-1.
Majhail NS, Murphy E, Laud P, Preussler JM, Denzen EM, Abetti B et al. Randomized controlled trial of individualized treatment summary and survivorship care plans for hematopoietic cell transplantation survivors. Haematologica. 2019;104(5):1084–1092. doi:https://doi.org/10.3324/haematol.2018.203919 Haematologica.
Maly RC, Liang LJ, Liu Y, Griggs JJ, Ganz PA. Randomized controlled trial of survivorship care plans among low-income, predominantly Latina breast cancer survivors. J Clin Oncol. 2017;35(16):1814–21. https://doi.org/10.1200/JCO.2016.68.9497.
Taylor K, Chivers P, Bulsara C, Joske D, Bulsara M, Monterosso L. Care After Lymphoma (CALy) trial: a phase II pilot pragmatic randomised controlled trial of a nurse-led model of survivorship care. Eur J Oncol Nurs. 2019;40:53–62. https://doi.org/10.1016/j.ejon.2019.03.005.
Tevaarwerk AJ, Hocking WG, Buhr KA, Gribble M, Seaborne LA, Wisinski KB, et al. A randomized trial of immediate versus delayed survivorship care plan receipt on patient satisfaction and knowledge of diagnosis and treatment. 2019;125(6):1000–7. https://doi.org/10.1002/cncr.31875.
Birken SA, Clary AS, Bernstein S, Bolton J, Tardif-Douglin M, Mayer DK, et al. Strategies for successful survivorship care plan implementation: results from a qualitative study. J Oncol Pract. 2018;14(8):e462–e83. https://doi.org/10.1200/jop.17.00054.
Handberg C, Thorne S, Maribo T. When a policy decision meets practice realities: the case of cancer survivorship care and rehabilitation needs assessment. Eur J Oncol Nurs. 2018;33:70–7. https://doi.org/10.1016/j.ejon.2018.01.010.
Isaacson MJ, Hulme PA, Cowan J, Kerkvliet J. Cancer survivorship care plans: processes, effective strategies, and challenges in a Northern Plains rural state. 2018;35(4):291–8. https://doi.org/10.1111/phn.12393.
Mayer DK, Gerstel A, Leak AN, Smith SK. Patient and provider preferences for survivorship care plans. J Oncol Pract. 2012;8(4):e80–e6. https://doi.org/10.1200/jop.2011.000401.
Monterosso L, Taylor K, Platt V, Lobb E, Krishnasamy M, Musiello T, et al. A qualitative study of the post-treatment experiences and support needs of survivors of lymphoma. Eur J Oncol Nurs. 2017;28:62–8. https://doi.org/10.1016/j.ejon.2017.03.002.
Rubinstein EB, Miller WL, Hudson SV, Howard J, O'Malley D, Tsui J, et al. Cancer survivorship care in advanced primary care practices: a qualitative study of challenges and opportunities. JAMA Intern Med. 2017;177(12):1726–32. https://doi.org/10.1001/jamainternmed.2017.4747.
Sterba KR, Zapka J, LaPelle N, Garris TK, Buchanan A, Scallion M, et al. Development of a survivorship needs assessment planning tool for head and neck cancer survivors and their caregivers: a preliminary study. Journal of cancer survivorship : research and practice. 2017;11(6):822–32. https://doi.org/10.1007/s11764-017-0621-4.
Tait D, Scammell J, Mills A, Waight S, Heaslip V, Sheppard Z, et al. An evaluation of the progress made towards the implementation of treatment summaries for cancer patients across Wessex. Poole, England: Centre for Implementation Science,Wessex Strategic Clinical Networks; 2016.
Taylor K, Monterosso L, Bulsara C. Qualitative results from a phase II pilot randomised controlled trial of a lymphoma nurse-led model of survivorship care. Eur J Oncol Nurs. 2018;35:9–14. https://doi.org/10.1016/j.ejon.2018.01.011.
Williamson S, Beaver K, Gardner A, Martin-Hirsch P. Telephone follow-up after treatment for endometrial cancer: a qualitative study of patients’ and clinical nurse specialists' experiences in the ENDCAT trial. Eur J Oncol Nurs. 2018;34:61–7. https://doi.org/10.1016/j.ejon.2018.02.005.
Aaronson NK, Mattioli V, Minton O, Weis J, Johansen C. Dalton SO et al. Beyond treatment—psychosocial and behavioural issues in cancer survivorship research and practice. 2014;12(1):54–64.
Sabatino SA, Thompson TD, Smith JL, Rowland JH, Forsythe LP, Pollack L, et al. Receipt of cancer treatment summaries and follow-up instructions among adult cancer survivors: results from a national survey. J Cancer Surviv. 2013;7(1):32–43. https://doi.org/10.1007/s11764-012-0242-x.
Eriksson H, Lyth J, Månsson-Brahme E, Frohm-Nilsson M, Ingvar C, Lindholm C, et al. Low level of education is associated with later stage at diagnosis and reduced survival in cutaneous malignant melanoma: a nationwide population-based study in Sweden. 2013;49(12):2705–16.
Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012;50(3):217–26. https://doi.org/10.1097/MLR.0b013e3182408812.
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Thank you to the University of South Australia library staff for the assistance in database searching.
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Conceptualization: Nadia Corsini and Saravana Kumar; Literature search, title and abstract screening and initial draft preparation: Elminur Mahpirof, Amy McLaughlin, Susan Mcleod, Paul McNamara, Mary Metaxas, Sophia Minos and Saravana Kumar; Full-text screening, data extraction and analysis, and review and editing of the manuscript: Nadia Corsini, Kim Neylon, Esther Jie Tian and Rebecca Sharp; Supervision: Saravana Kumar. All authors read and approved the final manuscript.
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Corsini, N., Neylon, K., Tian, E.J. et al. Impact of treatment summaries for cancer survivors: a systematic review. J Cancer Surviv 14, 405–416 (2020). https://doi.org/10.1007/s11764-020-00859-x
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DOI: https://doi.org/10.1007/s11764-020-00859-x