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Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study

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Abstract

Purpose

This study aims to evaluate the relationship between survivorship care planning (SCP) and survivorship care and health outcomes reported by long-term lung and colorectal cancer survivors.

Methods

Participants (n = 832) were diagnosed and enrolled during 2003–2005. In 2012, patient-reported outcomes (survivorship care and health outcomes) and two patient-reported SCP measures (receipt of written summary of cancer treatment and receipt of instructions on who to see for routine cancer follow-up) were collected. Analyses controlled for SCP predictors collected from medical records and an interview 1 year after diagnosis.

Results

One in four survivors reported receiving both SCP elements. Those receiving both were more certain which doctor was in charge (odds ratio (OR) 7.0; 95 % confidence intervals (95 % CI) 3.9–12.5), more likely to report follow-up checkup (OR 5.1; 95 % CI 3.3–8.0), and had an MRI/PET/CT scan in the past 2 years (OR 2.8; 95 % CI 1.7–4.7) compared to those receiving neither. Physician communication experiences were significantly more positive and having physical exams (OR 2.0; 95 % CI 1.2–3.4) and meeting exercise guidelines (OR 1.6; 95 % CI 1.004–2.4) more likely. Physical health (p = 0.012) and good-to-excellent self-perceived health status (OR 2.2; 95 % CI 1.3–3.9) were better for those receiving both elements.

Conclusion

SCP may lead to better cancer follow-up care, long-term physical health, and physician-patient communication experiences.

Implications for Cancer Survivors

The positive association between outcomes and SCP suggests that efforts to implement SCP should be fruitful.

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Acknowledgments

The work of the CanCORS Consortium was supported by grants from the National Cancer Institute (NCI) to the Statistical Coordinating Center (U01 CA093344) and the NCI supported Primary Data Collection and Research Centers (Dana-Farber Cancer Institute/Cancer Research Network U01 CA093332, Harvard Medical School/Northern California Cancer Center U01 CA093324, RAND/UCLA U01 CA093348, University of Alabama at Birmingham U01 CA093329, University of Iowa U01 CA093339, University of North Carolina U01 CA093326) and by a Department of Veterans Affairs grant to the Durham VA Medical Center CRS 02-164. This project was also supported in part by the University of Iowa Holden Comprehensive Cancer Center (HCCC) Population Research Core, funded in part by P30 CA086862, as well as Institutional Research Grant IRG-77-004-34 from the American Cancer Society to the HCCC.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. S424 CPHB, Department of Epidemiology, University of Iowa, Iowa City, IA, 52242, USA

    Elizabeth A. Chrischilles

  2. 5240 MERF, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, 52242, USA

    Bradley D. McDowell

  3. S415 CPHB, Department of Epidemiology, University of Iowa, Iowa City, IA, 52242, USA

    Linda Rubenstein

  4. S453 CPHB, Department of Epidemiology, University of Iowa, Iowa City, IA, 52242, USA

    Mary Charlton

  5. N314 CPHB, Department of Biostatistics, University of Iowa, Iowa City, IA, 52242, USA

    Jane Pendergast

  6. 2230 WL, Center for Public Health Statistics, University of Iowa, Iowa City, IA, 52242, USA

    Grelda Yazmin Juarez

  7. National Cancer Institute, 9609 Medical Center Dr., Room 2E532 MSC 9760, Bethesda, MD, 20892, USA

    Neeraj K. Arora

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  1. Elizabeth A. Chrischilles
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  2. Bradley D. McDowell
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Correspondence to Elizabeth A. Chrischilles.

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Chrischilles, E.A., McDowell, B.D., Rubenstein, L. et al. Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study. J Cancer Surviv 9, 269–278 (2015). https://doi.org/10.1007/s11764-014-0406-y

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  • DOI: https://doi.org/10.1007/s11764-014-0406-y

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