Survivorship care plan outcomes for primary care physicians, cancer survivors, and systems: a scoping review
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With the focus on survivorship care-coordination between oncology and primary care providers (PCPs), there is a need to assess the research regarding the use of survivorship care plans (SCPs) and determine emerging research areas. We sought to find out how primary care physicians have been involved in the use of SCPs and determine SCP’s effectiveness in improving care for cancer survivors. In this scoping review, we aimed to identify gaps in the current research and reveal opportunities for further research.
We followed the methodology for scoping studies which consists of identifying the research question, locating relevant studies, selecting studies, charting the data, and collating, summarizing, and reporting the results.
Out of 5375 original articles identified in the literature search, 25 met the inclusion/exclusion criteria. Eight articles examined PCP-only related outcomes, eight examined survivor-only related outcomes, eight examined mixed outcomes between both groups, and one examined system-based outcomes. Findings highlighted several areas where SCPs may provide benefits, including increased confidence among PCPs in managing the care of survivors and increased quality of life and well-being for survivors. This research also highlighted the need for careful consideration of SCP mode of delivery and content in order to maximize their utility to patients and providers.
Based on the findings of this review, SCPs may benefit providers and health care systems, but the benefits to patients remain unclear. Further research on the potential benefits of SCPs to particular patient populations is warranted.
Implications for Cancer Survivors
SCPs appear to be beneficial to PCPs in improving overall quality of care. However, more work needs to be done to understand the direct impact on cancer survivors.
KeywordsSurvivorship care plans Cancer survivors Primary care providers
L.A.-A. and J.A.’s work on this manuscript was partially supported by a grant from the Merck Foundation Alliance to Advance Patient-Centered Cancer Care.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no competing interests.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 3.Hewitt M, Greenfield S, Stovall E. From cancer patient to cancer survivor: lost in transition. Committee on Cancer Survivorship: Improving Care and Quality of Life, Institute of Medicine and National Research Council. Washington, DC: The National Academies Press; 2006.Google Scholar
- 6.Hewitt, M., S. Greenfield, and E. Stovall, Eds. From cancer patient to cancer survivor: lost in transition. Ed. I.O.M.A.N.R.C.O.T.N. Academies. 2005, The National Academies Press: Washington DC.Google Scholar
- 9.Yang W, Williams JH, Hogan PF, Bruinooge SS, Rodriguez GI, Kosty MP, et al. Projected supply of and demand for oncologists and radiation oncologists through 2025: an aging, better-insured population will result in shortage. J Oncol Pract. 2014;10(1):39–45. https://doi.org/10.1200/JOP.2013.001319.CrossRefPubMedGoogle Scholar
- 10.National Cancer Policy Forum, Ensuring quality cancer care through the oncology workforce: sustaining care in the 21st century. Workshop summary, I.O. Medicine, editor. 2009, Institute of Medicine of the National Academies: Washington DC.Google Scholar
- 11.Cheung WY, Aziz N, Noone AM, Rowland JH, Potosky AL, Ayanian JZ, et al. Physician preferences and attitudes regarding different models of cancer survivorship care: a comparison of primary care providers and oncologists. J Cancer Surviv. 2013;7(3):343–54. https://doi.org/10.1007/s11764-013-0281-y.CrossRefPubMedGoogle Scholar
- 15.Eden, J., et al., Eds. Finding what works in health care: standards for systematic reviews. Ed. I.O. Medicine. 2011, Institute of Medicine of the National Academies: Washington DC.Google Scholar
- 17.Critical Appraisal Skills Programme (CASP). [cited 2017 December 12]; Available from: http://www.casp-uk.net/casp-tools-checklists.
- 18.Effective Public Health Practice Project (EHPP). Quality Assessment Tool for Quantitative Studies. 2009 [cited 2017 December 12, 2017]; Available from: http://www.ephpp.ca/tools.html.
- 19.Blanch-Hartigan D, Forsythe LP, Alfano CM, Smith T, Nekhlyudov L, Ganz PA, et al. Provision and discussion of survivorship care plans among cancer survivors: results of a nationally representative survey of oncologists and primary care physicians. J Clin Oncol. 2014;32(15):1578–85. https://doi.org/10.1200/JCO.2013.51.7540.CrossRefPubMedPubMedCentralGoogle Scholar
- 22.Chrischilles EA, McDowell BD, Rubenstein L, Charlton M, Pendergast J, Juarez GY, 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. 2015;9(2):269–78. https://doi.org/10.1007/s11764-014-0406-y.CrossRefPubMedGoogle Scholar
- 25.Dittus KL, et al. Primary care provider evaluation of cancer survivorship care plans developed for patients in their practice. J Gen Pract (Los Angel). 2014;2(4):163.Google Scholar
- 29.Grunfeld E, Pond G, Maunsell E, Levine MN, Julian JA, Coyle D. Impact of survivorship care plans (SCP) on adherence to guidelines, health service measures, and patient-reported outcomes (PRO): extended results of a multicenter randomized clinical trial (RCT) with breast cancer survivors. Eur J Cancer. 2012;48:S147. https://doi.org/10.1016/S0959-8049(12)70423-9.CrossRefGoogle Scholar
- 30.Haq R, Leung FH, Dastur D, Baker NA, Heus L, Li B, et al. “I wish I’d had this before”: meeting the communication needs of patients with breast cancer and their primary care physicians using a multifaceted survivorship care plan. J Clin Oncol. 2011;29(15):200. https://doi.org/10.1200/jco.2011.29.27_suppl.200.CrossRefGoogle Scholar
- 31.Hubbard S, et al. S.O.S.: supporting our survivors; focus on wellness. Am J Clin Oncol : Cancer Clin Trials. 2010;33(5):530–1.Google Scholar
- 33.Kvale EA, Demark-Wahnefried W, Meneses K, Bae S, Huang CHS, Azuero CB, et al. Patient centered support in the survivorship care transition: outcomes from the patient-owned survivorship care plan intervention. Cancer Res. 2015;75(9):P1-09-07. https://doi.org/10.1158/1538-7445.SABCS14-P1-09-07.CrossRefGoogle Scholar
- 34.Mayer, D., et al., Using survivorship care plans (SCP) to improve cancer communication and care coordination. J Clin Oncol, 2015. 33(15).Google Scholar
- 36.Nolte, L., et al., The impact of survivorship care planning on patients, general practitioners, and hospital-based staff. Cancer Nurs, 2015.Google Scholar
- 37.O'Brien MA, Grunfeld E, Sussman J, Porter G, Hammond Mobilio M. Views of family physicians about survivorship care plans to provide breast cancer follow-up care: exploration of results from a randomized controlled trial. Curr Oncol. 2015;22(4):252–9. https://doi.org/10.3747/co.22.2368.CrossRefPubMedPubMedCentralGoogle Scholar
- 38.Palmer SC, Stricker CT, Panzer SLL, Arvey SA, Baker KS, Casillas J, et al. Outcomes and satisfaction after delivery of a breast cancer survivorship care plan: results of a multicenter trial. J Oncol Pract. 2015;11(2):e222–9. https://doi.org/10.1200/JOP.2014.001404.CrossRefPubMedPubMedCentralGoogle Scholar