Abstract
Purpose
To understand what factors influence whether a cancer survivor will share their survivorship care plan (SCP) with their healthcare provider (HCP).
Methods
We used data from 3231 cancer survivors who utilized the OncoLink SCP resource between 2009 and 2016. Random forest and stepwise regression were used to identify predictors of SCP satisfaction and barriers to survivors sharing their care plans with their HCPs.
Results
Eighty-seven percent of users rated their satisfaction with their SCP as good or better; however, only 70% of survivors planned to share their SCP with their HCP. The most commonly reported reason for not sharing was a feeling that their HCP would not care. Self-reported satisfaction with their SCP was strongest predictor of whether a survivor would share their SCP. Gender, cancer status, number of chemotherapies received, and who was managing their healthcare were all associated with self-reported survivor satisfaction with their SCP.
Conclusions
Survivor satisfaction with SCPs was high, but there was a disconnect in the number of satisfied survivors and the number of survivors planning to share their SCP with their HCP. To bridge this gap, additional prompts that HCPs are expecting this information should be added to the care plans.
Implications for Cancer Survivors
One of the primary functions of survivorship care plans is to improve communication between survivor and healthcare provider. While survivors are overwhelmingly satisfied with their SCP, additional steps are necessary to get survivors to share their SCP with their HCP.
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References
Mariotto AB, Parry C, Alfano CM, Padgett L, Kent EE, Forsythe L, et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev. 2013;22:561–70.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin. 2017;67:7–30.
Altice CK, Banegas MP, Tucker-Seeley RD, Yabroff KR. Financial hardships experienced by cancer survivors: a systematic review. J Natl Cancer Inst. 2016;109:djw205.
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. EJC Suppl. 2014;12:54–64.
Institute of Medicine and National Research Council. From cancer patient to cancer survivor: lost in transition. Washington, DC: The National Academies Press; 2006.
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. 2014;9:269–78.
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.
Hewitt ME, Bamundo A, Day R, Harvey C. Perspectives on post-treatment cancer care: qualitative research with survivors, nurses, and physicians. J Clin Oncol. 2007;25:2270–3.
Palmer SC, Stricker CT, Panzer SL, 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:e222–9.
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;22:252–9.
Hill-Kayser CE, Vachani C, Hampshire MK, Jacobs LA, Metz JM. An internet tool for creation of cancer survivorship care plans for survivors and health care providers: design, implementation, use and user satisfaction. J Med Internet Res. 2009;11:e39.
Benci JL, Min AJ, Vachani CC, Bach C, Arnold-Korzeniowski K, Hampshire MK, Metz JM, Hill-Kayser CE. Survivorship care planning in skin cancer: an unbiased statistical approach to identifying patterns of care plan use. Cancer. 2018;124(1):183–91.
Kuhn M. Building predictive models in R using the caret package. J Statistical Software. 2008;28(5). https://doi.org/10.18637/jss.v028.i05.
Venables WN, Ripley BD. Modern applied statistics with S-PlUS. New York: Springer; 1994.
Bach C, Arnold-Korzeniowski K. Survivorship and the chronic cancer patient: patterns in treatment-related effects, follow-up care, and use of survivorship care plans. Cancer. 2017;64:252.
Hill-Kayser CE, Vachani CC, Hampshire MK, Di Lullo G, Jacobs LA, Metz JM. Impact of internet-based cancer survivorship care plans on health care and lifestyle behaviors. Cancer. 2013;119:3854–60.
Mayer DK, Green M, Check DK, Gerstel A, Chen RC, Asher G, et al. Is there a role for survivorship care plans in advanced cancer? Support Care Cancer. 2015;23:2225–30.
Funding
This project was supported in part by an unrestricted educational grant from the LIVESTRONG foundation.
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None of the authors has a conflict of interest to disclose.
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Benci, J.L., Vachani, C.C., Bach, C. et al. Identifying barriers to cancer survivors sharing their survivorship care plans with their healthcare provider. J Cancer Surviv 12, 632–638 (2018). https://doi.org/10.1007/s11764-018-0699-3
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DOI: https://doi.org/10.1007/s11764-018-0699-3