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Impact of lymphoma survivorship clinic visit on patient-centered outcomes

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Journal of Cancer Survivorship Aims and scope Submit manuscript

Abstract

Purpose

Cancer survivors may experience physical, social, and emotional effects of cancer and its treatments. National Comprehensive Cancer Network (NCCN) guidelines recommend the development of a survivorship care plan (SCP) for cancer patients following completion of treatment with curative intent. Our institution developed a lymphoma survivorship clinic (SC) to assess patient needs, provide education, and create and deliver SCPs. This study analyzed the impact of a SC visit on patient-centered outcomes.

Methods

Surveys were sent to lymphoma patients at Mayo Clinic Rochester within 4 weeks of their post-treatment visit to the SC that queried patient-reported outcomes, including experience of care, quality of life (QOL), and distress. We compared survey responses between those who attended the SC and those who were eligible but did not attend.

Results

From November 2013 to May 2015, 236 lymphoma patients were surveyed, 96 of whom had a SC visit and 140 of who were eligible but did not attend. Those who attended the SC were more likely to “definitely” recall discussion on improving health, preventing illness, and making changes in habits/lifestyle, diet, and exercise. There were no differences in QOL or distress. Adjusted analyses revealed that SC attendance was associated with better self-reported overall health among younger patients and better physical well-being in Hodgkin lymphoma patients compared to those with other subtypes of lymphoma.

Conclusions

Participation in the lymphoma SC improved patient education on survivorship issues, particularly health behaviors. There may be a particular benefit in younger patients. However, there were no differences in QOL or distress. Further study is needed to determine if improved survivorship education and SCP delivery leads to long-term health benefits in cancer survivors.

Implications for Cancer Survivors

Our study evaluates the clinical impact of a SC in patients treated for lymphoma. We demonstrate that a SC visit improves patient education regarding health behaviors.

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Author information

Authors and Affiliations

  1. Department of Medicine, Mayo Clinic, Rochester, MN, USA

    Paul Viscuse

  2. Department of Health Science Research, Mayo Clinic, Rochester, MN, USA

    Kathleen J. Yost, Sarah Jenkins & Kandace Lackore

  3. Division of Hematology, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA

    Thomas Habermann, Gita Thanarajasingam & Carrie Thompson

Authors
  1. Paul Viscuse
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  2. Kathleen J. Yost
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  3. Sarah Jenkins
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  4. Kandace Lackore
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  5. Thomas Habermann
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  6. Gita Thanarajasingam
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  7. Carrie Thompson
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Corresponding author

Correspondence to Carrie Thompson.

Ethics declarations

The project received IRB approval.

Informed consent

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

Conflict of interest

The authors declare that they have no conflict of interest.

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Viscuse, P., Yost, K.J., Jenkins, S. et al. Impact of lymphoma survivorship clinic visit on patient-centered outcomes. J Cancer Surviv 13, 344–352 (2019). https://doi.org/10.1007/s11764-019-00756-y

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  • DOI: https://doi.org/10.1007/s11764-019-00756-y

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