Implementing Survivorship Care Plans for Colon Cancer Survivors

Details

• Alternative Title:
  Oncol Nurs Forum
• Personal Author:
  Mayer, Deborah K. ; Gerstel, Adrian ; Walton, AnnMarie Lee ; Triglianos, Tammy ; Sadiq, Teresa E. ; Hawkins, Nikki A. ; Davies, Janine M.
• Description:
  Purpose/Objectives
  
  To evaluate the feasibility, usability, and satisfaction of a survivorship care plan (SCP) and identify the optimum time for its delivery during the first 12 months after diagnosis.
  
  Design
  
  Prospective, descriptive, single-arm study.
  
  Setting
  
  A National Cancer Institute–designated cancer center in the southeastern United States.
  
  Sample
  
  28 nonmetastatic colon cancer survivors within the first year of diagnosis and their primary care physicians (PCPs).
  
  Methods
  
  Regular screening identified potential participants who were followed until treatment ended. An oncology certified nurse developed the JourneyForward™ SCP, which then was delivered to the patient by the oncology nurse practitioner (NP) during a routine follow-up visit and mailed to the PCP.
  
  Main Research Variables
  
  Time to complete, time to deliver, usability, and satisfaction with the SCP.
  
  Findings
  
  During one year, 75 patients were screened for eligibility, 34 SCPs were delivered, and 28 survivors and 15 PCPs participated in the study. It took an average of 49 minutes to complete a surgery SCP and 90 minutes to complete a surgery plus chemotherapy SCP. Most survivors identified that before treatment ended or within the first three months was the preferred time to receive an SCP.
  
  Conclusions
  
  The SCPs were well received by the survivors and their PCPs, but were too time and labor intensive to track and complete.
  
  Implications for Nursing
  
  More work needs to be done to streamline processes that identify eligible patients and to develop and implement SCPs. Measuring outcomes will be needed to demonstrate whether SCPs are useful or not.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Colonic Neoplasms Continuity Of Patient Care Female Health Services Needs And Demand Humans Male Middle Aged National Cancer Institute (U.S.) Patient Care Planning Prospective Studies Southeastern United States Survivors United States

  More +
• Keywords:
  Colon Cancer Communication Survivorship Survivorship Care Plans Transitions
• Source:
  Oncol Nurs Forum. 41(3):266-273
• Pubmed ID:
  24769591
• Pubmed Central ID:
  PMC4570231
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U48 DP001944/DP/NCCDPHP CDC HHSUnited States/ ; U48DP001944/ACL/ACL HHSUnited States/ ; 5U48DP001944/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  41
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:273d0ddfaba9fb4c2863b7370fc0e0f650a077efbd54bad9065f57466d219718
• Download URL:
  https://stacks.cdc.gov/view/cdc/34296/cdc_34296_DS1.pdf
• File Type:
  [PDF - 586.32 KB ]