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Simplifying Survivorship Care Planning: A Randomized Controlled Trial Comparing 3 Care Plan Delivery Approaches.
Claire Snyder1,2,3, Youngjee Choi1, Amanda L Blackford3
1Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Journal of the National Cancer Institute
|July 24, 2021
Summary
Different survivorship care plan delivery methods did not impact recommended follow-up care receipt. The simplest approach may depend on feasibility and other factors for cancer survivors.
Area of Science:
- Oncology
- Health Services Research
- Cancer Survivorship
Background:
- Survivorship care plans aim to enhance the transition to survivorship.
- Implementation barriers exist due to resource requirements.
- This study sought the simplest, most effective survivorship care planning approach.
Purpose of the Study:
- To compare the effectiveness of different survivorship care plan delivery methods.
- To identify the optimal approach for survivorship care planning in cancer survivors.
Main Methods:
- Randomized controlled trial involving 378 stage 1-3 breast, colorectal, and prostate cancer patients.
- Comparison of mailed plans, a 1-time transition visit, and a transition plus 6-month follow-up visit.
- Primary outcome: receipt of all plan-recommended care over 18 months.
Main Results:
- No significant difference in receiving all recommended care across the three delivery arms (45.2% mail, 50.5% 1-visit, 42.7% 2-visit).
- Adherence varied by cancer type but not significantly by delivery method.
- No statistically significant interactions by recruitment site or cancer type.
Conclusions:
- The delivery approach for survivorship care plans did not influence the receipt of recommended follow-up care.
- Feasibility and other contextual factors may guide the selection of the best survivorship care planning strategy.
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