Breast Cancer Survivor Symptoms: A Comparison of Physicians’ Consultation Records and Nurse-Led Survivorship Care Plans

Kozul, Christina; Little, Ruth; Bousman, Chad; Park, Allan; Shanahan, Kerry; Mann, G Bruce

doi:10.1188/20.cjon.e34-e42

Cited by 7 publications

(8 citation statements)

References 26 publications

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“…Patients with breast cancer experience multiple psychological, physical, and social dysfunctions owing to the cancer and associated medical treatment [ 1 ]. Frequent and accurate assessment of symptoms and functions is an essential element for the care of patients with cancer, in which patient-reported outcome (PRO) measures have been a gold standard to quantify patients’ subjective experience [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Frequent and accurate assessment of symptoms and functions is an essential element for the care of patients with cancer, in which patient-reported outcome (PRO) measures have been a gold standard to quantify patients’ subjective experience [ 2 ]. Valid and reliable PRO measures are vital for patient-centered care among those with breast cancer, as they play an important role in enhancing patient-nurse communication and assisting nurses in systematically monitoring and managing patients’ symptoms [ 1 , 3 ]. In addition, such assessments enable the prediction of the symptom trajectory for this vulnerable sample [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Validity and reliability of the Chinese version of the Patient-Reported Outcomes Measurement Information System adult profile-57 (PROMIS-57)

Cai

Huang

et al. 2022

Health Qual Life Outcomes

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Background The PROMIS-57 is a commonly used self-reported instrument to solve the lack of generalizable and universal measures required to evaluate common symptoms and functions from patients’ perspectives. This study aimed to translate the PROMIS-57 into Chinese and psychometrically test the translated instrument on patients with breast cancer. Methods Translation, cross‑cultural adaptation, and psychometric evaluation of the instrument were performed from June 2020 to June 2021. Eligible patients were recruited and completed the PROMIS-57, Functional Assessment of Cancer Therapy-Breast (FACT-B), and a sociodemographic questionnaire. Results Data from 602 patients with a mean age of 48.83 years were analyzed. Most domains in the PROMIS-57 showed an absence of floor and ceiling effects. Multi-trait scaling analysis demonstrated acceptable convergent and discriminant validity. The correlations between the PROMIS-57 scores and the selected FACT-B scores supported the criterion validity via the Pearson correlation test. Measurement invariance was supported by the absence of differential item functioning for most items. Cronbach’s α of the domains ranged from 0.85–0.95. The unidimensional factor structure of all domains was supported using confirmatory factor analyses. Additionally, most items showed acceptable item information curves and item characteristics curve matrices. Conclusion The Chinese version of the PROMIS-57 was found to be a reliable and valid tool for assessing common symptoms and functions among patients with breast cancer.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Chinese version of the Patient-Reported Outcomes Measurement Information System adult profile-57 (PROMIS-57)

Cai

Huang

et al. 2022

Health Qual Life Outcomes

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“…With extensive advances in early screening and cancer-related treatment options, the five-year survival rate for patients with breast cancer has increased significantly [ 2 , 3 ]. Long-term survival with breast cancer and its subsequent treatment render symptom management increasingly important [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Symptom trajectories in patients with breast cancer: An integrative review

Cai

Huang

et al. 2022

International Journal of Nursing Sciences

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Objective This study aimed to synthesize the available knowledge of symptom trajectories in patients with breast cancer and identify predictors associated with these trajectories. Methods Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in four databases (PubMed, Embase, Web of Science, and CINAHL). The retrieved articles’ publication time was limited to 2010 to 2020, and only peer-reviewed English articles were included. Results Twenty-seven articles were included. The findings of the relevant studies were analyzed using thematic analysis. They were grouped into two themes: symptom trajectories of patients with breast cancer (symptom trajectories in patients with breast cancer, in patients who underwent surgery, and in patients who received cancer-related treatment) and associated factors (socioeconomic factors, health characteristics, cancer-related treatment characteristics) . Newly diagnosed patients tended to report high trajectories of depression and persistent sleep disturbance. Most patients who underwent surgery reported significant sleep disturbance and anxiety shortly after surgery. For patients who received cancer-related treatment, only a small proportion had a high level of physical activity after cancer-related therapy over time. A high body mass index, a low relationship quality, parental responsibilities, insufficient social support, a low educational background, and an unhealthy lifestyle may increase the risk of negative symptom trajectories in patients with breast cancer. Additionally, old patients were more likely to report cognitive impairment after chemotherapy, while young patients tended to report trajectories of persistent sexual dysfunction. Concurring symptoms and poor health status also contributed to adverse symptom trajectories. Conclusion The findings of this review add to the body of knowledge of the interindividual variability of symptom trajectories in patients with breast cancer. Despite the overall similarity in appraisal at baseline, the patients reported varied symptom trajectories over time. It is recommended that nurses consider sociodemographic, clinical and cancer-related treatment characteristics and perform targeted early preventive interventions for patients with breast cancer.

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“…Newer models of care such as nurseled clinics, care navigation, telehealth, and online support and survivorship plans may be able to bridge this gap. 28 However, we always need to be mindful that these models must meet the needs of all patients not just those with already good health literacy, and the place of care plans across the cancer journey is still not clear. 29 A holistic but tailored approach to care and survivorship, including careful assessment of issues and developing survivorship care plans to help tackle them, 28 is needed.…”

Section: Moving Forwardmentioning

confidence: 99%

“…28 However, we always need to be mindful that these models must meet the needs of all patients not just those with already good health literacy, and the place of care plans across the cancer journey is still not clear. 29 A holistic but tailored approach to care and survivorship, including careful assessment of issues and developing survivorship care plans to help tackle them, 28 is needed. The use of cancer care navigators, breast care nurse consultants who lead follow-up, and shared care with general practitioners are important steps that we should be aiming for in practice to maximise a patient's ability to thrive after cancer.…”

Section: Moving Forwardmentioning

confidence: 99%