Interprofessional Management of Cancer Survivorship: New Models of Care

Rosenzweig, Margaret; Kota, Kathik; Londen, GJ van

doi:10.1016/j.soncn.2017.08.007

Cited by 17 publications

(12 citation statements)

References 28 publications

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“…To date, one Canadian study explored cancer survivors’ needs [23] but experiences were not investigated and the sample was small ( n = 550). The growing cadre of cancer survivors has stimulated interest in finding care models whereby the responsibility for survivorship care/follow-up care is transitioned from specialist to primary care providers [24]. However, concerns have been voiced that this trend could increase gaps in survivorship care [25, 26].…”

Section: Introduction/purposementioning

confidence: 99%

Experiences of adult cancer survivors in transitions

Fitch

Zomer

Lockwood

et al. 2018

Support Care Cancer

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Purpose Return to work (RTW) is a major goal to promote cancer survivors' social participation. A multidisciplinary social-healthcare pathway called UNAMANO was designed to support RTW in this population. Methods UNAMANO was developed by the Azienda USL-IRCCS di Reggio Emilia (RE), in partnership with the local branch of the Italian Medical Association, nonprofit associations, vocational training institutions, social cooperatives, a labour union, and a chartered accounting firm. Results UNAMANO is directed towards employed individuals diagnosed with cancer living in the Province of RE. It has been implemented through four actions: A) healthcare professionals training on work-related occupational rehabilitation; B) dissemination among community and stakeholders; C) recruitment and training of volunteers; D) cancer survivor engagement and provision of a personalized comprehensive intervention. This consists in providing information and occupational therapy to overcome barriers and facilitate RTW or social support through retraining and tailored job search strategies for individuals based on their risk of job loss. Conclusions UNAMANO is the first Italian multidisciplinary social-healthcare pathway supporting RTW of cancer survivors. Addressing a wide area of cancer survivors' needs, it provides personalized intervention to resolve work-related issues. We propose this patient-centred RTW model to promote an easier transition from hospital to community.Implications for cancer survivors UNAMANO can positively impact on cancer survivors' health and well-being and can be provided at any stage of disease and treatment. UNAMANO ensures that RTW is coherent with cancer survivors' health condition and expectations.

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Section: Introduction/purposementioning

confidence: 99%

Experiences of adult cancer survivors in transitions

Fitch

Zomer

Lockwood

et al. 2018

Support Care Cancer

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“…The American Society of Clinical Oncology (ASCO) explored different models of delivering care [24]. Rosenzweig et al explored the interprofessional management of cancer survivorship, detailing the members and roles of providers in their delivery of survivorship care, with a consideration of the potential expansion in the utilization of nurse practitioners and physician assistants [25]. Recently, Leeper and Milbury proposed a model of survivorship care specific to the neuro-oncology population [22].…”

Section: Survivorship Carementioning

confidence: 99%

“…Psychiatric symptoms such as depression, fatigue, mood changes, and personality changes have been noted in conjunction with other symptoms such as headaches, sleep changes, and cognitive disturbances [15][16][17][18][19][20][21]. Survivorship care models propose interdisciplinary healthcare teams to deliver tailored care to cancer patients [22][23][24][25]. In this spectrum of care, rehabilitative measures have shown to be beneficial in both the inpatient and outpatient rehabilitation settings [26,27].…”

Section: Introductionmentioning

confidence: 99%

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Rehabilitation of Adult Patients with Primary Brain Tumors: A Narrative Review

Thakkar

Greenwald²,

Patel

2020

Brain Sciences

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Rehabilitative measures have been shown to benefit patients with primary brain tumors (PBT). To provide a high quality of care, clinicians should be aware of common challenges in this population including a variety of medical complications, symptoms, and impairments, such as headaches, seizures, cognitive deficits, fatigue, and mood changes. By taking communication and family training into consideration, clinicians can provide integrated and patient-centered care to this population. This article looks to review the current literature in outpatient and inpatient rehabilitation options for adult patients with PBTs as well as explore the role of the interdisciplinary team in providing survivorship care.

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“…Survivorship care plans have been promoted as a strategy to improve care coordination and long-term follow up for survivors after transitioning out of active cancer treatment (Salz & Baxi, 2016). Since the Institute of Medicine's landmark report, From Cancer Patient to Cancer Survivor: Lost in Transition (2006), a variety of cancer survivorship models of care have emerged in which care is led by diverse clinicians such as oncologists, advance practice nurses, physician assistants, and primary care providers (Halpern et al, 2015;McCabe, 2012;Mead, Pratt-Chapman, Gianattasio, Cleary, & Gerstein 2017;Rosenzweig, Kota, & van Londen, 2017;Spears, Craft, & White, 2017). Clinical guidelines for survivorship care have also been established for certain tumor types and side effects (American Cancer Society, 2018; American Society for Clinical Oncology, 2014; National Comprehensive Cancer Network, 2018).…”

Section: Introductionmentioning

confidence: 99%

Evaluating an Online Training Course to Develop and Sustain Cancer Navigation and Survivorship Programs

Phillips

Villalobos

Pratt-Chapman

2019

ONF

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Objectives: To evaluate the online Executive Training on Navigation and Survivorship developed by the George Washington University Cancer Center, which provides guidance on building and sustaining oncology patient navigation and survivorship programs. Sample and Setting: Volunteer sample (n=499) of U.S. healthcare professionals, including nurses, patient navigators, and others. Methods and Variables: Learners completed questionnaires before and after each module and at the end of the training. Descriptive statistics were calculated. Paired t-tests were used to assess pre-to posttest learning confidence gains for each module. Sub-analyses were conducted for learners indicating a nursing profession. Qualitative learner feedback was summarized. Results.-All groups demonstrated statistically significant (p<0.05) pre-to posttest improvements in confidence for all seven training modules. Confidence gains were statistically significant for 19 of 20 learning objectives (p<0.05). Though nurses tended to report lower baseline confidence, they enjoyed similar learning gains compared to non-nurse counterparts. Rating scores and qualitative feedback were positive overall. Implications for Nursing.-The Executive Training helps prepare learners from diverse backgrounds to establish and sustain navigation and survivorship programs in cancer settings across the U.S. The training content addresses gaps in nursing education in program planning and budgeting that are important to program success.

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Interprofessional Management of Cancer Survivorship: New Models of Care

Cited by 17 publications

References 28 publications

Experiences of adult cancer survivors in transitions

Experiences of adult cancer survivors in transitions

Rehabilitation of Adult Patients with Primary Brain Tumors: A Narrative Review

Evaluating an Online Training Course to Develop and Sustain Cancer Navigation and Survivorship Programs

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