Outcomes of Cancer Survivorship Care Provided by Advanced Practice RNs Compared to Other Models of Care: A Systematic Review

Spears, Julie A.; Craft, Melissa; White, Sara J.

doi:10.1188/17.onf.e34-e41

Cited by 14 publications

(8 citation statements)

References 25 publications

(69 reference statements)

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“…Post intervention completion, patients who had received the nurse-led survivorship care intervention had significantly reduced fatigue symptoms. Although a number of previous reviews have focused on nurse-led models of survivorship care [27,60,61], this is one of the first known metaanalyses of patient QoL outcomes after nurse-led survivorship care. The finding that nurse-led care provides a benefit to cancer survivors in terms of cognitive and social QoL is an important contribution which suggests cancer nurses can assist survivors adjust to life after treatment and nurse-led care results in reduced fatigue symptoms for cancer survivors in the longer term.…”

Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of patient reported outcomes for nurse-led models of survivorship care for adult cancer patients

Monterosso

Platt

Bulsara

et al. 2019

Cancer Treatment Reviews

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Section: Discussionmentioning

confidence: 99%

Systematic review and meta-analysis of patient reported outcomes for nurse-led models of survivorship care for adult cancer patients

Monterosso

Platt

Bulsara

et al. 2019

Cancer Treatment Reviews

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“…The Role of the APP Increasingly, as health care systems evolve to ensure quality and efficiency in care delivery, there is acknowledgment of the role for APPs in oncology care, with specific emphasis on the post-treatment period. 24,31,32 Our choice of NPs as one set of APPs to care for adult cancer survivors was built on a number of reports calling for nurses to practice at the top of their licenses and follows an Agency for Healthcare Research and Quality report that identified NPs as having "the right training and skills to address survivorship issues with patients." 33(p23) In addition, from a practical perspective, the choice of NPs as sole providers came from the institutional realization that it was important to free up the oncologists to see new patients and was part of the institutional plan to increase APPs in clinical care generally, especially in the outpatient setting.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20][21][22][23] Although these reports outline the structure of the associated models, evaluation efforts, be they focused on the feasibility of implementation or the effectiveness of a particular model, have been limited. 24 To address this growing need for evaluation, this article describes one aspect of effectiveness evaluation: the concordance of care provided in APP-led survivorship clinics (in this case, NPs) with IOM guidelines for comprehensive survivorship care, among a sample of adult survivors at a single institution, Memorial Sloan Kettering Cancer Center (MSK; Table 1).…”

Section: Introductionmentioning

confidence: 99%

Advanced Practice Providers and Survivorship Care: They Can Deliver

Thom

Boekhout

Corcoran

et al. 2019

JOP

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INTRODUCTION: As the number of cancer survivors grows, new models of survivorship care are being implemented, but there is limited evaluation to date. This retrospective review assesses the concordance of care provided to adult-onset cancer survivors by advanced practice providers (nurse practitioners and physician assistants) with Institute of Medicine guidelines for survivorship care. METHODS: Records from three survivorship clinics at a single institution were reviewed for frequency of recurrence surveillance, screening for second cancers, symptom management (physical, psychological), health promotion education (alcohol, tobacco, cholesterol, and bone density screenings; diet/exercise discussion), care coordination, and provision of care plan. Data were characterized using descriptive statistics. RESULTS: Over 2 years, 9,052 unique survivorship visits occurred; 210 breast, 208 prostate, and 204 colorectal visits were randomly selected for review. All patients with breast cancer underwent surveillance for recurrence; 99% were screened for new cancers. Discussion of health promotion activities ranged from 83% to 100%; 91% of patients were reviewed for physical symptoms, and 93% were reviewed for psychological symptoms. All patients with prostate cancer underwent recurrence surveillance; 97% were screened for new primaries. Health promotion activities ranged from 70% to 97%, and symptoms were discussed in 89% of visits. All patients with colorectal cancer underwent a surveillance colonoscopy for recurrence; 97% had a carcinoembryonic antigen test. Among women, 97% had mammograms, and 96% had a Papanicolaou test; 83% of men had a prostate-specific antigen test. Health promotion activities ranged from 69% to 100%, and symptoms were discussed in 93% to 97% of visits. CONCLUSIONS: Findings suggest that advanced practice providers can provide survivorship care in accordance with Institute of Medicine standards, which provide a normative standard. This assessment is an important step in evaluating survivorship outcomes.

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“…Eight systematic reviews were found that met the inclusion criteria for studies that assessed outcomes with SCP implementation compared with another intervention or usual care. 36,[60][61][62][63][64][65][66] The most recent systematic review (Hill et al 36 ) was the most comprehensive and included the majority of studies included in the earlier systematic reviews; therefore, it was retained for inclusion and its results are discussed in greater detail subsequently.…”

Section: Survivorship Cancer Plansmentioning

confidence: 99%

Oncology Medical Home: ASCO and COA Standards

Woofter¹,

Adelson

Bowman

et al. 2021

JCO Oncology Practice

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PURPOSE: To provide Standards on the basis of evidence and expert consensus for a pilot of the Oncology Medical Home (OMH) certification program. The OMH model is a system of care delivery that features coordinated, efficient, accessible, and evidence-based care and includes a process for measurement of outcomes to facilitate continuous quality improvement. The OMH pilot is intended to inform further refinement of Standards for OMH model implementation. METHODS: An Expert Panel was formed, and a systematic review of the literature on the topics of OMH, clinical pathways, and survivorship care plans was performed using PubMed and Google Scholar. Using this evidence base and an informal consensus process, the Expert Panel developed a set of OMH Standards. Public comments were solicited and considered in preparation of the final manuscript. RESULTS: Three comparative peer-reviewed studies of OMH met the inclusion criteria. In addition, the results from 16 studies of clinical pathways and one systematic review of survivorship care plans informed the evidence review. Limitations of the evidence base included the small number of studies of OMH and lack of longer-term outcomes data. More data were available to inform the specific Standards for pathways and survivorship care; however, outcomes were mixed for the latter intervention. The Expert Panel concluded that in the future, practices should be encouraged to publish the results of OMH interventions in peer-reviewed journals to improve the evidence base. STANDARDS: Standards are provided for OMH in the areas of patient engagement, availability and access to care, evidence-based medicine, equitable and comprehensive team-based care, quality improvement, goals of care, palliative and end-of-life care discussions, and chemotherapy safety. Additional information, including a Standards implementation manual, is available at www.asco.org/standards .

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Outcomes of Cancer Survivorship Care Provided by Advanced Practice RNs Compared to Other Models of Care: A Systematic Review

Cited by 14 publications

References 25 publications

Systematic review and meta-analysis of patient reported outcomes for nurse-led models of survivorship care for adult cancer patients

Systematic review and meta-analysis of patient reported outcomes for nurse-led models of survivorship care for adult cancer patients

Advanced Practice Providers and Survivorship Care: They Can Deliver

Oncology Medical Home: ASCO and COA Standards

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