Psychological distress among adult cancer survivors: importance of survivorship care plan

Oancea, S. Cristina; Cheruvu, Vinay K.

doi:10.1007/s00520-016-3291-2

Cited by 33 publications

(18 citation statements)

References 34 publications

(37 reference statements)

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“…SCPs play an important role in improving patient knowledge about treatment, increase survivor‐physician communication, and decrease psychological distress after treatment . Despite these benefits, a minority of treatment settings use SCPs, and those that do tend to use them only for certain cancer types .…”

Section: Discussionmentioning

confidence: 99%

“…SCPs play an important role in improving patient knowledge about treatment, increase survivor-physician communication, and decrease psychological distress after treatment. [15][16][17] Despite these benefits, a minority of treatment settings use SCPs, and those that do tend to use them only for certain cancer types. 18 This study demonstrates the feasibility of using a convenience sample of survivors to model demographic and treatment-related factors that influence whether a skin cancer survivor receives an SCP.…”

Section: Discussionmentioning

confidence: 99%

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Survivorship care planning in skin cancer: An unbiased statistical approach to identifying patterns of care‐plan use

Benci

Minn

Vachani

et al. 2017

Cancer

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BACKGROUND: Nearly 1 in 5 Americans will develop skin cancer, and as a result, survivors of skin cancer compose one of the largest groups of cancer survivors. Survivorship care plans (SCPs) are an important tool for improving patient outcomes and provide critical information to both survivors and health care professionals. Recent efforts have been made to expand SCP utilization; however, which patients currently receive SCPs is poorly understood. METHODS: This study used 596 individuals with a diagnosis of melanoma (n 5 391) or nonmelanoma skin cancer (n 5 205) who had used an Internet-based SCP tool from May 2010 to December 2016 to model the patient and provider characteristics that determine SCP utilization. RESULTS: Survivors were predominantly white (95.3%) and female (56.5%). Survivors who received a treatment summary were more likely to also receive an SCP. University and nonuniversity cancer centers used SCPs at a higher rate than other care settings. Survivors whose care was managed by a team rather than just an individual physician were also more likely to receive an SCP. Survivors older than 70 years at diagnosis were almost twice as likely to receive a plan as survivors who were diagnosed at a younger age. CONCLUSIONS: With a convenience sample of skin cancer survivors, it is possible to model factors that predict the receipt of SCPs. Important variables include the diagnosis age, treatment setting, physician type, and treatment-summary utilization. A closer examination of these variables identified several disparities in care-plan use and, therefore, opportunities to improve the distribution of SCPs. Further validation in additional cohorts of survivors is necessary to confirm these conclusions. Cancer 2018;124:183-91.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Survivorship care planning in skin cancer: An unbiased statistical approach to identifying patterns of care‐plan use

Benci

Minn

Vachani

et al. 2017

Cancer

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“…71 Lack of receipt of a survivorship care plan (SCP) which is mandated by the American College of Surgeons 72 has also been associated with higher depressive symptoms. 73 …”

Section: Anxiety and Depression In Different Populations Of Survivorsmentioning

confidence: 99%

Anxiety and Depression in Cancer Survivors

Syrjala

2017

Medical Clinics of North America

243

146

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Synopsis Most cancer survivors adjust well to life after cancer but some experience persisting negative mood such as cancer-related fears, post-traumatic stress, anxiety, or depression. Mood fluctuations may not reach criteria for a clinical diagnosis but sub-clinical symptoms can interfere with quality of life. Females, and adolescents and young adults are particularly at risk for mood disturbances. Behavioral interventions such as cognitive behavioral therapy and pharmacological treatments can effectively treat these distressing emotions. Much of the research on managing emotional needs after cancer has been completed with breast cancer survivors and more work is needed with diverse groups of survivors.

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“…This improved communication and contact with healthcare providers is important because it increases the likelihood a survivor will be screened and catch a recurrence or other side effect early. In addition to more frequent and better interactions with their healthcare provider, survivors who received a SCP were also less likely to report experiencing depressive symptoms both in the short-term and long-term; this benefit was maintained even for survivors who were more than 5 years post-diagnosis (6).…”

Section: Introductionmentioning

confidence: 97%

Factors Influencing Delivery of Cancer Survivorship Care Plans: A National Patterns of Care Study

et al. 2020

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Nearly half of all Americans will develop cancer at least once in their lifetime. Through improved screening and treatments, the number of cancer survivors is reaching all-time highs. However, survivorship care plans (SCPs) are inconsistently used, denying many survivors access to critical information. This study used 46,408 SCPs generated from 2007 to 2016 and applied machine learning to identify predictors of SCP creation, including cancer type, type of physician, and healthcare center where they received care, as well as regional variations in care plan creation. Identifying these disparities in SCP use is a critical first step in efforts toward expanding access to survivorship care planning. Using a convenience sample of survivors, it is possible to model the factors that predict generation of SCPs either by the survivor or by a healthcare provider. This study identifies several important disparities both survivor intrinsic such as cancer type, as well as treatment associated and geographic differences in SCP generation. Identifying these disparities at the national level across cancer types will allow for more targeted recommendations to improve SCP creation and dissemination in underserved groups.

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Psychological distress among adult cancer survivors: importance of survivorship care plan

Cited by 33 publications

References 34 publications

Survivorship care planning in skin cancer: An unbiased statistical approach to identifying patterns of care‐plan use

Survivorship care planning in skin cancer: An unbiased statistical approach to identifying patterns of care‐plan use

Anxiety and Depression in Cancer Survivors

Factors Influencing Delivery of Cancer Survivorship Care Plans: A National Patterns of Care Study

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