Survivorship after lower gastrointestinal cancer: Patient‐reported outcomes and planning for care

Frick, Melissa A.; Vachani, Carolyn; Hampshire, Margaret K.; Bach, Christina; Arnold‐Korzeniowski, Karen; Metz, James M.; Hill‐Kayser, Christine

doi:10.1002/cncr.30527

Cited by 41 publications

(37 citation statements)

References 20 publications

(57 reference statements)

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“…The following validated measures were used to assess survivor-specific outcomes: 1) Rapid Assessment of Physical Activity (RAPA) (Topolski et al, 2006); 2) Starting the Conversation (STC) for diet behaviors (Frick et al, 2017); 3) Center for Epidemiological Studies-Depression Scale (CES-D) (Knight et al, 1997); 4) State Trait Anxiety Inventory (STAI) (Meyerhardt et al, 2016); 5) Self-Efficacy to Perform Self-Management Behaviors Scale (Hershman et al, 2014); and 6) Medical Outcomes Study – Short Form-36 (SF-36) for QOL (McHorney et al, 1993). Demographics data was obtained using a self-report tool and included Instrumental Activities of Daily Living (IADL) (Fillenbaum and Smyer, 1981; Siegel et al, 2014) and perceived social support (Medical Outcomes Study Social Support Survey) (Edwards et al, 2014).…”

Section: Methodsmentioning

confidence: 99%

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Reb

Ruel

Fakih

et al. 2017

European Journal of Oncology Nursing

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Purpose This study evaluates the feasibility and acceptability of a Self-Management Survivorship Care Planning (SM-SCP) intervention in colorectal and lung cancer survivors. Methods This is a single-group, pre- and post-mixed methods study of an advance practice nurse-driven survivorship care intervention that integrates a survivorship care plan with self-management skills coaching. Colorectal and lung cancer survivors with stage I–III disease were enrolled at 3–6 months after completing treatments, and the intervention was administered in one in-person or telephone session. Survivor outcome measures included depression, anxiety, self-efficacy, QOL, and satisfaction. Paired t-tests were used for exploratory evaluations of pre- to post-intervention score changes. Content analysis was conducted to analyze the qualitative data to describe survivors’ experience with the intervention. Results Thirty participants (15 colorectal, 15 lung) enrolled and completed the study (73% retention). It took an average of 40 minutes to complete the TS/CP and 34.2 minutes to deliver the intervention. Exploratory analysis revealed significant differences from baseline to post-intervention in depression, anxiety, self-efficacy, physical functioning, role limitations-physical, pain, general health, health transition, physical health summary, and total QOL. Three qualitative themes emerged: 1) Feeling empowered about having a plan; 2) Struggling with psychosocial concerns; and 3) Suggestions for intervention content and delivery. Conclusions The SM-SCP intervention was feasible and acceptable for colorectal and lung cancer survivors after treatment completion. Survivorship care interventions have potential to fulfill the unmet needs of colorectal and lung cancer survivors. Their effectiveness might be greater by integrating conceptually-based models of care, such as self-management skills building.

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Section: Methodsmentioning

confidence: 99%

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Reb

Ruel

Fakih

et al. 2017

European Journal of Oncology Nursing

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“…Finally, we observed a more equitable representation of male and female survivors than in previous studies utilizing the OncoLink SCP tool, in which a female preponderance is typically reported (7,19,21,22). We hypothesized that this was likely due to inclusion of responses from both patients and proxies, with the latter party responding in place for a majority of male survivors.…”

Section: Discussionmentioning

confidence: 74%

“…Furthermore, this number is lower than previous studies utilizing responses from the OncoLink SCP tool for other cancer sites (16)(17)(18)(19). As many pancreatic cancer patients are anticipated to live with incurable disease from time of diagnosis or to relapse soon after treatment, providers may defer provision of an SCP.…”

Section: Discussionmentioning

confidence: 91%

Survivorship after treatment of pancreatic cancer: insights via an Internet-based survivorship care plan tool

Frick

Vachani

Hampshire

et al. 2017

J. Gastrointest. Oncol.

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Pancreatic cancer survivors face a unique set of challenges in survivorship, yet structured survivorship care planning is lacking in practice. Survivorship care plans (SCPs) are an essential part of quality cancer care and can facilitate the transition following active treatment; the use of SCPs in pancreatic cancer survivors, however, has not been explored. With a convenience sample of 117 pancreatic cancer survivors and proxies who used an Internet-based SCP tool, we examined treatment details, patientreported outcomes, and survivorship practices. Thirty-one percent of survivors were 2 years or greater from diagnosis with a median current age of 62 years. Most patients had received multimodality therapy (67%): 68%, 86%, and 43% reported surgical intervention, intravenous chemotherapy, and radiation therapy for their pancreatic cancer, respectively. Survivors commonly reported fatigue, cognitive change, neuropathy, pancreatic insufficiency, and chronic radiation dermatitis related to treatment. Most survivors are managed (47%) or co-managed (35%) by an oncology specialist; however, this percentage decreases over time with consequent increase in management by primary care providers alone. Only 5% had previously been offered an SCP. Of the 24 users who responded to a follow-up satisfaction survey, 83% indicated they would share the SCP with their healthcare team although half of respondents felt it should include more information.In all, our results demonstrate that there is a population of pancreatic cancer survivors who exist and seek survivorship support although structured survivorship care planning is lacking in practice. SCPs have a potentially valuable role for these survivors via communication of treatment-related effects and coordination across multidisciplinary healthcare teams. Further development and evaluation of SCPs is needed for this underserved survivor population.

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“…Fatigue is also a frequent problem among other groups of cancer survivors, for example prevalences of over 40 % are reported for survivors of colorectal cancer and lung cancer (18)(19)(20). However, the prevalence of chronic fatigue in these groups is unknown as the duration of the fatigue symptoms was not measured.…”

Section: Measurement and Prevalencementioning

confidence: 99%

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Survivorship after lower gastrointestinal cancer: Patient‐reported outcomes and planning for care

Cited by 41 publications

References 20 publications

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Empowering survivors after colorectal and lung cancer treatment: Pilot study of a Self-Management Survivorship Care Planning intervention

Survivorship after treatment of pancreatic cancer: insights via an Internet-based survivorship care plan tool

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