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Erschienen in:

01.12.2014

Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901

verfasst von: Leigh Anne Faul, Gheorghe Luta, Vanessa Sheppard, Claudine Isaacs, Harvey J. Cohen, Hyman B. Muss, Rachel Yung, Jonathan D. Clapp, Eric Winer, Clifford Hudis, Michelle Tallarico, Julhy Wang, William T. Barry, Jeanne S. Mandelblatt

Erschienen in: Journal of Cancer Survivorship | Ausgabe 4/2014

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Abstract

Purpose

Survivorship care plans (SCP) are recommended for all cancer patients and could be especially useful to survivors 65 years and over (“older”). This study examined receipt of SCPs among older breast cancer survivors and whether SCPs were associated with improved patient-reported outcomes.

Methods

Three hundred and twenty-eight older women diagnosed with invasive, nonmetastatic breast cancer between 2007–2011 were recruited from 78 cooperative-group sites. Participants completed telephone interviews at baseline and 1-year posttreatment. Regression analyses examined SCP receipt (yes/no) and functioning (EORTC-QLQ-C30), cancer worry, and experiences of survivorship care (care coordination, knowledge).

Results

Only 35 % of women received SCPs. For each 1-year increase in age, there was a 5 % lower odds of receiving an SCP (odds ratio (OR) = 0.94, 95 % confidence interval (CI) 0.91–0.98, p = 0.007). Besides age, no other factor predicted SCPs. SCP receipt was associated with greater knowledge and understanding of requisite follow-up care (p < 0.05); however, functioning was not significantly different among those with vs. without SCPs.

Conclusions

Receipt of care plans was limited. SCPs improved understanding of breast cancer follow-up care among older survivors, but did not impact functioning one year post-treatment.

Implications for Cancer Survivors

To impact functioning and salient needs of the growing cohort of older survivors, survivorship care plans likely should be tailored to geriatric-specific issues. To improve functioning, SCP content should expand to include exercise, nutrition, polypharmacy, social support and management of symptom burden from cancer, and other comorbid conditions. To improve follow-up care for cancer survivors, SCPs should delineate shared care roles between oncology and primary care in managing recurrence surveillance, screening, and cancer sequelae.

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Titel: Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901
verfasst von: Leigh Anne Faul
Gheorghe Luta
Vanessa Sheppard
Claudine Isaacs
Harvey J. Cohen
Hyman B. Muss
Rachel Yung
Jonathan D. Clapp
Eric Winer
Clifford Hudis
Michelle Tallarico
Julhy Wang
William T. Barry
Jeanne S. Mandelblatt
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Journal of Cancer Survivorship / Ausgabe 4/2014
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-014-0371-5

Springer Medizin

Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901