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14.02.2019

Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors

verfasst von: L. Aubree Shay, Susanne Schmidt, Shayda I. Dioun, Allison Grimes, Leanne Embry

Erschienen in: Journal of Cancer Survivorship | Ausgabe 2/2019

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Abstract

Purpose

Our study aims to determine whether receipt of a written survivorship care plan (SCP) is associated with five self-reported health behaviors known to be correlated with positive long-term outcomes for cancer survivors: (1) attending a recent medical appointment, (2) exercise in the past month, (3) non-smoking status, (4) mammography in the past 2 years, and (5) up-to-date colorectal cancer screening.

Methods

In this secondary data analysis, we used data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship module for 1855 off-treatment cancer survivors. Multivariable logistic regression accounting for complex survey design was used to examine the association between SCP receipt and each of the five preventive health behaviors.

Results

Overall, 37% (669/1855) of survivors reported receiving a written survivorship care plan. In the logistic regression models adjusted for sociodemographic and disease-related factors, SCP receipt was associated with having a recent medical appointment (OR (95% CI) 2.81 (1.27–6.22)), exercise in the past month (1.78 (1.20–2.63)), non-smoking status (2.27 (1.26–4.12)), and up-to-date mammography (2.25 (1.30–3.88)). Receipt of a survivorship care plan was not associated with colorectal cancer screening (1.2 (0.73–2.03)).

Conclusions

This study provides preliminary evidence that SCPs may be helpful in promoting health behaviors among cancer survivors, including attending a regular medical appointment, mammography screening, exercise, and abstinence from smoking. Additionally, the low rates of SCP provision highlight an important missed opportunity and area for intervention.

Implications for Cancer Survivors

Providing survivors with SCPs may help to increase important health behaviors.
Literatur
1.
Zurück zum Zitat Bluethmann SM, Mariotto AB, Rowland JH. Anticipating the “silver tsunami”: prevalence trajectories and comorbidity burden among older Cancer survivors in the United States. Cancer Epidemiol Biomark Prev. 2016;25:1029–36.CrossRef Bluethmann SM, Mariotto AB, Rowland JH. Anticipating the “silver tsunami”: prevalence trajectories and comorbidity burden among older Cancer survivors in the United States. Cancer Epidemiol Biomark Prev. 2016;25:1029–36.CrossRef
2.
Zurück zum Zitat Hewitt ME, Ganz P, American Society of Clinical Oncology, Institute of Medicine (U.S.), EBSCO Publishing (Firm), National Academies Press (U.S.), et al. From cancer patient to cancer survivor: lost in transition. Washington, D.C: National Academies Press; 2006. Hewitt ME, Ganz P, American Society of Clinical Oncology, Institute of Medicine (U.S.), EBSCO Publishing (Firm), National Academies Press (U.S.), et al. From cancer patient to cancer survivor: lost in transition. Washington, D.C: National Academies Press; 2006.
3.
Zurück zum Zitat Zheng HC, Onderko L, Francis SA. Cardiovascular risk in survivors of cancer. Curr Cardiol Rep. 2017;19:64-017-0873-7.CrossRef Zheng HC, Onderko L, Francis SA. Cardiovascular risk in survivors of cancer. Curr Cardiol Rep. 2017;19:64-017-0873-7.CrossRef
4.
Zurück zum Zitat Okwuosa TM, Anzevino S, Rao R. Cardiovascular disease in cancer survivors. Postgrad Med J. 2017;93:82–90.CrossRefPubMed Okwuosa TM, Anzevino S, Rao R. Cardiovascular disease in cancer survivors. Postgrad Med J. 2017;93:82–90.CrossRefPubMed
5.
Zurück zum Zitat Tarleton HP, Ryan-Ibarra S, Induni M. Chronic disease burden among cancer survivors in the California behavioral risk factor surveillance system, 2009-2010. J Cancer Surviv. 2014;8:448–59.CrossRefPubMed Tarleton HP, Ryan-Ibarra S, Induni M. Chronic disease burden among cancer survivors in the California behavioral risk factor surveillance system, 2009-2010. J Cancer Surviv. 2014;8:448–59.CrossRefPubMed
6.
Zurück zum Zitat Oancea SC, Cheruvu VK. Psychological distress among adult cancer survivors: importance of survivorship care plan. Support Care Cancer. 2016;24:4523–31.CrossRefPubMed Oancea SC, Cheruvu VK. Psychological distress among adult cancer survivors: importance of survivorship care plan. Support Care Cancer. 2016;24:4523–31.CrossRefPubMed
9.
Zurück zum Zitat Tjandra JJ, Chan MKY. Follow-up after curative resection of colorectal Cancer: a meta-analysis. Dis Colon Rectum. 2007;50:1783–99.CrossRefPubMed Tjandra JJ, Chan MKY. Follow-up after curative resection of colorectal Cancer: a meta-analysis. Dis Colon Rectum. 2007;50:1783–99.CrossRefPubMed
10.
Zurück zum Zitat Gill A, Gosain R, Bhandari S, Gosain R, Gill G, Abraham J, et al. “Lost to follow-up” among adult cancer survivors. Am J Clin Oncol. 2018;41:1024–7. Gill A, Gosain R, Bhandari S, Gosain R, Gill G, Abraham J, et al. “Lost to follow-up” among adult cancer survivors. Am J Clin Oncol. 2018;41:1024–7.
11.
Zurück zum Zitat Weaver KE, Aziz NM, Arora NK, Forsythe LP, Hamilton AS, Oakley-Girvan I, et al. Follow-up care experiences and perceived quality of care among long-term survivors of breast, prostate, colorectal, and gynecologic cancers. J Oncol Pract. 2014;10:e231–9.CrossRefPubMedPubMedCentral Weaver KE, Aziz NM, Arora NK, Forsythe LP, Hamilton AS, Oakley-Girvan I, et al. Follow-up care experiences and perceived quality of care among long-term survivors of breast, prostate, colorectal, and gynecologic cancers. J Oncol Pract. 2014;10:e231–9.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Yu X, McBean AM, Virnig BA. Physician visits, patient comorbidities, and mammography use among elderly colorectal cancer survivors. J Cancer Surviv. 2007;1:275–82.CrossRefPubMed Yu X, McBean AM, Virnig BA. Physician visits, patient comorbidities, and mammography use among elderly colorectal cancer survivors. J Cancer Surviv. 2007;1:275–82.CrossRefPubMed
17.
Zurück zum Zitat Shay LA, Schmidt S, Cornell SD, Parsons HM. “Making my own decisions sometimes”: a pilot study of young adult cancer survivors’ perspectives on medical decision-making. J Cancer Educ. 2018;33:1341–6. Shay LA, Schmidt S, Cornell SD, Parsons HM. “Making my own decisions sometimes”: a pilot study of young adult cancer survivors’ perspectives on medical decision-making. J Cancer Educ. 2018;33:1341–6.
18.
Zurück zum Zitat Hinyard L, Wirth LS. Race is a strong predictor of receipt of a written survivorship care plan: results from the National Health Interview Survey. J Community Health. 2017;42:1156–62.CrossRefPubMed Hinyard L, Wirth LS. Race is a strong predictor of receipt of a written survivorship care plan: results from the National Health Interview Survey. J Community Health. 2017;42:1156–62.CrossRefPubMed
19.
Zurück zum Zitat Brennan ME, Gormally JF, Butow P, Boyle FM, Spillane AJ. Survivorship care plans in cancer: a systematic review of care plan outcomes. Br J Cancer. 2014;111:1899–908.CrossRefPubMedPubMedCentral Brennan ME, Gormally JF, Butow P, Boyle FM, Spillane AJ. Survivorship care plans in cancer: a systematic review of care plan outcomes. Br J Cancer. 2014;111:1899–908.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, et al. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol. 2018;36:2088–100.CrossRefPubMedPubMedCentral Jacobsen PB, DeRosa AP, Henderson TO, Mayer DK, Moskowitz CS, Paskett ED, et al. Systematic review of the impact of cancer survivorship care plans on health outcomes and health care delivery. J Clin Oncol. 2018;36:2088–100.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, et al. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ Couns. 2015;98:1274–9.CrossRefPubMedPubMedCentral Blanch-Hartigan D, Chawla N, Beckjord EI, Forsythe LP, de Moor JS, Hesse BW, et al. Cancer survivors’ receipt of treatment summaries and implications for patient-centered communication and quality of care. Patient Educ Couns. 2015;98:1274–9.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Chrischilles EA, McDowell BD, Rubenstein L, Charlton M, Pendergast J, Juarez GY, et al. Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study. J Cancer Surviv. 2015;9:269–78.CrossRefPubMed Chrischilles EA, McDowell BD, Rubenstein L, Charlton M, Pendergast J, Juarez GY, et al. Survivorship care planning and its influence on long-term patient-reported outcomes among colorectal and lung cancer survivors: the CanCORS disease-free survivor follow-up study. J Cancer Surviv. 2015;9:269–78.CrossRefPubMed
24.
Zurück zum Zitat Faul LA, Luta G, Sheppard V, Isaacs C, Cohen HJ, Muss HB, et al. Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901. J Cancer Surviv. 2014;8:627–37.CrossRefPubMedPubMedCentral Faul LA, Luta G, Sheppard V, Isaacs C, Cohen HJ, Muss HB, et al. Associations among survivorship care plans, experiences of survivorship care, and functioning in older breast cancer survivors: CALGB/Alliance 369901. J Cancer Surviv. 2014;8:627–37.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Dittus KL, Sprague BL, Pace CM, Dulko DA, Pollack LA, Hawkins NA, et al. Primary care provider evaluation of cancer survivorship care plans developed for patients in their practice. J Gen Pract (Los Angel). 2014;2:163-9126.1000163. Dittus KL, Sprague BL, Pace CM, Dulko DA, Pollack LA, Hawkins NA, et al. Primary care provider evaluation of cancer survivorship care plans developed for patients in their practice. J Gen Pract (Los Angel). 2014;2:163-9126.1000163.
26.
Zurück zum Zitat Hewitt ME, Bamundo A, Day R, Harvey C. Perspectives on post-treatment cancer care: qualitative research with survivors, nurses, and physicians. J Clin Oncol. 2007;25:2270–3.CrossRefPubMed Hewitt ME, Bamundo A, Day R, Harvey C. Perspectives on post-treatment cancer care: qualitative research with survivors, nurses, and physicians. J Clin Oncol. 2007;25:2270–3.CrossRefPubMed
28.
Zurück zum Zitat Dulko D, Pace CM, Dittus KL, Sprague BL, Pollack LA, Hawkins NA, et al. Barriers and facilitators to implementing cancer survivorship care plans. Oncol Nurs Forum. 2013;40:575–80.CrossRefPubMedPubMedCentral Dulko D, Pace CM, Dittus KL, Sprague BL, Pollack LA, Hawkins NA, et al. Barriers and facilitators to implementing cancer survivorship care plans. Oncol Nurs Forum. 2013;40:575–80.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Birken SA, Presseau J, Ellis SD, Gerstel AA, Mayer DK. Potential determinants of health-care professionals’ use of survivorship care plans: a qualitative study using the theoretical domains framework. Implement Sci. 2014;9:167.CrossRefPubMedPubMedCentral Birken SA, Presseau J, Ellis SD, Gerstel AA, Mayer DK. Potential determinants of health-care professionals’ use of survivorship care plans: a qualitative study using the theoretical domains framework. Implement Sci. 2014;9:167.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Mayer DK, Nekhlyudov L, Snyder CF, Merrill JK, Wollins DS, Shulman LN. American Society of Clinical Oncology clinical expert statement on cancer survivorship care planning. J Oncol Pract. 2014;10:345–51.CrossRefPubMed Mayer DK, Nekhlyudov L, Snyder CF, Merrill JK, Wollins DS, Shulman LN. American Society of Clinical Oncology clinical expert statement on cancer survivorship care planning. J Oncol Pract. 2014;10:345–51.CrossRefPubMed
31.
Zurück zum Zitat Pearlstein KA, Basak R, Chen RC. Cardiovascular disease and preventive care among cancer survivors: a population-based study. JCO. 2017;35:10081.CrossRef Pearlstein KA, Basak R, Chen RC. Cardiovascular disease and preventive care among cancer survivors: a population-based study. JCO. 2017;35:10081.CrossRef
Metadaten
Titel
Receipt of a survivorship care plan and self-reported health behaviors among cancer survivors
verfasst von
L. Aubree Shay
Susanne Schmidt
Shayda I. Dioun
Allison Grimes
Leanne Embry
Publikationsdatum
14.02.2019
Verlag
Springer US
Erschienen in
Journal of Cancer Survivorship / Ausgabe 2/2019
Print ISSN: 1932-2259
Elektronische ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-019-00740-6

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