Abstract
Purpose
The Institute of Medicine (IOM) and Commission on Cancer have called for provision of treatment summaries (TSs) and survivorship care plans (SCPs) at the end of primary cancer therapy and endorsed guidelines for content. Institutions are providing TS/SCPs but with little guidance concerning concordance with IOM recommended content. This manuscript presents a recently developed tool to allow rating of breast cancer-specific TS/SCPs as a model for assessing concordance with IOM recommendations and facilitating research and clinical fidelity.
Method
An interdisciplinary team developed items mapped to the IOM recommendations for TS/SCP content as well as scoring rules. Dual raters used this tool to independently assess 65 completed TS/SCPs from 13 different cancer treatment facilities affiliated with the LIVESTRONG Survivorship Centers of Excellence to assess reliability.
Results
The final set of measures contained 92 items covering TSs and SCPs. The TS scale consisted of 13 informational domains across 60 items, while the SCP scale had 10 domains across 32 items. Inter-rater reliability within TSs indicated substantial agreement (M kappa = 0.76, CI = 0.73–0.79), and interclass correlation (ICC) was high (ICC = 0.85, CI = 0.76–0.91). For the SCP scale, inter-rater reliability was also substantial (M kappa = 0.66, CI = 0.62–0.70), as was interclass correlation (ICC = 0.75, CI = 0.62–0.84).
Conclusion
Concordance with IOM recommendations for TS/SCP information can be reliably assessed using this instrument, which should facilitate implementation efforts, allow comparison of different TS/SCPs, and facilitate research into the utility of TS/SCPs including which elements are essential.
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References
Siegel R, DeSantis C, Virgo K et al (2012) Cancer treatment and survivorship statistics. CA Cancer J Clin 62:220–241
American Cancer Society (2012) Cancer treatment and survivorship facts & figures 2012–2013. American Cancer Society, Atlanta
Shulman LN, Jacobs LA, Greenfield S et al (2009) Cancer care and cancer survivorship care in the United States: will we be able to care for these patients in the future? J Oncol Pract 5:119–123
Jacobs LA, Palmer SC, Schwartz LA et al (2009) Adult cancer survivorship: evolution, research, and planning care. CA Cancer J Clin 59:391–410
Brant J, Beck S, Dudley W et al (2011) Symptom trajectories in post-treatment cancer survivors. Cancer Nurs 34:67–77
Jim HSL, Jacobsen PB (2008) Posttraumatic stress and posttraumatic growth in cancer survivorship: a review. Cancer J 14:414–419. doi:10.1097/PPO.0b013e31818d8963
Knobf MT (2011) Clinical update: psychosocial responses in breast cancer survivors. Semin Oncol Nurs 27:e1–e14
Burkett V, Cleeland C (2007) Symptom burden in cancer survivorship. J Cancer Surviv 1:167–175
Earle CC (2006) Failing to plan is planning to fail: improving the quality of care with survivorship care plans. J Clin Oncol 24:5112–5116
Hewitt M, Greenfield S, Stovall E (2006) From cancer patient to cancer survivor: lost in transition. The National Academies Press, Washington, D.C
Stricker CT, Jacobs LA, Risendal B et al (2011) Survivorship care planning after the Institute of Medicine recommendations: how are we faring? J Cancer Surviv 5:358–370
Salz T, Oeffinger KC, McCabe MS et al (2012) Survivorship care plans in research and practice. CA Cancer J Clin 62:101–117
Earle CC (2007) Long term care planning for cancer survivors: a health services research agenda. J Cancer Surviv 1:64–74
Ganz PA (2009) Quality of care and cancer survivorship: the challenge of implementing the Institute of Medicine recommendations. J Oncol Pract 5:101–105
Hahn EE, Ganz PA (2011) Survivorship programs and care plans in practice: variations on a theme. J Oncol Pract 7:70–75
Ganz PA, Casillas J, Hahn EE (2008) Ensuring quality care for cancer survivors: implementing the survivorship care plan. Semin Oncol Nurs 24:208–217
National Cancer Institute: assessing progress, advancing change (2006). President’s Cancer Panel 2005–2006 annual report. Bethesda, MD, Department of Health and Human Services, National Institutes on Health.
ASCO Electronic Health Record Roundtable (2007) Ensuring continuity of care through electronic health records. J Oncol Pract 3:137–142
Voelker R (2011) Cancer care accreditation standards: improve quality and help patients cope. JAMA 306:1314
Commission on Cancer. Cancer Program Standards 2012: ensuring patient-centered care. 8/11 update. Available online at http://www.facs.org/cancer/coc/cocprogramstandards2012.pdf
Jefford M, Lotfi-Jam K, Baravelli C et al (2011) Development and pilot testing of a nurse-led posttreatment support package for bowel cancer survivors. Cancer Nurs 34:E1–E10. doi:10.1097/NCC.0b013e3181f22f02
Oeffinger KC, Hudson MM, Mertens AC et al (2010) Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer 56:818–824
Grunfeld E, Julian JA, Pond G et al (2011) Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J Clin Oncol 29:4755–4762
Haynes SN, Richard DCS, Kubany ES (1995) Content validity in psychological assessment: a functional approach to concepts and methods. Psychol Assess 7(3):238–247. doi:10.1037/1040-3590.7.3.238
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174
Casillas J, Ayanian JZ (2011) Disparities in care for cancer survivors. In: Feuerstein M, Ganz PA (eds) Health services for cancer survivors. Springer, New York, pp 153–168
Marbach TJ, Griffie J (2011) Patient preferences concerning treatment plans, survivorship care plans, education, and support services. Oncol Nurs Forum 38:335–342
Brennan ME, Butow P, Spillane AJ et al (2010) Survivorship care after breast cancer: follow-up practices of Australian health professionals and attitudes to a survivorship care plan. Asia Pac J Clin Oncol 6:116–125
Hewitt ME, Bamundo A, Day R et al (2007) Perspectives on post-treatment cancer care: qualitative research with survivors, nurses, and physicians. J Clin Oncol 25:2270–2273
Cheung WY, Neville BA, Cameron DB et al (2009) Comparisons of patient and physician expectations for cancer survivorship care. J Clin Oncol 27:2489–2495
Kantsiper M, McDonald E, Geller G et al (2009) Transitioning to breast cancer survivorship: perspectives of patients, cancer specialists, and primary care providers. J Gen Intern Med 24:459–466
Watson E, Sugden E, Rose P (2010) Views of primary care physicians and oncologists on cancer follow-up initiatives in primary care: an online survey. J Cancer Surviv 4:159–166
Baravelli C, Krishnasamy M, Pezaro C et al (2009) The views of bowel cancer survivors and health care professionals regarding survivorship care plans and post treatment follow up. J Cancer Surviv 3:99–108
Smith S, Singh-Carlson S, Downie L et al (2011) Survivors of breast cancer: patient perspectives on survivorship care planning. J Cancer Surviv 4:337–344
Miller R (2008) Implementing a survivorship care plan for patients with breast cancer. Clin J Oncol Nurs 12:479–487
Nekhlyudov L, Schnipper J (2012) Cancer survivorship care plans: what can be learned from hospital discharge summaries? J Oncol Pract 8:24–29
Mayer DK, Gerstel A, Leak AN et al (2012) Patient and provider preferences for survivorship care plans. J Oncol Pract 8:80e–86e
Nissen MJ, Beran MS, Lee MW et al (2007) Views of primary care providers on follow-up care of cancer patients. Fam Med 39:477–482
Houlihan NG (2009) Transitioning to cancer survivorship: plans of care. Oncology (Williston Park) 23:42–48
Faul LA, Rivers B, Shibata D et al (2012) Survivorship care planning in colorectal cancer: feedback from survivors & providers. J Psychosoc Oncol 30:198–216
Acknowledgments
LIVESTRONG™ Foundation and National Institutes of Health Grant 1R21CA169950-01A1 are acknowledged.
Conflict of interest
The authors do not have a financial relationship with the organization that sponsored the research. The authors declare that they have full control of all primary data and agree to allow the journal to review these data if requested.
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Stricker, C. T., Jacobs, L. A., et al. Survivorship care plan assessment checklist (SCPAC): a tool to evaluate breast cancer survivorship care plans. J Clin Oncol 29:2011 (suppl; abstr 6117), [Presented at the Annual ASCO meeting, Chicago, IL. June 2011.]
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Palmer, S.C., Jacobs, L.A., DeMichele, A. et al. Metrics to evaluate treatment summaries and survivorship care plans: A scorecard. Support Care Cancer 22, 1475–1483 (2014). https://doi.org/10.1007/s00520-013-2107-x
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DOI: https://doi.org/10.1007/s00520-013-2107-x