Comparison of two breast cancer survivorship treatment summary and care plan (TSCP) documents.

Authors

null

Eileen Williams

Gundersen Medical Center, La Crosse, WI

Eileen Williams , Andrew Borgert , Linda Kay Peterson , Leah L. Dietrich

Organizations

Gundersen Medical Center, La Crosse, WI, Gundersen Health System, La Crosse, WI, Gundersen Medical Foundation, La Crosse, WI

Research Funding

Other Foundation

Background: The 2005 Institute of Medicine report recommended providing a cancer TSCP, but barriers including time needed to complete these documents led to limited implementation. In 2014, in order to facilitate delivery, ASCO released a streamlined version of a TSCP. The current prospective, randomized study compares a Breast Cancer ASCO 2014 derived template (concise TSCP) with a facility derived Breast Cancer TSCP template based on the “old” ASCO version and NCCN guideline recommended elements (detailed TSCP). Methods: Female breast cancer survivors who completed therapy at Gundersen Health System were randomized between a concise TSCP and a detailed TSCP. Subjects received a survey prior to their survivorship visit assessing their baseline knowledge of their breast cancer diagnosis and treatment (pre visit knowledge). After the visit, participants completed the same survey (post visit knowledge) and a satisfaction survey. Pre and post visit knowledge survey scores, patient satisfaction scores and time needed to complete the TSCP were compared between the two study groups. Results: Both TSCP groups showed significant improvement in patient-specific disease and treatment knowledge scores (% of applicable knowledge questions answered correctly) after their survivorship visit. There was no significant difference between the concise and detailed groups’ pre-visit knowledge score (mean 78% vs. 79%, p=0.88). Calculated difference between the groups’ post knowledge scores met the pre-determined threshold for non-inferiority (p=0.013). Conclusions: Our study demonstrates the value of a cancer TSCP and Survivorship visit in improving breast cancer survivors’ knowledge of their disease characteristics and treatment. The concise version was found to be non-inferior to the detailed TSCP in terms of patient knowledge and satisfaction and required less time to complete. These results assist us and other institutions in choosing a more streamlined version of TSCP without compromising patient knowledge or satisfaction.

CONCISE (n=63)DETAILED (n=64)p-value
MeanMean
Patient satisfied (% agree or strongly agree)
TSCP81.182.90.36
Survivorship Visit8484.90.85
TSCP completion time (mins)17.532<0.0001

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Abstract Details

Meeting

2018 Cancer Survivorship Symposium

Session Type

Poster Session

Session Title

Poster Session A: Care Coordination, Cost, and Education; Communication and Transitions; Health Promotion

Track

Care Coordination, Cost, and Education,Health Promotion,Communication and Transitions

Sub Track

Survivorship Care Plans

Citation

J Clin Oncol 36, 2018 (suppl 7S; abstr 49)

DOI

10.1200/JCO.2018.36.7_suppl.49

Abstract #

49

Poster Bd #

C6

Abstract Disclosures

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