title: 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.
abstract: OBJECTIVE
  This study aims to evaluate the relationship between survivorship care planning (SCP) and survivorship care and health outcomes reported by long-term lung and colorectal cancer survivors.
  
  
  METHODS
  Participants (n = 832) were diagnosed and enrolled during 2003-2005. In 2012, patient-reported outcomes (survivorship care and health outcomes) and two patient-reported SCP measures (receipt of written summary of cancer treatment and receipt of instructions on who to see for routine cancer follow-up) were collected. Analyses controlled for SCP predictors collected from medical records and an interview 1 year after diagnosis.
  
  
  RESULTS
  One in four survivors reported receiving both SCP elements. Those receiving both were more certain which doctor was in charge (odds ratio (OR) 7.0; 95 % confidence intervals (95 % CI) 3.9-12.5), more likely to report follow-up checkup (OR 5.1; 95 % CI 3.3-8.0), and had an MRI/PET/CT scan in the past 2 years (OR 2.8; 95 % CI 1.7-4.7) compared to those receiving neither. Physician communication experiences were significantly more positive and having physical exams (OR 2.0; 95 % CI 1.2-3.4) and meeting exercise guidelines (OR 1.6; 95 % CI 1.004-2.4) more likely. Physical health (p = 0.012) and good-to-excellent self-perceived health status (OR 2.2; 95 % CI 1.3-3.9) were better for those receiving both elements.
  
  
  CONCLUSIONS
  SCP may lead to better cancer follow-up care, long-term physical health, and physician-patient communication experiences.
  
  
  CONCLUSIONS
  The positive association between outcomes and SCP suggests that efforts to implement SCP should be fruitful.
authors.affiliation: S424 CPHB, Department of Epidemiology, University of Iowa, Iowa City, IA, 52242, USA, e-chrischilles@uiowa.edu.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Chrischilles
authors.forename: Bradley D
authors.initials: BD
authors.lastname: McDowell
authors.forename: Linda
authors.initials: L
authors.lastname: Rubenstein
authors.forename: Mary
authors.initials: M
authors.lastname: Charlton
authors.forename: Jane
authors.initials: J
authors.lastname: Pendergast
authors.forename: Grelda Yazmin
authors.initials: GY
authors.lastname: Juarez
authors.forename: Neeraj K
authors.initials: NK
authors.lastname: Arora
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000401:mortality / Q000534:rehabilitation*; D003142:Communication; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008134:Long-Term Care; D008175:Lung Neoplasms / Q000401:mortality / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning / Q000592:standards / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011788:Quality of Life; D057566:Self Report; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D016896:Treatment Outcome