title: ProCare Trial: a phase II randomized controlled trial of shared care for follow-up of men with prostate cancer.
abstract: To test the feasibility and efficacy of a multifaceted model of shared care for men after completion of treatment for prostate cancer.
  
  
  
  Men who had completed treatment for low- to moderate-risk prostate cancer within the previous 8 weeks were eligible. Participants were randomized to usual care or shared care. Shared care entailed substituting two hospital visits with three visits in primary care, a survivorship care plan, recall and reminders, and screening for distress and unmet needs. Outcome measures included psychological distress, prostate cancer-specific quality of life, satisfaction and preferences for care and healthcare resource use.
  
  
  
  A total of 88 men were randomized (shared care n = 45; usual care n = 43). There were no clinically important or statistically significant differences between groups with regard to distress, prostate cancer-specific quality of life or satisfaction with care. At the end of the trial, men in the intervention group were significantly more likely to prefer a shared care model to hospital follow-up than those in the control group (intervention 63% vs control 24%; P<0.001). There was high compliance with prostate-specific antigen monitoring in both groups. The shared care model was cheaper than usual care (shared care AUS$1411; usual care AUS$1728; difference AUS$323 [plausible range AUS$91-554]).
  
  
  
  Well-structured shared care for men with low- to moderate-risk prostate cancer is feasible and appears to produce clinically similar outcomes to those of standard care, at a lower cost.
authors.affiliation: Department of General Practice, University of Melbourne, Carlton, Vic., Australia.|Western Health and the Victorian Comprehensive Cancer Centre, Melbourne, Vic., Australia.|School of Primary Aboriginal and Rural Health Care, University of Western Australia, Crawley, WA, Australia.
authors.forename: Jon D
authors.initials: JD
authors.lastname: Emery
authors.affiliation: Sir Peter MacCallum Department of Oncology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Vic., Australia.|Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, East Melbourne, Vic., Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Jefford
authors.affiliation: Quality of Life Office, Psycho-oncology Co-operative Research Group, School of Psychology, University of Sydney, Sydney, NSW, Australia.|Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
authors.forename: Madeleine
authors.initials: M
authors.lastname: King
authors.affiliation: School of Surgery, University of Western Australia, Crawley, WA, Australia.|Department of Urology, Fiona Stanley Hospital, Perth, WA, Australia.
authors.forename: Dickon
authors.initials: D
authors.lastname: Hayne
authors.affiliation: NHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Martin
authors.affiliation: School of Primary Aboriginal and Rural Health Care, University of Western Australia, Crawley, WA, Australia.
authors.forename: Juanita
authors.initials: J
authors.lastname: Doorey
authors.affiliation: Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, East Melbourne, Vic., Australia.
authors.forename: Amelia
authors.initials: A
authors.lastname: Hyatt
authors.affiliation: Department of General Practice, University of Melbourne, Carlton, Vic., Australia.
authors.forename: Emily
authors.initials: E
authors.lastname: Habgood
authors.affiliation: Genesis Cancer Care, Department of Radiation Oncology, Fiona Stanley Hospital, Perth, WA, Australia.
authors.forename: Tee
authors.initials: T
authors.lastname: Lim
authors.affiliation: School of Surgery, University of Western Australia, Crawley, WA, Australia.|Department of Urology, Fiona Stanley Hospital, Perth, WA, Australia.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Hawks
authors.affiliation: Department of General Practice, University of Melbourne, Carlton, Vic., Australia.
authors.forename: Marie
authors.initials: M
authors.lastname: Pirotta
authors.affiliation: Primary Health Care, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia.
authors.forename: Lyndal
authors.initials: L
authors.lastname: Trevena
authors.affiliation: Sir Peter MacCallum Department of Oncology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Vic., Australia.|Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, East Melbourne, Vic., Australia.|Department of Psychology, Swinburne University of Technology, Melbourne, Vic., Australia.
authors.forename: Penelope
authors.initials: P
authors.lastname: Schofield
mesh_terms: D000359:Aftercare; D000368:Aged; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010348:Patient Care Team; D011471:Prostatic Neoplasms / Q000628:therapy*
keywords: #PCSM; #ProstateCancer; follow-up; health services research; primary care; randomized controlled trial; survivorship