title: Navigating the Transition From Cancer Care to Primary Care: Assistance of a Survivorship Care Plan.
abstract: To examine symptom and quality-of-life (QOL) trajectories in breast cancer and lymphoma survivors enrolled in a survivorship navigation intervention and to explore patient, caregiver, and primary care provider (PCP) satisfaction with receipt of a survivorship care plan (SCP).  .
  
  
  
  Prospective, cohort, longitudinal. .
  
  
  
  The Billings Clinic, an integrated cancer center in Montana.  .
  
  
  
  67 patients with breast cancer or lymphoma who recently completed cancer treatment, along with 39 of their caregivers and 23 PCPs.  .
  
  
  
  Data collection at one, three, and six months by the Functional Assessment of Cancer Therapy-General and satisfaction surveys. .
  
  
  
  Symptoms, QOL, and satisfaction with the survivorship navigator and the SCP. .
  
  
  
  Symptoms persisted six months following treatment. Symptoms and QOL indicators with worst intensity were energy, sleep, coping, and satisfaction with sex life. Patients with more comorbidities reported worse QOL, telephoned the survivorship navigator more often, and were more satisfied with the SCP. Patients with lymphoma reported higher QOL, but it was not significantly different from patients with breast cancer. Patients were significantly more satisfied than caregivers with the SCP at time 1. PCPs were highly satisfied with the SCP. .
  
  
  
  Some symptoms persist, even when cancer treatment has ended. Patients with comorbidities are at higher risk for more severe symptoms and worse QOL and may benefit from ongoing support. SCPs can facilitate patients' transition to primary care following cancer treatment.  .
  
  
  
  Healthcare professionals who care for breast cancer survivors need to routinely assess them for the presence of comorbid conditions. Obese breast cancer survivors may benefit from weight reduction interventions to possibly decrease their risk of developing lymphedema and improve their overall health status.
authors: Billings Clinic Hospital.
authors: Jeannine M
authors: JM
authors: Brant
authors: Billings Clinic.
authors: Karyl
authors: K
authors: Blaseg
authors: Billings Clinic.
authors: Kathy
authors: K
authors: Aders
authors: Billings Clinic.
authors: Dona
authors: D
authors: Oliver
authors: CenterPoint Human Services.
authors: Evan
authors: E
authors: Gray
authors: College of Nursing, University of Utah.
authors: William N
authors: WN
authors: Dudley
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000451:nursing*; D017028:Caregivers / Q000523:psychology*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000451:nursing*; D008875:Middle Aged; D009009:Montana; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D058007:Physicians, Primary Care / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data; D000069341:Transitional Care / Q000458:organization & administration*
keywords: primary care; quality of life; survivorship care plan; survivorship navigation; symptom patterns; symptom trajectories