作者
Eva Grunfeld, Jim A Julian, Gregory Pond, Elizabeth Maunsell, Douglas Coyle, Amy Folkes, Anil A Joy, Louise Provencher, Daniel Rayson, Dorianne E Rheaume, Geoffrey A Porter, Lawrence F Paszat, Kathleen I Pritchard, André Robidoux, Sally Smith, Jonathan Sussman, Susan Dent, Jeffrey Sisler, Jennifer Wiernikowski, Mark N Levine
发表日期
2011/12/20
期刊
Journal of Clinical Oncology
卷号
29
期号
36
页码范围
4755-4762
出版商
American Society of Clinical Oncology
简介
Purpose
An Institute of Medicine report recommends that patients with cancer receive a survivorship care plan (SCP). The trial objective was to determine if an SCP for breast cancer survivors improves patient-reported outcomes.
Patients and Methods
Women with early-stage breast cancer who completed primary treatment at least 3 months previously were eligible. Consenting patients were allocated within two strata: less than 24 months and ≥ 24 months since diagnosis. All patients were transferred to their own primary care physician (PCP) for follow-up. In addition to a discharge visit, the intervention group received an SCP, which was reviewed during a 30-minute educational session with a nurse, and their PCP received the SCP and guideline on follow-up. The primary outcome was cancer-related distress at 12 months, assessed by the Impact of Event Scale (IES). Secondary outcomes included quality of life …
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