Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice: Longitudinal outcomes of a pragmatic, cluster randomized trial

K. Nicolaije, N. Ezendam, C.M. Vos , J.M. Pijnenborg, D. Boll, E.A. Bos, R.H. Hermans, K.C.M. Engelhart, J.E. Haartsen, B.M. Pijlman, I.E. van Loon-Baelemans , H.J.M.M. Mertens, W.E. Nolting, J.J. van Beek, J.A. Roukema, W.P. Zijlstra, R.F. Kruitwagen, L.V. van de Poll-Franse

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Purpose
This study was conducted to longitudinally assess the impact of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine clinical practice. Primary outcomes were patient satisfaction with information and care. Secondary outcomes included illness perceptions and health care use.
Methods
Twelve hospitals were randomly assigned to SCP care or usual care in a pragmatic, cluster randomized trial. Newly diagnosed patients with endometrial cancer completed questionnaires after diagnosis (n = 221; 75% response), 6 months (n = 158), and 12 months (n = 147). An SCP application was built in the Web-based ROGY (Registration System Oncological Gynecology). By clicking the SCP button, a patient-tailored SCP was generated.
Results
In the SCP care arm, 74% of patients received an SCP. They reported receiving more information about their treatment (mean [M] = 57, standard deviation [SD] = 20 v M = 47, SD = 24; P = .03), other services (M = 35, SD = 22 v M = 25, SD = 22; P = .03), and different places of care (M = 27, SD = 25 v M = 23, SD = 26; P = .04) than the usual care arm (scales, 0 to 100). However, there were no differences regarding satisfaction with information or care. Patients in the SCP care arm experienced more symptoms (M = 3.3, SD = 2.0 v M = 2.6, SD = 1.6; P = .03), were more concerned about their illness (M = 4.4, SD = 2.3 v M = 3.9, SD = 2.1; P = .03), were more affected emotionally (M = 4.0, SD = 2.2 v M = 3.7, SD = 2.2; P = .046), and reported more cancer-related contact with their primary care physician (M = 1.8, SD = 2.0 v M = 1.1, SD = 0.9; P = .003) than those in the usual care arm (scale, 1 to 10). These effects did not differ over time.
Conclusion
The present trial showed no evidence of a benefit of SCPs on satisfaction with information and care. Furthermore, SCPs increased patients' concerns, emotional impact, experienced symptoms, and the amount of cancer-related contact with the primary care physician. Whether this may ultimately lead to more empowered patients should be investigated further.
Original languageEnglish
Pages (from-to)3550-3559
JournalJournal of Clinical Oncology
Volume33
Issue number31
DOIs
Publication statusPublished - 2015

Fingerprint

Survival Rate
Neoplasms
Primary Care Physicians
Endometrial Neoplasms
Gynecology
Delivery of Health Care

Cite this

Nicolaije, K. ; Ezendam, N. ; Vos , C.M. ; Pijnenborg, J.M. ; Boll, D. ; Bos, E.A. ; Hermans, R.H. ; Engelhart, K.C.M. ; Haartsen, J.E. ; Pijlman, B.M. ; van Loon-Baelemans , I.E. ; Mertens, H.J.M.M. ; Nolting, W.E. ; van Beek, J.J. ; Roukema, J.A. ; Zijlstra, W.P. ; Kruitwagen, R.F. ; van de Poll-Franse, L.V. / Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice : Longitudinal outcomes of a pragmatic, cluster randomized trial. In: Journal of Clinical Oncology. 2015 ; Vol. 33, No. 31. pp. 3550-3559.
@article{b72a3e4d1f2546dcb28021c4e8f499be,
title = "Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice: Longitudinal outcomes of a pragmatic, cluster randomized trial",
abstract = "PurposeThis study was conducted to longitudinally assess the impact of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine clinical practice. Primary outcomes were patient satisfaction with information and care. Secondary outcomes included illness perceptions and health care use.MethodsTwelve hospitals were randomly assigned to SCP care or usual care in a pragmatic, cluster randomized trial. Newly diagnosed patients with endometrial cancer completed questionnaires after diagnosis (n = 221; 75{\%} response), 6 months (n = 158), and 12 months (n = 147). An SCP application was built in the Web-based ROGY (Registration System Oncological Gynecology). By clicking the SCP button, a patient-tailored SCP was generated.ResultsIn the SCP care arm, 74{\%} of patients received an SCP. They reported receiving more information about their treatment (mean [M] = 57, standard deviation [SD] = 20 v M = 47, SD = 24; P = .03), other services (M = 35, SD = 22 v M = 25, SD = 22; P = .03), and different places of care (M = 27, SD = 25 v M = 23, SD = 26; P = .04) than the usual care arm (scales, 0 to 100). However, there were no differences regarding satisfaction with information or care. Patients in the SCP care arm experienced more symptoms (M = 3.3, SD = 2.0 v M = 2.6, SD = 1.6; P = .03), were more concerned about their illness (M = 4.4, SD = 2.3 v M = 3.9, SD = 2.1; P = .03), were more affected emotionally (M = 4.0, SD = 2.2 v M = 3.7, SD = 2.2; P = .046), and reported more cancer-related contact with their primary care physician (M = 1.8, SD = 2.0 v M = 1.1, SD = 0.9; P = .003) than those in the usual care arm (scale, 1 to 10). These effects did not differ over time.ConclusionThe present trial showed no evidence of a benefit of SCPs on satisfaction with information and care. Furthermore, SCPs increased patients' concerns, emotional impact, experienced symptoms, and the amount of cancer-related contact with the primary care physician. Whether this may ultimately lead to more empowered patients should be investigated further.",
author = "K. Nicolaije and N. Ezendam and C.M. Vos and J.M. Pijnenborg and D. Boll and E.A. Bos and R.H. Hermans and K.C.M. Engelhart and J.E. Haartsen and B.M. Pijlman and {van Loon-Baelemans}, I.E. and H.J.M.M. Mertens and W.E. Nolting and {van Beek}, J.J. and J.A. Roukema and W.P. Zijlstra and R.F. Kruitwagen and {van de Poll-Franse}, L.V.",
note = "See accompanying editorial doi:10.1200/JCO.2015.62.6937",
year = "2015",
doi = "10.1200/JCO.2014.60.3399",
language = "English",
volume = "33",
pages = "3550--3559",
journal = "Journal of Clinical Oncology",
issn = "0732-183X",
publisher = "AMER SOC CLINICAL ONCOLOGY",
number = "31",

}

Nicolaije, K, Ezendam, N, Vos , CM, Pijnenborg, JM, Boll, D, Bos, EA, Hermans, RH, Engelhart, KCM, Haartsen, JE, Pijlman, BM, van Loon-Baelemans , IE, Mertens, HJMM, Nolting, WE, van Beek, JJ, Roukema, JA, Zijlstra, WP, Kruitwagen, RF & van de Poll-Franse, LV 2015, 'Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice: Longitudinal outcomes of a pragmatic, cluster randomized trial', Journal of Clinical Oncology, vol. 33, no. 31, pp. 3550-3559. https://doi.org/10.1200/JCO.2014.60.3399

Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice : Longitudinal outcomes of a pragmatic, cluster randomized trial. / Nicolaije, K.; Ezendam, N.; Vos , C.M.; Pijnenborg, J.M.; Boll, D.; Bos, E.A.; Hermans, R.H.; Engelhart, K.C.M.; Haartsen, J.E.; Pijlman, B.M.; van Loon-Baelemans , I.E.; Mertens, H.J.M.M.; Nolting, W.E.; van Beek, J.J.; Roukema, J.A.; Zijlstra, W.P.; Kruitwagen, R.F.; van de Poll-Franse, L.V.

In: Journal of Clinical Oncology, Vol. 33, No. 31, 2015, p. 3550-3559.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice

T2 - Longitudinal outcomes of a pragmatic, cluster randomized trial

AU - Nicolaije, K.

AU - Ezendam, N.

AU - Vos , C.M.

AU - Pijnenborg, J.M.

AU - Boll, D.

AU - Bos, E.A.

AU - Hermans, R.H.

AU - Engelhart, K.C.M.

AU - Haartsen, J.E.

AU - Pijlman, B.M.

AU - van Loon-Baelemans , I.E.

AU - Mertens, H.J.M.M.

AU - Nolting, W.E.

AU - van Beek, J.J.

AU - Roukema, J.A.

AU - Zijlstra, W.P.

AU - Kruitwagen, R.F.

AU - van de Poll-Franse, L.V.

N1 - See accompanying editorial doi:10.1200/JCO.2015.62.6937

PY - 2015

Y1 - 2015

N2 - PurposeThis study was conducted to longitudinally assess the impact of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine clinical practice. Primary outcomes were patient satisfaction with information and care. Secondary outcomes included illness perceptions and health care use.MethodsTwelve hospitals were randomly assigned to SCP care or usual care in a pragmatic, cluster randomized trial. Newly diagnosed patients with endometrial cancer completed questionnaires after diagnosis (n = 221; 75% response), 6 months (n = 158), and 12 months (n = 147). An SCP application was built in the Web-based ROGY (Registration System Oncological Gynecology). By clicking the SCP button, a patient-tailored SCP was generated.ResultsIn the SCP care arm, 74% of patients received an SCP. They reported receiving more information about their treatment (mean [M] = 57, standard deviation [SD] = 20 v M = 47, SD = 24; P = .03), other services (M = 35, SD = 22 v M = 25, SD = 22; P = .03), and different places of care (M = 27, SD = 25 v M = 23, SD = 26; P = .04) than the usual care arm (scales, 0 to 100). However, there were no differences regarding satisfaction with information or care. Patients in the SCP care arm experienced more symptoms (M = 3.3, SD = 2.0 v M = 2.6, SD = 1.6; P = .03), were more concerned about their illness (M = 4.4, SD = 2.3 v M = 3.9, SD = 2.1; P = .03), were more affected emotionally (M = 4.0, SD = 2.2 v M = 3.7, SD = 2.2; P = .046), and reported more cancer-related contact with their primary care physician (M = 1.8, SD = 2.0 v M = 1.1, SD = 0.9; P = .003) than those in the usual care arm (scale, 1 to 10). These effects did not differ over time.ConclusionThe present trial showed no evidence of a benefit of SCPs on satisfaction with information and care. Furthermore, SCPs increased patients' concerns, emotional impact, experienced symptoms, and the amount of cancer-related contact with the primary care physician. Whether this may ultimately lead to more empowered patients should be investigated further.

AB - PurposeThis study was conducted to longitudinally assess the impact of an automatically generated survivorship care plan (SCP) on patient-reported outcomes in routine clinical practice. Primary outcomes were patient satisfaction with information and care. Secondary outcomes included illness perceptions and health care use.MethodsTwelve hospitals were randomly assigned to SCP care or usual care in a pragmatic, cluster randomized trial. Newly diagnosed patients with endometrial cancer completed questionnaires after diagnosis (n = 221; 75% response), 6 months (n = 158), and 12 months (n = 147). An SCP application was built in the Web-based ROGY (Registration System Oncological Gynecology). By clicking the SCP button, a patient-tailored SCP was generated.ResultsIn the SCP care arm, 74% of patients received an SCP. They reported receiving more information about their treatment (mean [M] = 57, standard deviation [SD] = 20 v M = 47, SD = 24; P = .03), other services (M = 35, SD = 22 v M = 25, SD = 22; P = .03), and different places of care (M = 27, SD = 25 v M = 23, SD = 26; P = .04) than the usual care arm (scales, 0 to 100). However, there were no differences regarding satisfaction with information or care. Patients in the SCP care arm experienced more symptoms (M = 3.3, SD = 2.0 v M = 2.6, SD = 1.6; P = .03), were more concerned about their illness (M = 4.4, SD = 2.3 v M = 3.9, SD = 2.1; P = .03), were more affected emotionally (M = 4.0, SD = 2.2 v M = 3.7, SD = 2.2; P = .046), and reported more cancer-related contact with their primary care physician (M = 1.8, SD = 2.0 v M = 1.1, SD = 0.9; P = .003) than those in the usual care arm (scale, 1 to 10). These effects did not differ over time.ConclusionThe present trial showed no evidence of a benefit of SCPs on satisfaction with information and care. Furthermore, SCPs increased patients' concerns, emotional impact, experienced symptoms, and the amount of cancer-related contact with the primary care physician. Whether this may ultimately lead to more empowered patients should be investigated further.

U2 - 10.1200/JCO.2014.60.3399

DO - 10.1200/JCO.2014.60.3399

M3 - Article

VL - 33

SP - 3550

EP - 3559

JO - Journal of Clinical Oncology

JF - Journal of Clinical Oncology

SN - 0732-183X

IS - 31

ER -