TY - JOUR
T1 - Survivorship care plans have a negative impact on long-term quality of life and anxiety through more threatening illness perceptions in gynecological cancer patients
T2 - The ROGY care trial
AU - de Rooij, Belle H.
AU - Ezendam, Nicole P. M.
AU - Nicolaije, Kim A. H.
AU - Lodder, Paul
AU - Vos, M. Caroline
AU - Pijnenborg, Johanna M. A.
AU - Boll, Dorry
AU - Kruitwagen, Roy F. P. M.
AU - van de Poll-Franse, Lonneke V.
PY - 2018
Y1 - 2018
N2 - Prior results from the registration system oncological gynecology (ROGY) care trial showed that survivorship care plans (SCPs) increased threatening illness perceptions in gynecological cancer survivors, but it remained unclear whether this would result in poorer physical and psychosocial outcomes. The aim of the current study is to assess the direct and indirect effects of SCPs on health-related quality of life (HRQoL) and anxiety and depression, through illness perceptions.Twelve hospitals in the South of the Netherlands were randomized to providing 'SCP care' or 'usual care.' Newly diagnosed endometrial and ovarian cancer patients completed questionnaires after initial treatment (endometrial, 221 [75%]; ovarian, 174 [71%]) and after 6, 12, and 24 months. SCPs were automatically generated after initial treatment by the oncology providers through the web-based ROGY. Illness perceptions were measured after initial treatment and HRQoL and anxiety and depression after 6, 12, and 24 months.Structural equation models showed that endometrial cancer patients who experienced more symptoms or concern due to the SCP reported worse social functioning (beta = - 0.82; p = 0.01) and more fatigue, insomnia, pain, and anxiety (beta = 0.58-0.86, p <0.05) within 12 months after treatment. Ovarian cancer patients who had lower trust that the treatment would cure their disease due to the SCP reported worse emotional functioning 6 months after treatment (beta = 0.27, p = 0.02).Current results show that SCPs may have negative effects on HRQoL and anxiety in patients who experience more threatening illness perceptions due to the SCP. We should be aware of the potential negative consequences of SCPs.Trial Registration clinicaltrials.gov Identifier: NCT01185626.
AB - Prior results from the registration system oncological gynecology (ROGY) care trial showed that survivorship care plans (SCPs) increased threatening illness perceptions in gynecological cancer survivors, but it remained unclear whether this would result in poorer physical and psychosocial outcomes. The aim of the current study is to assess the direct and indirect effects of SCPs on health-related quality of life (HRQoL) and anxiety and depression, through illness perceptions.Twelve hospitals in the South of the Netherlands were randomized to providing 'SCP care' or 'usual care.' Newly diagnosed endometrial and ovarian cancer patients completed questionnaires after initial treatment (endometrial, 221 [75%]; ovarian, 174 [71%]) and after 6, 12, and 24 months. SCPs were automatically generated after initial treatment by the oncology providers through the web-based ROGY. Illness perceptions were measured after initial treatment and HRQoL and anxiety and depression after 6, 12, and 24 months.Structural equation models showed that endometrial cancer patients who experienced more symptoms or concern due to the SCP reported worse social functioning (beta = - 0.82; p = 0.01) and more fatigue, insomnia, pain, and anxiety (beta = 0.58-0.86, p <0.05) within 12 months after treatment. Ovarian cancer patients who had lower trust that the treatment would cure their disease due to the SCP reported worse emotional functioning 6 months after treatment (beta = 0.27, p = 0.02).Current results show that SCPs may have negative effects on HRQoL and anxiety in patients who experience more threatening illness perceptions due to the SCP. We should be aware of the potential negative consequences of SCPs.Trial Registration clinicaltrials.gov Identifier: NCT01185626.
KW - Survivorship care plan
KW - Information provision
KW - Gynecologic cancer
KW - Illness perception
KW - Quality of life
KW - Anxiety
KW - RANDOMIZED CONTROLLED-TRIAL
KW - BREAST-CANCER
KW - COLORECTAL-CANCER
KW - REPORTED OUTCOMES
KW - QUESTIONNAIRE
KW - HEALTH
KW - DEPRESSION
KW - PEOPLE
UR - https://clinicaltrials.gov/ct2/show/NCT01185626
U2 - 10.1007/s11136-018-1825-4
DO - 10.1007/s11136-018-1825-4
M3 - Article
SN - 0962-9343
VL - 27
SP - 1533
EP - 1544
JO - Quality of Life Research
JF - Quality of Life Research
IS - 6
ER -