Dissemination of cancer survivorship care plans: who is being left out?
- 7 January 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 29 (8), 4295-4302
- https://doi.org/10.1007/s00520-020-05915-x
Abstract
Objectives The Institute of Medicine (IOM) and the American College of Surgeons Commission on Cancer (CoC) recommend a clear and effectively explained comprehensive survivorship care plan (SCP) be given to all cancer survivors. The objective of this study is to understand the relationship between social determinants of health (SDOH) and self-reported receipt of SCP by cancer survivors in the USA. Methods We analyzed an adult population of cancer survivors in the 2016 Behavioral Risk Factor Surveillance System’s (BRFSS) Survivorship modules. Weighted multivariable logistic regression was used to analyze the association of SDOH and reported receipt of SCP. Results There were 7061 cancer patients eligible for an SCP. The probability of reporting receipt of SCP decreased with lower educational achievement (high school/some college: AOR = 0.82, 95% CI: 0.70–0.97, p = 0.02; < high school: AOR = 0.68, 95% CI: 0.47–0.97, p = 0.03) compared to those with at least one college degree. Additionally, being widowed/divorced/separated (widowed/divorced/separated: AOR = 0.72, 95% CI: 0.61–0.86, p < 0.01 vs. married/cohabiting) and uninsured (uninsured: AOR = 0.52, 95% CI: 0.0.34–0.80, p < 0.01 vs. insured) increased the odds of not receiving an SCP. Younger patients were more likely to receive an SCP than those over 65 (18–24 years: AOR = 6.62, 95% CI: 1.87–24.49, p < 0.01 vs. 65+ years). Conclusion Among cancer survivors, SDOH such as low educational achievement, widowed/divorced/separated marital status, and being uninsured were associated with a lower likelihood of receiving an SCP. Future studies should evaluate how omission of SCP in these patients influences the quality of care during the transition from oncologists to primary care.Keywords
This publication has 26 references indexed in Scilit:
- A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004–2011BMC Medical Research Methodology, 2013
- Unintentional non-adherence to chronic prescription medications: How unintentional is it really?BMC Health Services Research, 2012
- The use of cancer treatment summaries and care plans among Massachusetts physiciansSupportive Care in Cancer, 2012
- Survivorship care plans in research and practiceCA: A Cancer Journal for Clinicians, 2012
- Do Survivorship Care Plans Make a Difference? A Primary Care Provider PerspectiveJournal of Oncology Practice, 2011
- Low Health Literacy and Health Outcomes: An Updated Systematic ReviewAnnals of Internal Medicine, 2011
- Development and Pilot Testing of a Nurse-Led Posttreatment Support Package for Bowel Cancer SurvivorsCancer Nursing, 2011
- Reliability of health-related quality-of-life indicators in cancer survivors from a population-based sample, 2005, BRFSSPublic Health, 2009
- Sensitive questions in surveys.Psychological Bulletin, 2007
- Socio-economic status of the patient and doctor–patient communication: does it make a difference?Patient Education and Counseling, 2005