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Wellness Beyond Cancer Program: building an effective survivorship program

Identifieur interne : 000D16 ( Pmc/Checkpoint ); précédent : 000D15; suivant : 000D17

Wellness Beyond Cancer Program: building an effective survivorship program

Auteurs : M. Rushton ; R. Morash ; G. Larocque ; C. Liska ; L. Stoica ; C. Degrasse ; R. Segal

Source :

RBID : PMC:4687667

Abstract

Background

The Wellness Beyond Cancer Program (wbcp) was launched in 2012, first accepting patients with colorectal cancer (crc) and, subsequently, those with breast cancer (bca), with the aim of standardizing and streamlining the discharge process from our cancer centre. Patients are discharged either to the wbcp nurse practitioner or to their primary care provider (pcp). The program incorporates survivorship care plans (scps) and education classes; it also has a rapid re-entry system in case of recurrence. The objective of this paper is to describe the process by which a cancer survivorship program was developed at our institution and to present preliminary evaluation results.

Methods

Qualitative surveys were mailed to patients and pcps 1 year after patients had been referred to the wbcp. The surveys addressed knowledge of the program content, satisfaction on the part of patients and providers, and whether scp recommendations were followed. Questions were scored on the level of agreement with each of a list of statements (1 = strongly disagree to 5 = strongly agree).

Results

From March 2012 to November 2014, 2630 patients were referred to the wbcp (809 with crc, 1821 with bca). Surveys were received from 289 patients and 412 pcps. Patients and pcps gave similar scores (average: 4) to statements about satisfaction; pcps gave scores below 4 to statements about communication with the wbcp.

Conclusions

At 1 year after discharge, patients and pcps were satisfied with program content, but there is an opportunity to improve on communication and provision of cancer-specific information to the pcps. Using the wbcp to ensure a safe transition to the most appropriate health care provider, we have standardized the discharge process for crc and bca patients.


Url:
DOI: 10.3747/co.22.2786
PubMed: 26715879
PubMed Central: 4687667


Affiliations:

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PMC:4687667

Le document en format XML

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<name sortKey="Stoica, L" sort="Stoica, L" uniqKey="Stoica L" first="L." last="Stoica">L. Stoica</name>
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<name sortKey="Degrasse, C" sort="Degrasse, C" uniqKey="Degrasse C" first="C." last="Degrasse">C. Degrasse</name>
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<author>
<name sortKey="Morash, R" sort="Morash, R" uniqKey="Morash R" first="R." last="Morash">R. Morash</name>
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<nlm:aff id="af2-conc-22-e419">The Ottawa Hospital Cancer Centre, Ottawa, ON.</nlm:aff>
<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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</author>
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<name sortKey="Liska, C" sort="Liska, C" uniqKey="Liska C" first="C." last="Liska">C. Liska</name>
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<nlm:aff id="af2-conc-22-e419">The Ottawa Hospital Cancer Centre, Ottawa, ON.</nlm:aff>
<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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<name sortKey="Stoica, L" sort="Stoica, L" uniqKey="Stoica L" first="L." last="Stoica">L. Stoica</name>
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<nlm:aff id="af2-conc-22-e419">The Ottawa Hospital Cancer Centre, Ottawa, ON.</nlm:aff>
<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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<name sortKey="Degrasse, C" sort="Degrasse, C" uniqKey="Degrasse C" first="C." last="Degrasse">C. Degrasse</name>
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<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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<name sortKey="Segal, R" sort="Segal, R" uniqKey="Segal R" first="R." last="Segal">R. Segal</name>
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<nlm:aff id="af2-conc-22-e419">The Ottawa Hospital Cancer Centre, Ottawa, ON.</nlm:aff>
<wicri:noCountry code="subfield">ON.</wicri:noCountry>
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<series>
<title level="j">Current Oncology</title>
<idno type="ISSN">1198-0052</idno>
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<date when="2015">2015</date>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>The Wellness Beyond Cancer Program (
<sc>wbcp</sc>
) was launched in 2012, first accepting patients with colorectal cancer (
<sc>crc</sc>
) and, subsequently, those with breast cancer (
<sc>bc</sc>
a), with the aim of standardizing and streamlining the discharge process from our cancer centre. Patients are discharged either to the
<sc>wbcp</sc>
nurse practitioner or to their primary care provider (
<sc>pcp</sc>
). The program incorporates survivorship care plans (
<sc>scp</sc>
s) and education classes; it also has a rapid re-entry system in case of recurrence. The objective of this paper is to describe the process by which a cancer survivorship program was developed at our institution and to present preliminary evaluation results.</p>
</sec>
<sec>
<title>Methods</title>
<p>Qualitative surveys were mailed to patients and
<sc>pcp</sc>
s 1 year after patients had been referred to the
<sc>wbcp</sc>
. The surveys addressed knowledge of the program content, satisfaction on the part of patients and providers, and whether
<sc>scp</sc>
recommendations were followed. Questions were scored on the level of agreement with each of a list of statements (1 = strongly disagree to 5 = strongly agree).</p>
</sec>
<sec>
<title>Results</title>
<p>From March 2012 to November 2014, 2630 patients were referred to the
<sc>wbcp</sc>
(809 with
<sc>crc</sc>
, 1821 with
<sc>bc</sc>
a). Surveys were received from 289 patients and 412
<sc>pcp</sc>
s. Patients and
<sc>pcp</sc>
s gave similar scores (average: 4) to statements about satisfaction;
<sc>pcp</sc>
s gave scores below 4 to statements about communication with the
<sc>wbcp</sc>
.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>At 1 year after discharge, patients and
<sc>pcp</sc>
s were satisfied with program content, but there is an opportunity to improve on communication and provision of cancer-specific information to the
<sc>pcp</sc>
s. Using the
<sc>wbcp</sc>
to ensure a safe transition to the most appropriate health care provider, we have standardized the discharge process for
<sc>crc</sc>
and
<sc>bc</sc>
a patients.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Curr Oncol</journal-id>
<journal-id journal-id-type="publisher-id">CO</journal-id>
<journal-title-group>
<journal-title>Current Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1198-0052</issn>
<issn pub-type="epub">1718-7729</issn>
<publisher>
<publisher-name>Multimed Inc.</publisher-name>
<publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26715879</article-id>
<article-id pub-id-type="pmc">4687667</article-id>
<article-id pub-id-type="doi">10.3747/co.22.2786</article-id>
<article-id pub-id-type="publisher-id">conc-22-e419</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
<subj-group subj-group-type="heading">
<subject>Cancer Rehabilitation and Survivorship</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Wellness Beyond Cancer Program: building an effective survivorship program</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rushton</surname>
<given-names>M.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-conc-22-e419">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Morash</surname>
<given-names>R.</given-names>
</name>
<degrees>RN</degrees>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Larocque</surname>
<given-names>G.</given-names>
</name>
<degrees>RN(EC)</degrees>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liska</surname>
<given-names>C.</given-names>
</name>
<degrees>RN</degrees>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stoica</surname>
<given-names>L.</given-names>
</name>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>DeGrasse</surname>
<given-names>C.</given-names>
</name>
<degrees>RN</degrees>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Segal</surname>
<given-names>R.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-conc-22-e419">
<sup>†</sup>
</xref>
<xref rid="c1-conc-22-e419" ref-type="corresp"></xref>
</contrib>
<aff id="af1-conc-22-e419">
<label>*</label>
University of Ottawa, Ottawa, ON;</aff>
<aff id="af2-conc-22-e419">
<label>†</label>
The Ottawa Hospital Cancer Centre, Ottawa, ON.</aff>
</contrib-group>
<author-notes>
<corresp id="c1-conc-22-e419">Correspondence to: Roanne Segal, The Ottawa Hospital Cancer Centre, 501 Smyth Rd, Ottawa, Ontario K1H 8L6. E-mail:
<email>rsegal@ottawahospital.on.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2015</year>
</pub-date>
<volume>22</volume>
<issue>6</issue>
<fpage>e419</fpage>
<lpage>e434</lpage>
<permissions>
<copyright-statement>2015 Multimed Inc.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>The Wellness Beyond Cancer Program (
<sc>wbcp</sc>
) was launched in 2012, first accepting patients with colorectal cancer (
<sc>crc</sc>
) and, subsequently, those with breast cancer (
<sc>bc</sc>
a), with the aim of standardizing and streamlining the discharge process from our cancer centre. Patients are discharged either to the
<sc>wbcp</sc>
nurse practitioner or to their primary care provider (
<sc>pcp</sc>
). The program incorporates survivorship care plans (
<sc>scp</sc>
s) and education classes; it also has a rapid re-entry system in case of recurrence. The objective of this paper is to describe the process by which a cancer survivorship program was developed at our institution and to present preliminary evaluation results.</p>
</sec>
<sec>
<title>Methods</title>
<p>Qualitative surveys were mailed to patients and
<sc>pcp</sc>
s 1 year after patients had been referred to the
<sc>wbcp</sc>
. The surveys addressed knowledge of the program content, satisfaction on the part of patients and providers, and whether
<sc>scp</sc>
recommendations were followed. Questions were scored on the level of agreement with each of a list of statements (1 = strongly disagree to 5 = strongly agree).</p>
</sec>
<sec>
<title>Results</title>
<p>From March 2012 to November 2014, 2630 patients were referred to the
<sc>wbcp</sc>
(809 with
<sc>crc</sc>
, 1821 with
<sc>bc</sc>
a). Surveys were received from 289 patients and 412
<sc>pcp</sc>
s. Patients and
<sc>pcp</sc>
s gave similar scores (average: 4) to statements about satisfaction;
<sc>pcp</sc>
s gave scores below 4 to statements about communication with the
<sc>wbcp</sc>
.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>At 1 year after discharge, patients and
<sc>pcp</sc>
s were satisfied with program content, but there is an opportunity to improve on communication and provision of cancer-specific information to the
<sc>pcp</sc>
s. Using the
<sc>wbcp</sc>
to ensure a safe transition to the most appropriate health care provider, we have standardized the discharge process for
<sc>crc</sc>
and
<sc>bc</sc>
a patients.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Survivorship programs</kwd>
<kwd>breast cancer</kwd>
<kwd>colorectal cancer</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
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<noCountry>
<name sortKey="Degrasse, C" sort="Degrasse, C" uniqKey="Degrasse C" first="C." last="Degrasse">C. Degrasse</name>
<name sortKey="Larocque, G" sort="Larocque, G" uniqKey="Larocque G" first="G." last="Larocque">G. Larocque</name>
<name sortKey="Liska, C" sort="Liska, C" uniqKey="Liska C" first="C." last="Liska">C. Liska</name>
<name sortKey="Morash, R" sort="Morash, R" uniqKey="Morash R" first="R." last="Morash">R. Morash</name>
<name sortKey="Rushton, M" sort="Rushton, M" uniqKey="Rushton M" first="M." last="Rushton">M. Rushton</name>
<name sortKey="Segal, R" sort="Segal, R" uniqKey="Segal R" first="R." last="Segal">R. Segal</name>
<name sortKey="Stoica, L" sort="Stoica, L" uniqKey="Stoica L" first="L." last="Stoica">L. Stoica</name>
</noCountry>
</tree>
</affiliations>
</record>

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