Salz Talya, Baxi Shrujal S, Blinder Victoria S, Elkin Elena B, Kemeny Margaret M, McCabe Mary S, Moskowitz Chaya S, Onstad Erin E, Saltz Leonard B, Temple Larissa K F, Oeffinger Kevin C
Memorial Sloan-Kettering Cancer Center; Queens Cancer Center of Queens Hospital, New York, NY; and Harvard School of Public Health, Boston, MA
Memorial Sloan-Kettering Cancer Center; Queens Cancer Center of Queens Hospital, New York, NY; and Harvard School of Public Health, Boston, MA.
J Oncol Pract. 2014 Jul;10(4):e277-82. doi: 10.1200/JOP.2013.001312. Epub 2014 Jun 3.
Before developing a survivorship care plan (SCP) that colorectal cancer (CRC) survivors will value, understanding the informational needs of CRC survivors is critical.
We surveyed survivors treated for nonmetastatic CRC at two hospitals in New York about their needs and preferences for survivorship information. Participants completed treatment 6 to 24 months before the interview and had not received an SCP. We evaluated whether survivors knew their treatment history (10 topics), whether they understood ongoing risks (four topics), and their preferences for receiving 16 topics of survivorship information.
One hundred seventy-five survivors completed the survey. Most survivors remembered information about past treatment (98% to 99% for each treatment). Fewer survivors knew their risks of local recurrence, distant recurrence, or developing a new CRC (69%, 77%, and 40%, respectively). Most participants reported receiving information about their cancer history and ongoing oncology visits (77% to 86% across topics). Across all topics, 93% to 99% of those who reported receiving information found the information useful. A minority of survivors reported they received information about symptoms to report to doctors, returning to work, or financial or legal issues (5% to 48% across topics), but those who did found the information useful (89% to 100% across topics).
In the absence of an SCP, CRC survivors still generally understood their cancer history. However, many lacked knowledge of ongoing risks and prevention. Most survivors stated that they found the survivorship information they received useful. SCPs for CRC survivors should focus less on past care and more on helping survivors understand their risks and plan for the future.
在制定结直肠癌(CRC)幸存者重视的生存护理计划(SCP)之前,了解CRC幸存者的信息需求至关重要。
我们对纽约两家医院接受非转移性CRC治疗的幸存者进行了调查,了解他们对生存信息的需求和偏好。参与者在访谈前6至24个月完成治疗,且未接受过SCP。我们评估了幸存者是否了解他们的治疗史(10个主题)、是否理解持续存在的风险(4个主题)以及他们对接收16个生存信息主题的偏好。
175名幸存者完成了调查。大多数幸存者记得过去治疗的信息(每种治疗的知晓率为98%至99%)。了解局部复发、远处复发或患新发CRC风险的幸存者较少(分别为69%、77%和40%)。大多数参与者报告收到了有关他们癌症病史和正在进行的肿瘤学就诊的信息(各主题知晓率为77%至86%)。在所有主题中,报告收到信息的人中93%至99%认为这些信息有用。少数幸存者报告他们收到了有关应向医生报告的症状、重返工作岗位或财务或法律问题的信息(各主题知晓率为5%至48%),但收到这些信息的人认为这些信息有用(各主题知晓率为89%至100%)。
在没有SCP的情况下,CRC幸存者仍普遍了解他们的癌症病史。然而,许多人缺乏对持续风险和预防的了解。大多数幸存者表示他们认为收到的生存信息有用。CRC幸存者的SCP应减少对过去护理的关注,更多地帮助幸存者了解他们的风险并规划未来。