Yale University, School of Nursing, New Haven, Connecticut, USA.
University of Massachusetts Lowell, Solomont School of Nursing, Lowell, MA, USA.
Support Care Cancer. 2024 Sep 5;32(10):637. doi: 10.1007/s00520-024-08796-6.
Despite the role of the Survivorship Care Plan (SCP) in facilitating treatment adherence, research on SCP receipt among cancer survivors with disabilities remains limited. Thus, our study investigated the association between SCP receipt and disability count among cancer survivors.
We analyzed cross-sectional data from the 2021 Behavioral Risk Factor Surveillance System, Cancer Survivorship: Course of Treatment module. The final sample included 2271 respondents with self-reported cancer history. The outcome was self-reported SCP receipt (0 = did not receive SCP, 1 = received written summary or follow-up care instructions, and 2 = received SCP-both). Independent variable was disability counts, comprised of six types: hearing, vision, cognition, mobility, self-care, and independent living difficulties. Disability count was categorized into 0 = none, 1 one disability, 2 = two disabilities, and 3 = ≥ 3 disabilities. We conducted weighted descriptive statistics and multinomial multivariable logistic regression.
The sample was mostly White (70.62%), female (59.42%), and aged ≥ 65 (54.88%). About 57% reported no disability, 20.89% reported 1-disability, 11.03% 2-disabilities, and 11.47% ≥ 3 disabilities. Mobility issues were the most common disability (26.86%), while self-care difficulties were the least common (6.40%). About 12.12% of cancer survivors did not receive SCP, 35.03% received either treatment summaries or follow-up care instructions, and 52.84% received SCP. Compared to those without disability, survivors with ≥ 3 disabilities had lower odds of receiving SCP (AOR 0.44, 95% CI 0.22-0.88, p = 0.022).
This study suggests disparities in SCP receipt by disability count. Addressing such disparities can promote treatment adherence and reduction of missed follow-up.
尽管生存护理计划（SCP）在促进治疗依从性方面发挥了作用，但针对残疾癌症幸存者接受 SCP 的研究仍然有限。因此，我们的研究调查了残疾癌症幸存者中接受 SCP 与残疾计数之间的关联。
我们分析了 2021 年行为风险因素监测系统（BRFSS）癌症生存：治疗过程模块中的横断面数据。最终样本包括 2271 名自我报告癌症病史的受访者。结果是自我报告的 SCP 接受情况（0=未接受 SCP，1=收到书面总结或随访护理说明，2=收到 SCP-两者）。自变量是残疾计数，包括六种类型：听力、视力、认知、行动能力、自理和独立生活困难。残疾计数分为 0=无，1=一种残疾，2=两种残疾，3= ≥3 种残疾。我们进行了加权描述性统计和多项多变量逻辑回归。
样本主要为白人（70.62%）、女性（59.42%）和年龄≥65 岁（54.88%）。约 57%的人报告没有残疾，20.89%的人报告有 1 种残疾，11.03%的人报告有 2 种残疾，11.47%的人报告有 ≥3 种残疾。行动能力问题是最常见的残疾（26.86%），而自理困难是最不常见的残疾（6.40%）。约 12.12%的癌症幸存者未接受 SCP，35.03%的人接受了治疗总结或随访护理说明，52.84%的人接受了 SCP。与无残疾者相比，残疾程度为 ≥3 种残疾的幸存者接受 SCP 的可能性较低（AOR 0.44，95%CI 0.22-0.88，p=0.022）。
本研究表明，残疾程度与 SCP 接受程度存在差异。解决这些差异可以促进治疗依从性和减少错过随访。
