Impact of shared care program in follow‐up of childhood cancer survivors: An intervention study
Background With the growing rate of childhood cancer cure and the risks of sequelae, long‐term follow‐up (FU) of survivors is a central issue. Several models have been proven far from satisfactory. Shared care FU is the result of collaboration between general practitioners (GPs) and cancer centers....
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Veröffentlicht in: | Pediatric blood & cancer 2017-11, Vol.64 (11), p.n/a |
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creator | Ducassou, Stéphane Chipi, Maïté Pouyade, Aurélie Afonso, Mélanie Demeaux, Jean‐Louis Ducos, Gérard Pérel, Yves Ansoborlo, Sophie |
description | Background
With the growing rate of childhood cancer cure and the risks of sequelae, long‐term follow‐up (FU) of survivors is a central issue. Several models have been proven far from satisfactory. Shared care FU is the result of collaboration between general practitioners (GPs) and cancer centers. We sought to demonstrate the feasibility of setting up a shared care program based on the patient‐centered education of GPs and to evaluate the impact of this model in an intervention study.
Methods
We compared the FU care achievement in two childhood cancer survivor cohorts in the same pediatric oncology center, (i) control group (n = 134) and (ii) intervention study cohort (n = 137), after setting up the program.
Results
The rate of survivors answering the survey and the rate of patients involved in FU by their GPs were higher in intervention study cohort than in baseline one (132/137 vs. 72/134 and 110/132 vs. 13/72; P ≤ 0.0001). The lack of any FU was definitely lower (10/132 vs. 18/72; P = 0.001) in the intervention study cohort.
Conclusion
In this shared care program, survivors overcame distrust in their GP's knowledge and entered the FU program after their GPs had been involved in patient‐centered education. Personalized and incentive‐based guidance was very useful in helping survivors to adhere to FU. Support of a dedicated long‐term FU team was very useful. A nationwide organization, consideration of special needs in subgroups of survivors and sustained funding are needed to adjust the program in the very long term. |
doi_str_mv | 10.1002/pbc.26541 |
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With the growing rate of childhood cancer cure and the risks of sequelae, long‐term follow‐up (FU) of survivors is a central issue. Several models have been proven far from satisfactory. Shared care FU is the result of collaboration between general practitioners (GPs) and cancer centers. We sought to demonstrate the feasibility of setting up a shared care program based on the patient‐centered education of GPs and to evaluate the impact of this model in an intervention study.
Methods
We compared the FU care achievement in two childhood cancer survivor cohorts in the same pediatric oncology center, (i) control group (n = 134) and (ii) intervention study cohort (n = 137), after setting up the program.
Results
The rate of survivors answering the survey and the rate of patients involved in FU by their GPs were higher in intervention study cohort than in baseline one (132/137 vs. 72/134 and 110/132 vs. 13/72; P ≤ 0.0001). The lack of any FU was definitely lower (10/132 vs. 18/72; P = 0.001) in the intervention study cohort.
Conclusion
In this shared care program, survivors overcame distrust in their GP's knowledge and entered the FU program after their GPs had been involved in patient‐centered education. Personalized and incentive‐based guidance was very useful in helping survivors to adhere to FU. Support of a dedicated long‐term FU team was very useful. A nationwide organization, consideration of special needs in subgroups of survivors and sustained funding are needed to adjust the program in the very long term.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.26541</identifier><identifier>PMID: 28371178</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Accountable Care Organizations ; Adolescent ; Cancer ; Child ; Child, Preschool ; Childhood ; childhood cancer survivor ; Children ; Complications ; Continuity of Patient Care - organization & administration ; Delivery of Health Care ; Early Medical Intervention ; Feasibility studies ; Female ; Follow-Up Studies ; general practitioner ; General Practitioners ; Health risk assessment ; Health risks ; Hematology ; Humans ; Infant ; Infant, Newborn ; long‐term outcome ; Male ; Neoplasms - therapy ; Oncology ; Pediatrics ; Prognosis ; shared care ; Survival Rate ; Survivors</subject><ispartof>Pediatric blood & cancer, 2017-11, Vol.64 (11), p.n/a</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-c447b7b3fb7f13a10eb8cb21755658f0569c0a63d69d35a50d064e1432ab3ab23</citedby><cites>FETCH-LOGICAL-c3531-c447b7b3fb7f13a10eb8cb21755658f0569c0a63d69d35a50d064e1432ab3ab23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.26541$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.26541$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28371178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ducassou, Stéphane</creatorcontrib><creatorcontrib>Chipi, Maïté</creatorcontrib><creatorcontrib>Pouyade, Aurélie</creatorcontrib><creatorcontrib>Afonso, Mélanie</creatorcontrib><creatorcontrib>Demeaux, Jean‐Louis</creatorcontrib><creatorcontrib>Ducos, Gérard</creatorcontrib><creatorcontrib>Pérel, Yves</creatorcontrib><creatorcontrib>Ansoborlo, Sophie</creatorcontrib><title>Impact of shared care program in follow‐up of childhood cancer survivors: An intervention study</title><title>Pediatric blood & cancer</title><addtitle>Pediatr Blood Cancer</addtitle><description>Background
With the growing rate of childhood cancer cure and the risks of sequelae, long‐term follow‐up (FU) of survivors is a central issue. Several models have been proven far from satisfactory. Shared care FU is the result of collaboration between general practitioners (GPs) and cancer centers. We sought to demonstrate the feasibility of setting up a shared care program based on the patient‐centered education of GPs and to evaluate the impact of this model in an intervention study.
Methods
We compared the FU care achievement in two childhood cancer survivor cohorts in the same pediatric oncology center, (i) control group (n = 134) and (ii) intervention study cohort (n = 137), after setting up the program.
Results
The rate of survivors answering the survey and the rate of patients involved in FU by their GPs were higher in intervention study cohort than in baseline one (132/137 vs. 72/134 and 110/132 vs. 13/72; P ≤ 0.0001). The lack of any FU was definitely lower (10/132 vs. 18/72; P = 0.001) in the intervention study cohort.
Conclusion
In this shared care program, survivors overcame distrust in their GP's knowledge and entered the FU program after their GPs had been involved in patient‐centered education. Personalized and incentive‐based guidance was very useful in helping survivors to adhere to FU. Support of a dedicated long‐term FU team was very useful. A nationwide organization, consideration of special needs in subgroups of survivors and sustained funding are needed to adjust the program in the very long term.</description><subject>Accountable Care Organizations</subject><subject>Adolescent</subject><subject>Cancer</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>childhood cancer survivor</subject><subject>Children</subject><subject>Complications</subject><subject>Continuity of Patient Care - organization & administration</subject><subject>Delivery of Health Care</subject><subject>Early Medical Intervention</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>general practitioner</subject><subject>General Practitioners</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>long‐term outcome</subject><subject>Male</subject><subject>Neoplasms - therapy</subject><subject>Oncology</subject><subject>Pediatrics</subject><subject>Prognosis</subject><subject>shared care</subject><subject>Survival Rate</subject><subject>Survivors</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10LtOwzAUBmALgbgPvACyxAJDqU98ScIGFTcJCQaYLdtxaFASBzsp6sYj8Iw8CS4tDEgsx2f4_OvoR-gAyCkQkow7bU4TwRmsoW3gjI84gXT9dyf5FtoJ4SVSQXi2ibaSjKYAabaN1G3TKdNjV-IwVd4W2MSJO--evWpw1eLS1bV7-3z_GLqFMtOqLqbOLWBrrMdh8LNq5nw4w-dt_NBbP7NtX7kWh34o5ntoo1R1sPurdxc9XV0-Tm5Gd_fXt5Pzu5GhnMLIMJbqVNNSpyVQBcTqzOgEUs4Fz0rCRW6IErQQeUG54qQggllgNFGaKp3QXXS8zI23vw429LKpgrF1rVrrhiAhyxiInDMa6dEf-uIG38brJOQsESkhFKI6WSrjXQjelrLzVaP8XAKRi95l7F1-9x7t4Spx0I0tfuVP0RGMl-Ctqu38_yT5cDFZRn4BVfaMfw</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Ducassou, Stéphane</creator><creator>Chipi, Maïté</creator><creator>Pouyade, Aurélie</creator><creator>Afonso, Mélanie</creator><creator>Demeaux, Jean‐Louis</creator><creator>Ducos, Gérard</creator><creator>Pérel, Yves</creator><creator>Ansoborlo, Sophie</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201711</creationdate><title>Impact of shared care program in follow‐up of childhood cancer survivors: An intervention study</title><author>Ducassou, Stéphane ; Chipi, Maïté ; Pouyade, Aurélie ; Afonso, Mélanie ; Demeaux, Jean‐Louis ; Ducos, Gérard ; Pérel, Yves ; Ansoborlo, Sophie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-c447b7b3fb7f13a10eb8cb21755658f0569c0a63d69d35a50d064e1432ab3ab23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accountable Care Organizations</topic><topic>Adolescent</topic><topic>Cancer</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>childhood cancer survivor</topic><topic>Children</topic><topic>Complications</topic><topic>Continuity of Patient Care - organization & administration</topic><topic>Delivery of Health Care</topic><topic>Early Medical Intervention</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>general practitioner</topic><topic>General Practitioners</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Hematology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>long‐term outcome</topic><topic>Male</topic><topic>Neoplasms - therapy</topic><topic>Oncology</topic><topic>Pediatrics</topic><topic>Prognosis</topic><topic>shared care</topic><topic>Survival Rate</topic><topic>Survivors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ducassou, Stéphane</creatorcontrib><creatorcontrib>Chipi, Maïté</creatorcontrib><creatorcontrib>Pouyade, Aurélie</creatorcontrib><creatorcontrib>Afonso, Mélanie</creatorcontrib><creatorcontrib>Demeaux, Jean‐Louis</creatorcontrib><creatorcontrib>Ducos, Gérard</creatorcontrib><creatorcontrib>Pérel, Yves</creatorcontrib><creatorcontrib>Ansoborlo, Sophie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ducassou, Stéphane</au><au>Chipi, Maïté</au><au>Pouyade, Aurélie</au><au>Afonso, Mélanie</au><au>Demeaux, Jean‐Louis</au><au>Ducos, Gérard</au><au>Pérel, Yves</au><au>Ansoborlo, Sophie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of shared care program in follow‐up of childhood cancer survivors: An intervention study</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr Blood Cancer</addtitle><date>2017-11</date><risdate>2017</risdate><volume>64</volume><issue>11</issue><epage>n/a</epage><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
With the growing rate of childhood cancer cure and the risks of sequelae, long‐term follow‐up (FU) of survivors is a central issue. Several models have been proven far from satisfactory. Shared care FU is the result of collaboration between general practitioners (GPs) and cancer centers. We sought to demonstrate the feasibility of setting up a shared care program based on the patient‐centered education of GPs and to evaluate the impact of this model in an intervention study.
Methods
We compared the FU care achievement in two childhood cancer survivor cohorts in the same pediatric oncology center, (i) control group (n = 134) and (ii) intervention study cohort (n = 137), after setting up the program.
Results
The rate of survivors answering the survey and the rate of patients involved in FU by their GPs were higher in intervention study cohort than in baseline one (132/137 vs. 72/134 and 110/132 vs. 13/72; P ≤ 0.0001). The lack of any FU was definitely lower (10/132 vs. 18/72; P = 0.001) in the intervention study cohort.
Conclusion
In this shared care program, survivors overcame distrust in their GP's knowledge and entered the FU program after their GPs had been involved in patient‐centered education. Personalized and incentive‐based guidance was very useful in helping survivors to adhere to FU. Support of a dedicated long‐term FU team was very useful. A nationwide organization, consideration of special needs in subgroups of survivors and sustained funding are needed to adjust the program in the very long term.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28371178</pmid><doi>10.1002/pbc.26541</doi><tpages>7</tpages></addata></record> |
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subjects | Accountable Care Organizations Adolescent Cancer Child Child, Preschool Childhood childhood cancer survivor Children Complications Continuity of Patient Care - organization & administration Delivery of Health Care Early Medical Intervention Feasibility studies Female Follow-Up Studies general practitioner General Practitioners Health risk assessment Health risks Hematology Humans Infant Infant, Newborn long‐term outcome Male Neoplasms - therapy Oncology Pediatrics Prognosis shared care Survival Rate Survivors |
title | Impact of shared care program in follow‐up of childhood cancer survivors: An intervention study |
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