Understanding experiences of optimal survivorship care: findings from a population-based study of cancer survivors

被引：0

作者：

Victoria White ^{[1
]}

Karla Gough ^{[2
]}

Eli Ristevski ^{[3
]}

Karolina Lisy ^{[4
]}

Kate Webber ^{[2
]}

Jon Emery ^{[5
]}

Peter Gibbs ^{[6
]}

Maarten IJzerman ^{[7
]}

Nikki Davis ^{[8
]}

Michael Jefford ^{[9
]}

机构：

[1] School of Psychology, Faculty of Health, Deakin University, Burwood, VIC

[2] Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, VIC

[3] Department of Nursing, Faculty of Medicine, Dentistry and Health Services, University of Melbourne, Parkville, VIC

[4] School of Rural Health, Monash University, Warragul, VIC

[5] Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC

[6] Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC

[7] School of Clinical Sciences, Monash University, Clayton, VIC

[8] Department of Oncology, Monash Health, Clayton, VIC

[9] Department of General Practice and Centre for Cancer Research, University of Melbourne, Melbourne, VIC

[10] Department of Medical Oncology, Western Health, St. Albans, VIC

[11] Personalised Oncology Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC

[12] Melbourne School of Population and Global Health and Centre for Cancer Research, University of Melbourne, Melbourne, VIC

[13] Primary Care Cancer Collaborative Clinical Trials Group, Victorian Comprehensive Cancer Centre, Melbourne, VIC

来源：

Supportive Care in Cancer | 2025年 / 33卷 / 5期

基金：

英国医学研究理事会;

关键词：

Cancer; Cancer survivors; Disparities; Experience; Patient-reported outcomes; Quality of life; Satisfaction;

D O I：

10.1007/s00520-025-09461-2

中图分类号：

学科分类号：

摘要：

Background: Multiple frameworks describing optimal cancer survivorship care recommend the development of systems to monitor delivery of quality care. This study reports the experiences of cancer survivorship care in Australia and examines associations with patient-level sociodemographic and clinical characteristics. Methods: People aged ≥ 16 years, with any cancer receiving cancer care in a Victorian public hospital in 2018, were invited to complete a survey assessing care experiences. Seven items assessed follow-up care experiences with optimal care indicated by the response: ‘Yes, definitely received’, and sub-optimal care by responses ‘Yes, I think so’, ‘No’, and ‘Not sure’. A composite score was derived with optimal care defined as positive experiences on the majority of items. Sociodemographic and clinical factors associated with optimal care were examined using multivariable logistic regression. Results: Of the 4998 (47% response rate) respondents, 3555 were receiving follow-up care. The item most respondents indicated receiving optimal care was ‘receiving information about schedule of tests/check-ups’ (73%), with optimal care least likely to be reported for the item ‘receiving information about new symptoms needing investigation’ (44%). Based on our composite measure, only 40% had optimal survivorship care overall. Those more likely to report optimal survivorship care were male, from lower socioeconomic advantage areas, reported excellent health, diagnosed with breast, prostate, lung or a haematological cancer, and diagnosed less recently. Conclusions: Large numbers of Australian cancer survivors report sub-optimal survivorship care, with experiences varying by some sociodemographic and clinical characteristics. Understanding reasons for differences can provide insight into strategies to ameliorate variations. © The Author(s) 2025.

引用

共 50 条

[1] Miller K.D., Nogueira L., Devasia T., Et al., Cancer treatment and survivorship statistics, 2022, CA Cancer J Clin, 72, 5, pp. 409-436, (2022)
[2] Emery J., Butow P., Lai-Kwon J., Et al., Management of common clinical problems experienced by survivors of cancer, Lancet, 399, pp. 1537-1550, (2022)
[3] (2021)
[4] Luigjes-Huizer Y.L., Tauber N.M., Humphris G., Et al., What is the prevalence of fear of cancer recurrence in cancer survivors and patients? A systematic review and individual participant data meta-analysis, Psychooncology, 31, 6, pp. 879-892, (2022)
[5] Lisy K., Ly L., Kelly H., Et al., How do we define and measure optimal care for cancer survivors? An online modified reactive Delphi study, Cancers (Basel), 13, 10, (2021)
[6] Nekhlyudov L., Mollica M.A., Jacobsen P.B., Et al., Developing a quality of cancer survivorship care framework: implications for clinical care, research, and policy, J Natl Cancer Inst, 111, 11, pp. 1120-1130, (2019)
[7] Jefford M., Howell D., Li Q., Et al., Improved models of care for cancer survivors, Lancet, 399, pp. 1551-1560, (2022)
[8] From cancer patient to cancer survivor: lost in transition, (2006)
[9] Rechis R., Beckjord E.B., Arvey S., Reynolds K., McGoldrick D., The essential elements of survivorship care: a livestrong brief, (2011)
[10] Sanft T., Day A., Ansbaugh S., Et al., NCCN guidelines® insights: survivorship, version 1.2023, J Natl Compr Canc Netw, 21, 8, pp. 792-803, (2023)

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