A randomized controlled trial of a nurse-led supportive care package (SurvivorCare) for survivors of colorectal cancer

Jefford, Michael, Gough, Karla, Drosdowsky, Allison, Russell, Lahiru, Aranda, Sanchia, Butow, Phyllis, Phipps-Nelson, Jo, Young, Jane, Krishnasamy, Mei, Ugalde, Anna, King, Dorothy, Strickland, Andrew, Franco, Michael, Blum, Robert, Johnson, Catherine, Ganju, Vinod, Shapiro, Jeremy, Chong, Geoffrey, Charlton, Julie, Haydon, Andrew and Schofield, Penelope 2016, A randomized controlled trial of a nurse-led supportive care package (SurvivorCare) for survivors of colorectal cancer, Oncologist, vol. 21, pp. 1-10, doi: 10.1634/theoncologist.2015-0533.

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Title A randomized controlled trial of a nurse-led supportive care package (SurvivorCare) for survivors of colorectal cancer
Author(s) Jefford, Michael
Gough, Karla
Drosdowsky, Allison
Russell, LahiruORCID iD for Russell, Lahiru orcid.org/0000-0002-3806-0020
Aranda, Sanchia
Butow, Phyllis
Phipps-Nelson, Jo
Young, Jane
Krishnasamy, Mei
Ugalde, AnnaORCID iD for Ugalde, Anna orcid.org/0000-0002-2473-8435
King, Dorothy
Strickland, Andrew
Franco, Michael
Blum, Robert
Johnson, Catherine
Ganju, Vinod
Shapiro, Jeremy
Chong, Geoffrey
Charlton, Julie
Haydon, Andrew
Schofield, Penelope
Journal name Oncologist
Volume number 21
Start page 1
End page 10
Total pages 10
Publisher AlphaMed Press
Place of publication Durham, NC.
Publication date 2016-06-15
ISSN 1549-490X
Keyword(s) Colorectal cancer
Quality of life
Randomized controlled trial
Science & Technology
Life Sciences & Biomedicine
Summary INTRODUCTION: Colorectal cancer (CRC) and its treatments can cause distressing sequelae. We conducted a multicenter randomized controlled trial aiming to improve psychological distress, supportive care needs (SCNs), and quality of life (QOL) of patients with CRC. The intervention, called SurvivorCare (SC), comprised educational materials, needs assessment, survivorship care plan, end-of-treatment session, and three follow-up telephone calls.

METHODS: At the end of treatment for stage I-III CRC, eligible patients were randomized 1:1 to usual care (UC) or to UC plus SC. Distress (Brief Symptom Inventory 18), SCNs (Cancer Survivors' Unmet Needs measure), and QOL (European Organization for Research and Treatment of Cancer [EORTC] QOL questionnaires C30 and EORTC CRC module CR29) were assessed at baseline and at 2 and 6 months (follow-up 1 [FU1] and FU2, respectively). The primary hypothesis was that SC would have a beneficial effect on distress at FU1. The secondary hypotheses were that SC would have a beneficial effect on (a) SCN and QOL at FU1 and on (b) distress, SCNs, and QOL at FU2. A total of 15 items assessed experience of care.

RESULTS: Of 221 patients randomly assigned, 4 were ineligible for the study and 1 was lost to FU, leaving 110 in the UC group and 106 in the SC group. Patients' characteristics included the following: median age, 64 years; men, 52%; colon cancer, 56%; rectal cancer, 35%; overlapping sites of disease, 10%; stage I disease, 7%; stage II, 22%; stage III, 71%. Baseline distress and QOL scores were similar to population norms. Between-group differences in distress at FU1 (primary outcome) and at FU2, and SCNs and QOL at FU1 and FU2 were small and nonsignificant. Patients in the SC group were more satisfied with survivorship care than those in the UC group (significant differences on 10 of 15 items).

CONCLUSION: The addition of SC to UC did not have a beneficial effect on distress, SCNs, or QOL outcomes, but patients in the SC group were more satisfied with care.

IMPLICATIONS FOR PRACTICE: Some survivors of colorectal cancer report distressing effects after completing treatment. Strategies to identify and respond to survivors' issues are needed. In a randomized controlled trial, the addition of a nurse-led supportive care package (SurvivorCare) to usual posttreatment care did not impact survivors' distress, quality of life, or unmet needs. However, patients receiving the SurvivorCare intervention were more satisfied with survivorship care. Factors for consideration in the design of subsequent studies are discussed.
Language eng
DOI 10.1634/theoncologist.2015-0533
Field of Research 111099 Nursing not elsewhere classified
1112 Oncology And Carcinogenesis
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, AlphaMed Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084842

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