SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial
Abstract Background Colorectal cancer (CRC) is the most common cancer affecting both men and women. Survivors of CRC often experience various physical and psychological effects arising from CRC and its treatment. These effects may last for many years and adversely affect QoL, and they may not be ade...
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2017-10-01
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Online Access: | http://link.springer.com/article/10.1186/s13063-017-2245-4 |
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doaj-30b43179ceda48a88bb93834d281b392 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Michael Jefford Jon Emery Eva Grunfeld Andrew Martin Paula Rodger Alexandra M. Murray Richard De Abreu Lourenco Alexander Heriot Jo Phipps-Nelson Lisa Guccione Dorothy King Karolina Lisy Niall Tebbutt Adele Burgess Ian Faragher Rodney Woods Penelope Schofield |
spellingShingle |
Michael Jefford Jon Emery Eva Grunfeld Andrew Martin Paula Rodger Alexandra M. Murray Richard De Abreu Lourenco Alexander Heriot Jo Phipps-Nelson Lisa Guccione Dorothy King Karolina Lisy Niall Tebbutt Adele Burgess Ian Faragher Rodney Woods Penelope Schofield SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial Trials Colorectal cancer Survivorship Follow-up Shared care Primary care Models of care |
author_facet |
Michael Jefford Jon Emery Eva Grunfeld Andrew Martin Paula Rodger Alexandra M. Murray Richard De Abreu Lourenco Alexander Heriot Jo Phipps-Nelson Lisa Guccione Dorothy King Karolina Lisy Niall Tebbutt Adele Burgess Ian Faragher Rodney Woods Penelope Schofield |
author_sort |
Michael Jefford |
title |
SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial |
title_short |
SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial |
title_full |
SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial |
title_fullStr |
SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial |
title_full_unstemmed |
SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial |
title_sort |
score: shared care of colorectal cancer survivors: protocol for a randomised controlled trial |
publisher |
BMC |
series |
Trials |
issn |
1745-6215 |
publishDate |
2017-10-01 |
description |
Abstract Background Colorectal cancer (CRC) is the most common cancer affecting both men and women. Survivors of CRC often experience various physical and psychological effects arising from CRC and its treatment. These effects may last for many years and adversely affect QoL, and they may not be adequately addressed by standard specialist-based follow-up. Optimal management of these effects should harness the expertise of both primary care and specialist care. Shared models of care (involving both the patient’s primary care physician [PCP] and specialist) have the potential to better support survivors and enhance health system efficiency. Methods/design SCORE (Shared care of Colorectal cancer survivors) is a multisite randomised controlled trial designed to optimise and operationalise a shared care model for survivors of CRC, to evaluate the acceptability of the intervention and study processes, and to collect preliminary data regarding the effects of shared care compared with usual care on a range of patient-reported outcomes. The primary outcome is QoL measured using the European Organisation for Research and Treatment of Cancer QLQ-C30 questionnaire. Secondary outcomes are satisfaction with care, unmet needs, continuity of care and health resource use. The shared care model involves replacement of two routine specialist follow-up visits with PCP visits, as well as the provision of a tailored survivorship care plan and a survivorship booklet and DVD for CRC survivors. All consenting patients will be randomised 1:1 to either shared care or usual care and will complete questionnaires at three time points over a 12-month period (baseline and at 6 and 12 months). Health care resource use data will also be collected and used to evaluate costs. Discussion The evaluation and implementation of models of care that are responsive to the holistic needs of cancer survivors while reducing the burden on acute care settings is an international priority. Shared care between specialists and PCPs has the potential to enhance patient care and outcomes for CRC survivors while offering improvements in health care resource efficiency. If the findings of the present study show that the shared care intervention is acceptable and feasible for CRC survivors, the intervention may be readily expanded to other groups of cancer survivors. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12617000004369p . Registered on 3 January 2017; protocol version 4 approved 24 February 2017. |
topic |
Colorectal cancer Survivorship Follow-up Shared care Primary care Models of care |
url |
http://link.springer.com/article/10.1186/s13063-017-2245-4 |
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doaj-30b43179ceda48a88bb93834d281b3922020-11-25T00:44:17ZengBMCTrials1745-62152017-10-0118111010.1186/s13063-017-2245-4SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trialMichael Jefford0Jon Emery1Eva Grunfeld2Andrew Martin3Paula Rodger4Alexandra M. Murray5Richard De Abreu Lourenco6Alexander Heriot7Jo Phipps-Nelson8Lisa Guccione9Dorothy King10Karolina Lisy11Niall Tebbutt12Adele Burgess13Ian Faragher14Rodney Woods15Penelope Schofield16Department of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of General Practice and Centre for Cancer Research, University of Melbourne, Victorian Comprehensive Cancer CentreOntario Institute for Cancer ResearchNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreCentre for Health Economics Research and Evaluation, University of Technology SydneyDivision of Cancer Surgery, Peter MacCallum Cancer CentreDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreDepartment of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin HealthColorectal Surgery Unit, Austin HealthColorectal Surgery, Western HealthColorectal Surgery Unit, St Vincent’s HospitalDepartment of Cancer Experiences Research, Peter MacCallum Cancer CentreAbstract Background Colorectal cancer (CRC) is the most common cancer affecting both men and women. Survivors of CRC often experience various physical and psychological effects arising from CRC and its treatment. These effects may last for many years and adversely affect QoL, and they may not be adequately addressed by standard specialist-based follow-up. Optimal management of these effects should harness the expertise of both primary care and specialist care. Shared models of care (involving both the patient’s primary care physician [PCP] and specialist) have the potential to better support survivors and enhance health system efficiency. Methods/design SCORE (Shared care of Colorectal cancer survivors) is a multisite randomised controlled trial designed to optimise and operationalise a shared care model for survivors of CRC, to evaluate the acceptability of the intervention and study processes, and to collect preliminary data regarding the effects of shared care compared with usual care on a range of patient-reported outcomes. The primary outcome is QoL measured using the European Organisation for Research and Treatment of Cancer QLQ-C30 questionnaire. Secondary outcomes are satisfaction with care, unmet needs, continuity of care and health resource use. The shared care model involves replacement of two routine specialist follow-up visits with PCP visits, as well as the provision of a tailored survivorship care plan and a survivorship booklet and DVD for CRC survivors. All consenting patients will be randomised 1:1 to either shared care or usual care and will complete questionnaires at three time points over a 12-month period (baseline and at 6 and 12 months). Health care resource use data will also be collected and used to evaluate costs. Discussion The evaluation and implementation of models of care that are responsive to the holistic needs of cancer survivors while reducing the burden on acute care settings is an international priority. Shared care between specialists and PCPs has the potential to enhance patient care and outcomes for CRC survivors while offering improvements in health care resource efficiency. If the findings of the present study show that the shared care intervention is acceptable and feasible for CRC survivors, the intervention may be readily expanded to other groups of cancer survivors. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12617000004369p . Registered on 3 January 2017; protocol version 4 approved 24 February 2017.http://link.springer.com/article/10.1186/s13063-017-2245-4Colorectal cancerSurvivorshipFollow-upShared carePrimary careModels of care |