PDF(Pubmed)
Abstract：
UNASSIGNED: Since 2021, American College of Surgeons Commission on Cancer (CoC) accreditation standards require providing a survivorship program for patients with adult-onset cancer treated with curative intent. Since more than 70% of all patients with cancer in the US are treated at CoC-accredited facilities, this presents an opportunity for a landscape analysis of survivorship care availability.
UNASSIGNED: To determine the prevalence, types, and outcomes of cancer survivorship services at CoC-accredited facilities.
UNASSIGNED: This survey study used an anonymous, online, cross-sectional survey conducted from May 4 to 25, 2023. Participants were CoC-accredited facilities in the US representing diverse CoC program categories, institutional characteristics, geographic regions, and practice types. Department of Veterans Affairs cancer programs were excluded due to data usage restrictions. Data were analyzed from July to October 2023.
UNASSIGNED: CoC Survivorship Standard 4.8 was released in October 2019 and programs were expected to adhere to the Standard beginning January 1, 2021.
UNASSIGNED: Questions included self-reported survivorship program characteristics, availability of services aligned to CoC Survivorship Standard 4.8, and perceived program impacts. Response frequencies and proportions were determined in aggregate and by CoC program category.
UNASSIGNED: There were 1400 eligible programs, and 384 programs participated (27.4% response rate). All regions and eligible program categories were represented, and most had analytic caseloads of 500 to 4999 patients in 2021. Most survivorship program personnel included nurses (334 programs [87.0%]) and social workers (278 programs [72.4%]), while physical (180 programs [46.9%]) and occupational (87 programs [22.7%]) therapists were less common. Services most endorsed as available for all survivors were screening for new cancers (330 programs [87.5%]), nutritional counseling (325 programs [85.3%]), and referrals to specialists (320 programs [84.7%]), while treatment summaries (242 programs [64.7%]), and survivorship care plans (173 programs [43.0%]), sexual health (217 programs [57.3%]), and fertility (214 programs [56.9%]) were less common. Survivorship services were usually delivered by cancer treatment teams (243 programs [63.3%]) rather than specialized survivorship clinics (120 programs [31.3%]). For resources needed, additional advanced practice clinicians with dedicated survivorship effort (205 programs [53.4%]) and electronic health record enhancements (185 programs [48.2%]) were most endorsed. Lack of referrals and low patient awareness were endorsed as the primary barriers. A total of 335 programs (87.2%) agreed that Survivorship Standard 4.8 helped advance their programs.
UNASSIGNED: These findings of this survey study of CoC-accredited programs establish a benchmark for survivorship care delivery in the US, identify gaps in specific services and opportunities for intervention, contribute to longitudinal reevaluation for tracking progress nationally, and suggest the value of survivorship care standards.
UNASSIGNED: To determine the prevalence, types, and outcomes of cancer survivorship services at CoC-accredited facilities.
UNASSIGNED: This survey study used an anonymous, online, cross-sectional survey conducted from May 4 to 25, 2023. Participants were CoC-accredited facilities in the US representing diverse CoC program categories, institutional characteristics, geographic regions, and practice types. Department of Veterans Affairs cancer programs were excluded due to data usage restrictions. Data were analyzed from July to October 2023.
UNASSIGNED: CoC Survivorship Standard 4.8 was released in October 2019 and programs were expected to adhere to the Standard beginning January 1, 2021.
UNASSIGNED: Questions included self-reported survivorship program characteristics, availability of services aligned to CoC Survivorship Standard 4.8, and perceived program impacts. Response frequencies and proportions were determined in aggregate and by CoC program category.
UNASSIGNED: There were 1400 eligible programs, and 384 programs participated (27.4% response rate). All regions and eligible program categories were represented, and most had analytic caseloads of 500 to 4999 patients in 2021. Most survivorship program personnel included nurses (334 programs [87.0%]) and social workers (278 programs [72.4%]), while physical (180 programs [46.9%]) and occupational (87 programs [22.7%]) therapists were less common. Services most endorsed as available for all survivors were screening for new cancers (330 programs [87.5%]), nutritional counseling (325 programs [85.3%]), and referrals to specialists (320 programs [84.7%]), while treatment summaries (242 programs [64.7%]), and survivorship care plans (173 programs [43.0%]), sexual health (217 programs [57.3%]), and fertility (214 programs [56.9%]) were less common. Survivorship services were usually delivered by cancer treatment teams (243 programs [63.3%]) rather than specialized survivorship clinics (120 programs [31.3%]). For resources needed, additional advanced practice clinicians with dedicated survivorship effort (205 programs [53.4%]) and electronic health record enhancements (185 programs [48.2%]) were most endorsed. Lack of referrals and low patient awareness were endorsed as the primary barriers. A total of 335 programs (87.2%) agreed that Survivorship Standard 4.8 helped advance their programs.
UNASSIGNED: These findings of this survey study of CoC-accredited programs establish a benchmark for survivorship care delivery in the US, identify gaps in specific services and opportunities for intervention, contribute to longitudinal reevaluation for tracking progress nationally, and suggest the value of survivorship care standards.
摘要：
■自2021年以来，美国外科医师学会癌症委员会（CoC）认证标准要求为具有治愈性目的的成年发病癌症患者提供生存计划。由于美国超过70%的癌症患者在CoC认可的机构接受治疗，这为生存护理可用性的景观分析提供了机会。
■要确定患病率，类型,以及CoC认可设施的癌症生存服务结果。
■这项调查研究使用了匿名，在线,2023年5月4日至25日进行的横断面调查。参与者是美国CoC认可的设施，代表不同的CoC计划类别，制度特征，地理区域,和练习类型。由于数据使用限制，退伍军人事务部癌症计划被排除在外。数据从2023年7月至10月进行了分析。
■CoCSurvivorshipStandard4.8于2019年10月发布，预计计划将从2021年1月1日开始遵守该标准。
■问题包括自我报告的生存计划特征，符合CoC生存标准4.8的服务可用性，以及感知的计划影响。反应频率和比例由总体和CoC程序类别确定。
■有1400个符合条件的计划，384个项目参与(反应率为27.4%).代表了所有地区和符合条件的计划类别，2021年，大多数患者的分析病例为500至4999例。大多数生存计划人员包括护士（334个计划[87.0%]）和社会工作者（278个计划[72.4%]），而物理(180个项目[46.9%])和职业(87个项目[22.7%])治疗师则不太常见。所有幸存者最认可的服务是筛查新癌症(330个项目[87.5%])，营养咨询（325个项目[85.3%]），和转介专家(320个项目[84.7%])，而治疗总结(242个项目[64.7%])，和生存护理计划(173个项目[43.0%])，性健康(217个项目[57.3%])，和生育率(214个项目[56.9%])不太常见。生存服务通常由癌症治疗团队提供（243个项目[63.3%]），而不是专门的生存诊所（120个项目[31.3%]）。对于所需的资源，更多的高级实践临床医生,他们有专门的生存努力(205个项目[53.4%])和电子健康记录增强(185个项目[48.2%])得到了最多认可.缺乏转诊和低患者意识被认为是主要障碍。共有335个计划（87.2％）同意SurvivorshipStandard4.8帮助推进了他们的计划。
■这项对CoC认可计划的调查研究的发现为美国的生存护理提供建立了基准，确定具体服务和干预机会方面的差距，有助于在全国范围内跟踪进展的纵向重新评估，并提出生存护理标准的价值。
■要确定患病率，类型,以及CoC认可设施的癌症生存服务结果。
■这项调查研究使用了匿名，在线,2023年5月4日至25日进行的横断面调查。参与者是美国CoC认可的设施，代表不同的CoC计划类别，制度特征，地理区域,和练习类型。由于数据使用限制，退伍军人事务部癌症计划被排除在外。数据从2023年7月至10月进行了分析。
■CoCSurvivorshipStandard4.8于2019年10月发布，预计计划将从2021年1月1日开始遵守该标准。
■问题包括自我报告的生存计划特征，符合CoC生存标准4.8的服务可用性，以及感知的计划影响。反应频率和比例由总体和CoC程序类别确定。
■有1400个符合条件的计划，384个项目参与(反应率为27.4%).代表了所有地区和符合条件的计划类别，2021年，大多数患者的分析病例为500至4999例。大多数生存计划人员包括护士（334个计划[87.0%]）和社会工作者（278个计划[72.4%]），而物理(180个项目[46.9%])和职业(87个项目[22.7%])治疗师则不太常见。所有幸存者最认可的服务是筛查新癌症(330个项目[87.5%])，营养咨询（325个项目[85.3%]），和转介专家(320个项目[84.7%])，而治疗总结(242个项目[64.7%])，和生存护理计划(173个项目[43.0%])，性健康(217个项目[57.3%])，和生育率(214个项目[56.9%])不太常见。生存服务通常由癌症治疗团队提供（243个项目[63.3%]），而不是专门的生存诊所（120个项目[31.3%]）。对于所需的资源，更多的高级实践临床医生,他们有专门的生存努力(205个项目[53.4%])和电子健康记录增强(185个项目[48.2%])得到了最多认可.缺乏转诊和低患者意识被认为是主要障碍。共有335个计划（87.2％）同意SurvivorshipStandard4.8帮助推进了他们的计划。
■这项对CoC认可计划的调查研究的发现为美国的生存护理提供建立了基准，确定具体服务和干预机会方面的差距，有助于在全国范围内跟踪进展的纵向重新评估，并提出生存护理标准的价值。
