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dc.contributor.authorJefford, Michael-
dc.contributor.authorEmery, Jon-
dc.contributor.authorGrunfeld, Eva-
dc.contributor.authorMartin, Andrew-
dc.contributor.authorRodger, Paula-
dc.contributor.authorMurray, Alexandra M-
dc.contributor.authorDe Abreu Lourenco, Richard-
dc.contributor.authorHeriot, Alexander-
dc.contributor.authorPhipps-Nelson, Jo-
dc.contributor.authorGuccione, Lisa-
dc.contributor.authorKing, Dorothy-
dc.contributor.authorLisy, Karolina-
dc.contributor.authorTebbutt, Niall C-
dc.contributor.authorBurgess, Adele N-
dc.contributor.authorFaragher, Ian-
dc.contributor.authorWoods, Rodney-
dc.contributor.authorSchofield, Penelope-
dc.identifier.citationTrials 2017; 18(1): 506-
dc.description.abstractColorectal 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. 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. 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. Australian New Zealand Clinical Trials Registry, ACTRN12617000004369p . Registered on 3 January 2017; protocol version 4 approved 24 February 2017.-
dc.subjectColorectal cancer-
dc.subjectModels of care-
dc.subjectPrimary care-
dc.subjectShared care-
dc.titleSCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial.-
dc.typeJournal Article-
dc.identifier.affiliationDepartment of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia-
dc.identifier.affiliationSir Peter MacCallum Department of Oncology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia-
dc.identifier.affiliationDivision of Cancer Medicine, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC, 3000, Australia-
dc.identifier.affiliationDepartment of General Practice and Centre for Cancer Research, University of Melbourne, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia-
dc.identifier.affiliationOntario Institute for Cancer Research, Toronto, ON, Canada-
dc.identifier.affiliationDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada-
dc.identifier.affiliationNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia-
dc.identifier.affiliationCentre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia-
dc.identifier.affiliationDivision of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia-
dc.identifier.affiliationPsychology Department, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia-
dc.identifier.affiliationDepartment of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationColorectal Surgery Unit, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationColorectal Surgery, Western Health, Footscray, Victoria, Australia-
dc.identifier.affiliationColorectal Surgery Unit, St Vincent's Hospital, Fitzroy, Victoria, Australia-
dc.identifier.affiliationDepartment of Psychology, School of Health Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Heidelberg, Victoria, Australia-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
dc.type.austinRandomized Controlled Trial-, Adele N
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.languageiso639-1en- Oncology- Newton-John Cancer Wellness and Research Centre- Oncology- Newton-John Cancer Wellness and Research Centre-
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