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Title: SCORE: Shared care of Colorectal cancer survivors: protocol for a randomised controlled trial.
Austin Authors: Jefford, Michael;Emery, Jon;Grunfeld, Eva;Martin, Andrew;Rodger, Paula;Murray, Alexandra M;De Abreu Lourenco, Richard;Heriot, Alexander;Phipps-Nelson, Jo;Guccione, Lisa;King, Dorothy;Lisy, Karolina;Tebbutt, Niall C ;Burgess, Adele N ;Faragher, Ian;Woods, Rodney;Schofield, Penelope
Affiliation: Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Sir Peter MacCallum Department of Oncology, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia
Division of Cancer Medicine, Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC, 3000, Australia
Department of General Practice and Centre for Cancer Research, University of Melbourne, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia
Ontario Institute for Cancer Research, Toronto, ON, Canada
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada
National Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia
Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia
Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Psychology Department, School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia
Department of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Colorectal Surgery Unit, Austin Health, Heidelberg, Victoria, Australia
Colorectal Surgery, Western Health, Footscray, Victoria, Australia
Colorectal Surgery Unit, St Vincent's Hospital, Fitzroy, Victoria, Australia
Department of Psychology, School of Health Sciences, Faculty of Health, Arts and Design, Swinburne University of Technology, Heidelberg, Victoria, Australia
Issue Date: 30-Oct-2017
Date: 2017-10-30
Publication information: Trials 2017; 18(1): 506
Abstract: 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. 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.
DOI: 10.1186/s13063-017-2245-4
ORCID: 0000-0001-7802-6604
Journal: Trials
PubMed URL: 29084595
Type: Journal Article
Subjects: Colorectal cancer
Models of care
Primary care
Shared care
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