SCORE: Shared care of Colorectal cancer survivors: Protocol for a randomised controlled trial

Jefford, M, Emery, J, Grunfield, E and Guccione, L., et al, 2017, 'SCORE: Shared care of Colorectal cancer survivors: Protocol for a randomised controlled trial', Trials, vol. 18, no. 1, pp. 1-10.


Document type: Journal Article
Collection: Journal Articles

Title SCORE: Shared care of Colorectal cancer survivors: Protocol for a randomised controlled trial
Author(s) Jefford, M
Emery, J
Grunfield, E
Guccione, L., et al,
Year 2017
Journal name Trials
Volume number 18
Issue number 1
Start page 1
End page 10
Total pages 10
Publisher BioMed Central Ltd.
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 specia
Subject Medical and Health Sciences not elsewhere classified
Keyword(s) Colorectal cancer
Follow-up
Models of care
Primary care
Protocol
Shared care
Survivorship
DOI - identifier 10.1186/s13063-017-2245-4
Copyright notice The Author(s). 2017 Open Access
ISSN 1745-6215
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