Authors: Steven C Palmer Linda A Jacobs Angela DeMichele Betsy Risendal Alison F Jones Carrie Tompkins Stricker
Publish Date: 2014/01/12
Volume: 22, Issue: 6, Pages: 1475-1483
Abstract
The Institute of Medicine IOM and Commission on Cancer have called for provision of treatment summaries TSs and survivorship care plans SCPs at the end of primary cancer therapy and endorsed guidelines for content Institutions are providing TS/SCPs but with little guidance concerning concordance with IOM recommended content This manuscript presents a recently developed tool to allow rating of breast cancerspecific TS/SCPs as a model for assessing concordance with IOM recommendations and facilitating research and clinical fidelityAn interdisciplinary team developed items mapped to the IOM recommendations for TS/SCP content as well as scoring rules Dual raters used this tool to independently assess 65 completed TS/SCPs from 13 different cancer treatment facilities affiliated with the LIVESTRONG Survivorship Centers of Excellence to assess reliabilityThe final set of measures contained 92 items covering TSs and SCPs The TS scale consisted of 13 informational domains across 60 items while the SCP scale had 10 domains across 32 items Interrater reliability within TSs indicated substantial agreement M kappa = 076 CI = 073–079 and interclass correlation ICC was high ICC = 085 CI = 076–091 For the SCP scale interrater reliability was also substantial M kappa = 066 CI = 062–070 as was interclass correlation ICC = 075 CI = 062–084Concordance with IOM recommendations for TS/SCP information can be reliably assessed using this instrument which should facilitate implementation efforts allow comparison of different TS/SCPs and facilitate research into the utility of TS/SCPs including which elements are essentialStricker C T Jacobs L A et al Survivorship care plan assessment checklist SCPAC a tool to evaluate breast cancer survivorship care plans J Clin Oncol 292011 suppl abstr 6117 Presented at the Annual ASCO meeting Chicago IL June 2011
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