Patient-centered development of a bladder cancer survivorship care plan.
Humans
Urinary Bladder Neoplasms
/ therapy
Male
Aged
Cancer Survivors
/ psychology
Middle Aged
Patient-Centered Care
/ organization & administration
Focus Groups
Veterans
/ psychology
Survivorship
Qualitative Research
Patient Care Planning
/ organization & administration
Female
Quality of Life
Aged, 80 and over
Interviews as Topic
United States
Bladder cancer
Patient-centered
Qualitative research
Survivorship
Survivorship care plans
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
31 May 2024
31 May 2024
Historique:
received:
11
08
2023
accepted:
17
05
2024
medline:
31
5
2024
pubmed:
31
5
2024
entrez:
31
5
2024
Statut:
epublish
Résumé
This study aimed to develop a patient-centered survivorship care plan (SCP) for US military Veteran bladder cancer (BC) survivors in accordance with the National Academy of Medicine recommendation that survivors receive an SCP at treatment completion. BC, which differentially impacts older men, is a costly and highly recurrent cancer associated with invasive procedures and long-term surveillance. Veteran BC survivors may face challenges navigating the patient-to-survivor transition due to their age and comorbidities. We conducted 20 one-on-one qualitative interviews and 2 focus groups with Veteran BC survivors to understand their preferences for information and support to inform SCP development. Data were analyzed using rapid analysis. Participants voiced concerns about BC's impact on their psychosocial functioning and quality of life. They suggested information on BC recurrences, recommended surveillance schedules, long-term side effects and healthy living, and how and when to seek help if a medical problem arises should be included on the SCP to help manage expectations and access key resources during survivorship. Although participants had varying needs, many recommended including information on supportive resources (e.g., support groups, peer support programs) to manage cancer-related anxiety. Participants also suggested including Veteran-centered information (e.g., Veterans' BC risk factors). We developed an SCP to help Veteran BC survivors navigate the transition from patient to survivor. Adapting an SCP to address specific needs of the Veteran population was an important step in supporting Veteran BC survivors. Future research should evaluate the potential effectiveness of this SCP at improving Veterans' health outcomes and healthcare experiences.
Identifiants
pubmed: 38819504
doi: 10.1007/s00520-024-08588-y
pii: 10.1007/s00520-024-08588-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
397Subventions
Organisme : Michael E. DeBakey VA Medical Center and Center for Innovations in Quality, Effectiveness and Safety
ID : FY 19 seed grant to Jennifer M. Taylor
Informations de copyright
© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
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