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Online description of services provided in adult survivorship programs across U.S. accredited cancer centers

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Abstract

Purpose

The American College of Surgeons Standard 4.8 requires an institution to implement a survivorship program to become a Commission on Cancer (CoC)-accredited cancer center. The online information offered by these cancer centers can help educate patients and their caregivers about available services. We assessed the content of survivorship program websites of CoC-accredited cancer centers in the United States.

Methods

Of the 1245 CoC-accredited centers for adults, we sampled 325 institutions (26%) based proportionately on the 2019 new cancer cases by state. Website pages of the institutions' survivorship programs were assessed for information and services offered using the COC Standard 4.8. We included programs for adult survivors of adult- and childhood-onset cancers.

Results

54.5% of the cancer centers did not have a survivorship program website. Of the 189 included programs, most were aimed at adult survivors in general, rather than those with specific cancer types. On average, five essential CoC-recommended services were described, most commonly nutrition, care plans, and psychology services. The least mentioned services were genetic counseling, fertility, and smoking cessation. Most programs described services offered to patients who had completed treatment, while 7.4% of described services for those with metastatic disease.

Conclusion

More than half of CoC-accredited programs did have information about cancer survivorship programs on their websites and when included, had variable and limited description of services.

Implications for cancer survivors

Our study provides an overview of online cancer survivorship services and offers a methodology that may be used by cancer centers to review, expand, and improve the information described on their websites.

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Data availability

Data that support the findings of this study are available on request from the corresponding author.

References

  1. American Cancer Society. Cancer Treatment & Survivorship Facts & Figures 2022–2024. Atlanta: American Cancer Society; 2022.

    Google Scholar 

  2. Nekhlyudov L, Ganz PA, Arora NK, Rowland JH. Going Beyond Being Lost in Transition: A Decade of Progress in Cancer Survivorship. J Clin Oncol Off J Am Soc Clin Oncol. 2017;35(18):1978–81.

    Article  Google Scholar 

  3. Kline RM, Arora NK, Bradley CJ, Brauer ER, Graves DL, Lunsford NB, et al. Long-Term Survivorship Care After Cancer Treatment - Summary of a 2017 National Cancer Policy Forum Workshop. JNCI J Natl Cancer Inst. 2018;110(12):1300–10.

    Article  PubMed  Google Scholar 

  4. American College of Surgeons. Commission on Cancer. Optimal Resources for Cancer Care: 2020 Standards. American College of Surgeons. Available from: https://www.facs.org/quality-programs/cancer/coc/standards/2020. Accessed 1 Feb 2023.

  5. Blaes AH, Adamson PC, Foxhall L, Bhatia S. Survivorship Care Plans and the Commission on Cancer Standards: The Increasing Need for Better Strategies to Improve the Outcome for Survivors of Cancer. JCO Oncol Pract. 2020;16(8):447–50.

    Article  PubMed  Google Scholar 

  6. Sugawara Y, Narimatsu H, Hozawa A, Shao L, Otani K, Fukao A. Cancer patients on Twitter: a novel patient community on social media. BMC Res Notes. 2012;27(5):699.

    Article  Google Scholar 

  7. Portier K, Greer GE, Rokach L, Ofek N, Wang Y, Biyani P, et al. Understanding topics and sentiment in an online cancer survivor community. J Natl Cancer Inst Monogr. 2013;2013(47):195–8.

    Article  PubMed  Google Scholar 

  8. Thomas TH, Nauth-Shelley K, Thompson MA, Attai DJ, Katz MS, Graham D, et al. The Needs of Women Treated for Ovarian Cancer: Results From a #gyncsm Twitter Chat. J Patient-Centered Res Rev. 2018;5(2):149–57.

    Article  Google Scholar 

  9. Falisi AL, Wiseman KP, Gaysynsky A, Scheideler JK, Ramin DA, Chou WYS. Social media for breast cancer survivors: a literature review. J Cancer Surviv Res Pract. 2017;11(6):808–21.

    Article  Google Scholar 

  10. Cancer Facts & Figures 2019 | American Cancer Society. Available from: https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2019.html. Accessed 1 Feb 2023.

  11. Shulman LN, Palis BE, McCabe R, Mallin K, Loomis A, Winchester D, et al. Survival As a Quality Metric of Cancer Care: Use of the National Cancer Data Base to Assess Hospital Performance. J Oncol Pract. 2018;14(1):e59-72.

    Article  PubMed  Google Scholar 

  12. Yabroff KR, Han X, Zhao J, Nogueira L, Jemal A. Rural Cancer Disparities in the United States: A Multilevel Framework to Improve Access to Care and Patient Outcomes. JCO Oncol Pract. 2020;16(7):409–13.

    Article  PubMed  Google Scholar 

  13. Meilleur A, Subramanian SV, Plascak JJ, Fisher JL, Paskett ED, Lamont EB. Rural Residence and Cancer Outcomes in the United States: Issues and Challenges. Cancer Epidemiol Biomarkers Prev. 2013;22(10):1657–67.

    Article  PubMed  Google Scholar 

  14. Claridy MD, Hudson MM, Caplan L, Mitby PA, Leisenring W, Smith SA, et al. Patterns of Internet-based Health Information Seeking in Adult Survivors of Childhood Cancer. Pediatr Blood Cancer. 2018;65(5):e26954.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Mooney K, Berry DL, Whisenant M, Sjoberg D. Improving Cancer Care Through the Patient Experience: How to Use Patient-Reported Outcomes in Clinical Practice. Am Soc Clin Oncol Educ Book. 2017;37:695–704.

    Article  PubMed  Google Scholar 

  16. Gordon LG, Merollini KMD, Lowe A, Chan RJ. A Systematic Review of Financial Toxicity Among Cancer Survivors: We Can’t Pay the Co-Pay. The Patient. 2017;10(3):295–309.

    Article  PubMed  Google Scholar 

  17. Mols F, Tomalin B, Pearce A, Kaambwa B, Koczwara B. Financial toxicity and employment status in cancer survivors. A systematic literature review. Support Care Cancer. 2020;28(12):5693–708.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Yousuf Zafar S. Financial Toxicity of Cancer Care: It’s Time to Intervene. JNCI J Natl Cancer Inst. 2016;108(5):djv370.

    Article  Google Scholar 

  19. Institute of Medicine and National Research Council. 2006. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: The National Academies Press. https://doi.org/10.17226/11468

  20. Howell D, Mayer DK, Fielding R, Eicher M, Verdonck-de Leeuw IM, Johansen C, et al. Management of Cancer and Health After the Clinic Visit: A Call to Action for Self-Management in Cancer Care. JNCI J Natl Cancer Inst. 2021;113(5):523–31.

    Article  PubMed  Google Scholar 

  21. National Cancer Institute. Division of Cancer Control and Population Sciences. https://cancercontrol.cancer.gov/ocs. Accessed 1 Feb 2023.

  22. National Coalition for Cancer Survivorship. https://canceradvocacy.org/. Accessed 13 Sep 2021.

  23. Definitions | Division of Cancer Control and Population Sciences (DCCPS). Available from: https://cancercontrol.cancer.gov/ocs/definitions. Accessed 1 Feb 2023.

  24. Stegmann ME, Geerse OP, van Zuylen L, Nekhlyudov L, Brandenbarg D. Improving Care for Patients Living with Prolonged Incurable Cancer. Cancers. 2021;13(11):2555.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Mollica MA, Smith AW, Tonorezos E, Castro K, Filipski KK, Guida J, et al. Survivorship for Individuals Living With Advanced and Metastatic Cancers: National Cancer Institute Meeting Report. J Natl Cancer Inst. 2022;114(4):489–95.

  26. Budenz A, Sleight AG, Klein WMP. A qualitative study of online information-seeking preferences among cancer survivors. J Cancer Surviv Res Pract. 2022;16(4):892–903.

    Article  Google Scholar 

  27. Knijnenburg SL, Kremer LC, van den Bos C, Braam KI, Jaspers MWM. Health information needs of childhood cancer survivors and their family. Pediatr Blood Cancer. 2010;54(1):123–7.

    Article  PubMed  Google Scholar 

  28. Gianinazzi ME, Essig S, Rueegg CS, von der Weid NX, Brazzola P, Kuehni CE, et al. Information provision and information needs in adult survivors of childhood cancer. Pediatr Blood Cancer. 2014;61(2):312–8.

    Article  PubMed  Google Scholar 

  29. Bernat JK, Skolarus TA, Hawley ST, Haggstrom DA, Darwish-Yassine M, Wittmann DA. Negative information-seeking experiences of long-term prostate cancer survivors. J Cancer Surviv Res Pract. 2016;10(6):1089–95.

    Article  Google Scholar 

  30. Lange-Drenth L, Schulz H, Endsin G, Bleich C. Patients With Cancer Searching for Cancer- or Health-Specific Web-Based Information: Performance Test Analysis. J Med Internet Res. 2021;23(8):e23367.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Fahy E, Hardikar R, Fox A, Mackay S. Quality of patient health information on the Internet: reviewing a complex and evolving landscape. Australas Med J. 2014;7(1):24–8.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Hanai A, Morino T, Shinohara Y, Aoyama T, Tsuboyama T. Satisfaction With Web-Based Healthcare Content in Cancer Survivors: A Cross-Sectional Survey. Front Digit Health. 2020;2:578792.

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Authors and Affiliations

Authors

Contributions

Conception or design of the work—AAG, LN, ML.

Data collection - AAG, PC.

Data analysis and interpretation - all authors.

Drafting the article - AAG, LN.

Critical revision of the article - AAG, LN, ML.

Final approval of the version to be published - all authors.

Corresponding author

Correspondence to Andrea Anampa-Guzmán.

Ethics declarations

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

Maryam B. Lustberg.

Honoraria: Novartis, BioTheranostics.

Consulting or Advisory Role: PledPharma, Disarm Therapeutics, Pfizer.

Other Relationship: Cynosure/Hologic.

Larissa Nekhlyudov.

Honoraria: UpToDate.

No other potential conflicts of interest were reported.

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Anampa-Guzmán, A., Contreras-Chavez, P., Lustberg, M.B. et al. Online description of services provided in adult survivorship programs across U.S. accredited cancer centers. J Cancer Surviv 18, 79–83 (2024). https://doi.org/10.1007/s11764-023-01361-w

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  • DOI: https://doi.org/10.1007/s11764-023-01361-w

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