One Institute of Medicine's key recommendation in 2006 was that every cancer patient receive an individualized SCP (the record of the cancer patient's medical history, details of treatment received, and plans for surveillance) at or near completion of active treatment.
Despite this recommendation the adoption of these plans has been limited.
- Only 43% of NCI-designated cancer centers deliver SCPs, and only 20% of oncologists routinely provide SCPs
- The provision of SCPs is even lower in the community setting,
Barriers to the use them include time constraints, reimbursement, a lack of resources, and challenges to coordination.
Moreover, some research did not find evidence of a benefit.
Amount of information received, satisfaction with care, cancer-related contacts with a primary care physician, adherence to cardiomyopathy screening, and physician implementation of recommended survivorship care.
Poor or none impact on psychological, physical, and functional well-being.
This information is from studies in a high income country, but it may be also useful for countries in other socio economic levels.
See reference for more information.
Adapted from Medscape News & Perspective. "Unrealistic expectations" for cancer survivor plans. Internet. Available at href="https://www.medscape.com/viewarticle/892920?src=WNL_infoc_180318_MSCPEDIT&uac=6705FY&impID=1582754&faf=1#vp_2mpID=1582754&faf=1#vp_2 Accessed on March 20, 2018. To view the entire article and all other content on the Medscape News and Perspective site,