Adherence to Survivorship Care Guidelines in Health Care Providers for Non-Small Cell Lung Cancer and Colorectal Cancer Survivor Care

Temple University Health System (TUHS)

Status: Completed

Conditions: Stage IIB Colon Cancer; Stage IIIA Colon Cancer; Stage IIB Non-small Cell Lung Cancer; Stage IB Non-small Cell Lung Cancer; Stage IIA Non-small Cell Lung Cancer; Squamous Cell Lung Cancer; Stage IIC Colon Cancer; Signet Ring Adenocarcinoma of the Rectum; Stage IIA Rectal Cancer; Stage IIC Rectal Cancer; Stage I Colon Cancer; Stage I Rectal Cancer; Stage IIIB Rectal Cancer; Stage IIIC Rectal Cancer; Stage IA Non-small Cell Lung Cancer; Mucinous Adenocarcinoma of the Rectum; Signet Ring Adenocarcinoma of the Colon; Stage IIA Colon Cancer; Mucinous Adenocarcinoma of the Colon; Stage IIIB Colon Cancer; Stage IIIC Colon Cancer; Stage IIIA Non-small Cell Lung Cancer; Stage IIB Rectal Cancer; Stage IIIB Non-small Cell Lung Cancer; Adenocarcinoma of the Lung; Stage IIIA Rectal Cancer

Treatments: Other: medical chart review; Other: educational intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT01726296

12-841

NCI-2012-01717 (Registry Identifier)

Details and patient eligibility

About

This clinical trial studies adherence to survivorship care guidelines in health care providers for non-small cell lung cancer or colorectal cancer survivor care. The completion of an educational intervention by health care providers may increase compliance and adherence to National Comprehensive Cancer Network guidelines for survivorship care.

Full description

PRIMARY OBJECTIVES:

I. To evaluate adherence of oncology health care providers to National Comprehensive Cancer Network (NCCN) guidelines for cancer survivorship care in colorectal cancer (CRC) and non-small cell lung cancer (NSCLC) cancers.

SECONDARY OBJECTIVES:

I. To develop and assess a targeted educational initiative to improve compliance with NCCN CRC and NSCLC survivorship guidelines for oncology health care providers in academic and community practice.

II. To evaluate the impact of this educational initiative on documented adherence and compliance with NCCN guidelines for NSCLC and CRC survivorship care by oncology health care providers.

OUTLINE:

Health care providers complete an educational intervention based on NCCN guidelines in CRC and NSCLC survivorship care comprising a power point presentation reviewing evidence and guidelines; a USB drive of the NCCN guidelines with paper copy of pages addressing survivorship care; an electronic and paper copy of a sample survivorship clinic template note with prompts for addressing survivorship care components; and an electronic paper copy sample survivorship care plan that can be adapted and distributed at each participating site.

Enrollment: 1,440 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• HEALTH CARE PROVIDER INCLUSION CRITERIA:
• Any health care provider (physician, advanced practice clinician) at a study site (Fox Chase Cancer Center [FCCC] and Fox Chase Cancer Center Partners [FCCCP]) who provides care for NSCLC and/or CRC survivors
• CHART AUDIT INCLUSION CRITERIA (BASELINE):
• Cancer Registry cases include stage I-III colon cancer (adenocarcinoma histology), stage I-III rectal cancer (adenocarcinoma histology), stage I-III non-small cell lung cancer (squamous or adenocarcinoma histology)
• Patients must have completed all therapy for curative intent at least six months prior to chart audit
• Undergoing routine oncology care and surveillance at the chosen site (defined as receiving follow-up care with FCCC or FCCCP site health care providers and have an active medical chart)
• No evidence of metastatic disease
• Patients must have been seen for a visit for cancer surveillance between 2009 and 2013
• Health care providers at the participating site must be willing and able to participate in the educational initiative
• CHART AUDIT INCLUSION CRITERIA (POST-INTERVENTION)
• Charts eligible for audit after completion of the educational initiative will be for those CRC and NSCLC survivors presenting for follow-up after the initiative has been completed by site health care providers

Exclusion criteria

• CHART AUDIT EXCLUSION CRITERIA:
• Cancer Registry cases for diseases other than colon or rectal adenocarcinoma and non-small cell lung cancer (squamous or adenocarcinoma histology)
• Patients currently receiving active therapy for any cancer, including CRC or NSCLC
• Patients who do not undergo routine oncologic care at the chosen Partners site or Fox Chase Cancer Center
• Stage IV cancer or evidence of metastatic disease at any time point
• Patients who have not undergone a visit for cancer surveillance since 2009
• Fox Chase Cancer Partners sites who do not agree to chart audit procedures or providers are unable or unwilling to participate in the educational initiative

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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1,440 participants in 1 patient group

Health services research (educational intervention)

Experimental group

Description:

Health care providers complete an educational intervention based on NCCN guidelines in CRC and NSCLC survivorship care comprising a power point presentation reviewing evidence and prompts for addressing survivorship care components; and an electronic paper copy sample survivorship care plan that can be adapted and distributed at each participating site.

Treatment:

Other: educational intervention

Other: medical chart review