Perceptions on coordination of care in prostate cancer patients treated with radiotherapy (RT) and androgen deprivation therapy (ADT): Implications for survivorship care planning.

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10102 Background: Survivorship care planning upon treatment completion is especially important for prostate cancer patients treated with ADT. These patients need coordinated oncologic and primary care, the latter monitoring cardiovascular disease risk factors. In a multicenter prospective cohort, we assessed coordination of care (COC) and satisfaction with care (SC) using validated patient-reported outcome instruments. Methods: 100 men with non-metastatic prostate cancer to be treated with RT and ADT at 8 institutions were enrolled before treatment and followed prospectively for 1 year. Patients completed validated surveys on COC (specifically between radiation oncologist and primary care; 4 questions each scored on 5 point Likert scale) and SC (9 questions each scored on a 6 point Likert scale). Overall score for each instrument was calculated as the mean of all questions. Results: Median age was 67 and 89% had ACE-27 score >0 indicating baseline comorbid illness. At baseline (pre-treatment) 66-70% of patients indicated that their cancer provider communicates with other providers and follows up on problems, but only 17% indicated that their cancer provider was aware of other medical care (Table). At one year COC did not change dramatically. No significant difference in COC was seen among patients with ACE-27 score 0-1 vs. >1. Change in overall COC score from baseline to 1 year was significantly associated with change in patient-reported SC score (p=.03). Conclusions: Patients reported that their cancer specialist was not aware of health care received elsewhere. This is one of the first studies to show that improved coordination is associated with increased patient satisfaction. For prostate cancer survivors receiving ADT, this is especially relevant given the need for coordinated oncologic and primary care. Clinical trial information: NCT02003417.% of patients reporting agree/strongly agree on Coordination of Care questions. My cancer provider Baseline (%) 1 Year (%) - always knows about the care I receive other places 17 24 - communicates with the other providers I see 71 70 - knows the results of my visits with other doctors 66 69 - always follow up on a problem I’ve had 71 83

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