Results
Seventy-five patients were screened, 49 patients were
eligible and had an SCP developed, and 34 SCPs were
delivered; a total of 28 survivors and 15 PCPs participated
in this study (see Figure 1). Fifteen patients were
considered lost to follow-up as they did not receive
their SCP; 28 of those who received their SCP agreed to
participate in the study. Of the 28 survivors, 11 had surgery
only and 17 had surgery and chemotherapy (see
Table 1). Surgery-only survivors were predominantly
female, older, Caucasian, married, and had a high
school education. Survivors who received surgery and
chemotherapy were more likely to be male, younger,
and college educated. PCPs were female, physicians,
younger than 50 years, and in practice an average of
23 years (see Table 2).
It took the OCN® an average of 49 minutes (SD = 27,
range = 30–90) to complete a surgery SCP and 90 minutes
(SD = 48, range = 45–210) to complete a surgery
and chemotherapy SCP. Although the authors’ institution
uses electronic health records, chemotherapy was
documented in separate electronic and paper records,
which meant accessing multiple physical and electronic
sites to complete the SCP. In addition, clinic notes did
not consistently or clearly document side effects and
changes in chemotherapy drugs or dosing, which
needed to be included in the SCP, accounting for the
increased preparation time compared to the surgeryonly
participants.
A total of 34 SCPs were delivered to patients; 6 were
not delivered because of missed appointments or extremely
busy clinics on the day they were to be delivered.
Delivery took an average of 16 minutes (SD = 2,
range = 15–20) for the surgery SCP, and 26 minutes (SD =
2.2, range = 25–30) for the surgery and chemotherapy
SCP during a regularly scheduled surveillance visit.