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Evaluating the feasibility, effectiveness and costs of implementing person-centred follow-up care for childhood cancer survivors in four European countries : the PanCareFollowUp Care prospective cohort study protocol

Van Kalsbeek, Rebecca J. ; Korevaar, Joke C. ; Rijken, Mieke ; Haupt, Riccardo ; Muraca, Monica ; Kepák, Tomáš ; Kepakova, Katerina ; Blondeel, Anne ; Boes, Stefan and Frederiksen, Line E. , et al. (2022) In BMJ Open 12(11).
Abstract

Long-term survival after childhood cancer often comes at the expense of late, adverse health conditions. However, survivorship care is frequently not available for adult survivors in Europe. The PanCareFollowUp Consortium therefore developed the PanCareFollowUp Care Intervention, an innovative person-centred survivorship care model based on experiences in the Netherlands. This paper describes the protocol of the prospective cohort study (Care Study) to evaluate the feasibility and the health economic, clinical and patient-reported outcomes of implementing PanCareFollowUp Care as usual care in four European countries. Methods and analysis In this prospective, longitudinal cohort study with at least 6 months of follow-up, 800 childhood... (More)

Long-term survival after childhood cancer often comes at the expense of late, adverse health conditions. However, survivorship care is frequently not available for adult survivors in Europe. The PanCareFollowUp Consortium therefore developed the PanCareFollowUp Care Intervention, an innovative person-centred survivorship care model based on experiences in the Netherlands. This paper describes the protocol of the prospective cohort study (Care Study) to evaluate the feasibility and the health economic, clinical and patient-reported outcomes of implementing PanCareFollowUp Care as usual care in four European countries. Methods and analysis In this prospective, longitudinal cohort study with at least 6 months of follow-up, 800 childhood cancer survivors will receive the PanCareFollowUp Care Intervention across four study sites in Belgium, Czech Republic, Italy and Sweden, representing different healthcare systems. The PanCareFollowUp Care Intervention will be evaluated according to the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. Clinical and research data are collected through questionnaires, a clinic visit for multiple medical assessments and a follow-up call. The primary outcome is empowerment, assessed with the Health Education Impact Questionnaire. A central data centre will perform quality checks, data cleaning and data validation, and provide support in data analysis. Multilevel models will be used for repeated outcome measures, with subgroup analysis, for example, by study site, attained age, sex or diagnosis. Ethics and dissemination This study will be conducted in accordance with the guidelines of Good Clinical Practice and the Declaration of Helsinki. The study protocol has been reviewed and approved by all relevant ethics committees. The evidence and insights gained by this study will be summarised in a Replication Manual, also including the tools required to implement the PanCareFollowUp Care Intervention in other countries. This Replication Manual will become freely available through PanCare and will be disseminated through policy and press releases. Trial registration number Netherlands Trial Register (NL8918; https://www.trialregister.nl/trial/8918).

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Contribution to journal
publication status
published
subject
keywords
Health economics, International health services, Organisation of health services, Paediatric oncology
in
BMJ Open
volume
12
issue
11
article number
e063134
publisher
BMJ Publishing Group
external identifiers
  • pmid:36396317
  • scopus:85142175444
ISSN
2044-6055
DOI
10.1136/bmjopen-2022-063134
language
English
LU publication?
yes
id
ddd1468f-5e34-4df7-b53b-7fedac22ba3a
date added to LUP
2023-01-02 14:38:17
date last changed
2024-10-04 01:57:01
@article{ddd1468f-5e34-4df7-b53b-7fedac22ba3a,
  abstract     = {{<p>Long-term survival after childhood cancer often comes at the expense of late, adverse health conditions. However, survivorship care is frequently not available for adult survivors in Europe. The PanCareFollowUp Consortium therefore developed the PanCareFollowUp Care Intervention, an innovative person-centred survivorship care model based on experiences in the Netherlands. This paper describes the protocol of the prospective cohort study (Care Study) to evaluate the feasibility and the health economic, clinical and patient-reported outcomes of implementing PanCareFollowUp Care as usual care in four European countries. Methods and analysis In this prospective, longitudinal cohort study with at least 6 months of follow-up, 800 childhood cancer survivors will receive the PanCareFollowUp Care Intervention across four study sites in Belgium, Czech Republic, Italy and Sweden, representing different healthcare systems. The PanCareFollowUp Care Intervention will be evaluated according to the Reach, Effectiveness, Adoption, Implementation and Maintenance framework. Clinical and research data are collected through questionnaires, a clinic visit for multiple medical assessments and a follow-up call. The primary outcome is empowerment, assessed with the Health Education Impact Questionnaire. A central data centre will perform quality checks, data cleaning and data validation, and provide support in data analysis. Multilevel models will be used for repeated outcome measures, with subgroup analysis, for example, by study site, attained age, sex or diagnosis. Ethics and dissemination This study will be conducted in accordance with the guidelines of Good Clinical Practice and the Declaration of Helsinki. The study protocol has been reviewed and approved by all relevant ethics committees. The evidence and insights gained by this study will be summarised in a Replication Manual, also including the tools required to implement the PanCareFollowUp Care Intervention in other countries. This Replication Manual will become freely available through PanCare and will be disseminated through policy and press releases. Trial registration number Netherlands Trial Register (NL8918; https://www.trialregister.nl/trial/8918).</p>}},
  author       = {{Van Kalsbeek, Rebecca J. and Korevaar, Joke C. and Rijken, Mieke and Haupt, Riccardo and Muraca, Monica and Kepák, Tomáš and Kepakova, Katerina and Blondeel, Anne and Boes, Stefan and Frederiksen, Line E. and Essiaf, Samira and Winther, Jeanette F. and Hermens, Rosella P.M.G. and Kienesberger, Anita and Loonen, Jacqueline J. and Michel, Gisela and Mulder, Renée L. and O'Brien, Kylie B. and Van Der Pal, Helena J.H. and Pluijm, Saskia M.F. and Roser, Katharina and Skinner, Roderick and Renard, Marleen and Uyttebroeck, Anne and Follin, Cecilia and Hjorth, Lars and Kremer, Leontien C.M.}},
  issn         = {{2044-6055}},
  keywords     = {{Health economics; International health services; Organisation of health services; Paediatric oncology}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open}},
  title        = {{Evaluating the feasibility, effectiveness and costs of implementing person-centred follow-up care for childhood cancer survivors in four European countries : the PanCareFollowUp Care prospective cohort study protocol}},
  url          = {{http://dx.doi.org/10.1136/bmjopen-2022-063134}},
  doi          = {{10.1136/bmjopen-2022-063134}},
  volume       = {{12}},
  year         = {{2022}},
}