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

Rebecca J. Van Kalsbeek, Joke C. Korevaar, Mieke Rijken, Riccardo Haupt, Monica Muraca, Tomáš Kepák, Katerina Kepakova, Anne Blondeel, Stefan Boes, Line E. Frederiksen, Samira Essiaf, Jeanette F. Winther, Rosella P.M.G. Hermens, Anita Kienesberger, Jacqueline J. Loonen, Gisela Michel, Renée L. Mulder, Kylie B. O'Brien, Helena J.H. Van Der Pal, Saskia M.F. PluijmKatharina Roser, Roderick Skinner, Marleen Renard, Anne Uyttebroeck, Cecilia Follin, Lars Hjorth, Leontien C.M. Kremer

Research output: Contribution to journalArticlepeer-review

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 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).

Original languageEnglish
Article numbere063134
JournalBMJ Open
Volume12
Issue number11
DOIs
Publication statusPublished - 2022 Nov

Subject classification (UKÄ)

  • Health Care Service and Management, Health Policy and Services and Health Economy

Free keywords

  • Health economics
  • International health services
  • Organisation of health services
  • Paediatric oncology

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