Table 2.

Receipt of survivorship care plans among underserved populations (n = 16)

Authors	Underserved population	Sample and cancer type	SCP details	Outcomes	Study design	Key findings
Alford-Teaster et al. (2023)	Rural	n = 74 (23 survivors, 51 healthcare providers in primary care (n = 11) and oncology (n = 40)) Breast	Not available	Perspectives on survivorship care planning and use of telehealth	Mixed; cross-sectional; semi-structured interviews; focus group discussions	• 67% of survivors reported not receiving SCP
Arana-Chicas et al. (2023)	Rural	n = 27 Solid tumors	Not available	Needs of older rural cancer survivors	Qualitative; semi-structured interviews	• Most survivors did not receive an SCP • Survivors reported losing appetite and energy • Transportation challenges reported • Psychological challenges of undergoing chemotherapy • Financial toxicity
Casillas et al. (2011)	Minority Low educational attainment	n = 376 Leukemia/lymphoma, bone and soft tissue sarcomas	No specific SCPs evaluated	Self-reported receipt of survivorship care planning Expectations from providers Confidence in managing survivorship care	Quantitative; cross-sectional	• Ethnic minority survivors were associated with higher odds of lacking a survivorship care plan
Desmond et al. (2017)	Low educational attainment Low income	n = 1105 (BRFSS respondents) Non-melanoma skin cancer	No specific SCPs evaluated	Survivorship characteristics Received written summary of cancer treatments	Quantitative; cross-sectional	• No significant differences found in the receipt of treatment summary by race • Survivors with higher education and higher income were more likely to report receiving instructions from a doctor for follow-up care
Hinyard and Wirth (2017)	Non-Hispanic Black and Asian	n = 1185 (sampling strategy is such that non-Hispanic black and Asian adults over 65 have greater probability of selection) Colon, breast, melanoma/other skin, gynecologic, others	No specific SCPs evaluated	Provision of written advice pertaining to routine follow-up care Provision of written information on cancer treatments Odds of receiving both written plans or one written plan versus receiving none	Quantitative; cross-sectional	• Race was the strongest predictor of receiving either type of written plan
Jabson and Bowen (2013)	Low educational attainment Low income	n = 6897 Colon, breast, melanoma/other skin, gynecologic, others	No specific SCPs evaluated	Written treatment instructions Follow-up care instructions Written follow-up care instructions	Quantitative; cross-sectional	• Lower income and education associated with not receiving written treatment summary and follow-up care instructions • Hispanic survivors more likely to receive treatment summaries
Ko et al. (2021)	Black	n = 53 Breast	No specific SCPs evaluated	Needs and experiences	Qualitative; focus groups	• Participants reported supportive relationships with their PCPs • They discussed building relationships with their oncology providers • Survivors did not receive consistent survivorship planning, many receiving only verbal instructions • Half did not receive written or electronic SCP or do not remember • They also discussed positive and negative experiences associated with getting diagnosed and receiving care
Linscott et al. (2020)	Low educational attainment Low income	n = 2416 (BRFSS respondents) Bladder, kidney, prostate	No specific SCPs evaluated	Survivorship care plan receipt	Quantitative; cross-sectional	• Low-income patients and lower-education patients were less likely to receive a survivorship care plan
Malhotra et al. (2022)	Non-Hispanic Black	n = 112 Lung	No specific SCPs evaluated	Receipt of recommended surveillance scans and follow-up care (including receiving treatment summary)	Quantitative; cross-sectional	• 57% of survivors received treatment summary • No difference in receipt of treatment summary by race
Millar et al. (2023)	Uninsured, Hispanic	n = 1793 (oversampled if living in areas with high proportions of uninsured residents and Hispanic ethnicity) Breast, prostate, melanoma, colorectal, thyroid	No specific SCPs evaluated	Health indicators like smoking, physical activity, pain, health status, clinical are covered by insurance, experience limitations due to physical emotional, or mental problems, participated in clinical trial, dissatisfied with life, receipt of written SCP	Quantitative; cross-sectional	• 40.4% received written SCP with both components, no differences by ethnicity • 68.2% received follow-up instructions alone • 51.2% received treatment summary alone
Rencsok et al. (2022)	Non-Hispanic Black	20% Black Prostate cancer	No specific SCPs evaluated	Receipt of written assessment plan Receipt of the name of non-physician personnel for support Being involved as much as they want in care Feeling like their views were taken into account	Quantitative; cohort	• 71% Black survivors received a written care plan, and 58% White survivors received written care plan • Higher prevalence among Black survivors to receive information about treatment • Integration with care and respect for preferences
Sabatino et al. (2013)	Low educational attainment Low income	n = 1345(NHIS respondents) Breast, prostate, cervix, melanoma, colorectal, uterus	No specific SCPs evaluated	Receipt of treatment summary Receipt of follow-up instructions	Quantitative; cross-sectional	• 22% received both treatment summaries and written follow-up instructions • 45% did not receive either • Black survivors were more likely than White survivors to receive treatment summary as well as written follow-up instructions • Lower income associated with a lower likelihood of receiving written follow-up instructions
Shay et al. (2019)	Low educational attainment	n = 1855 (respondents from BRFSS) Breast Cervical Colorectal Melanoma Prostate	Paper SCP (written treatment summary and follow-up plan) Association of receipt of written SCPs with health behaviors	Attending a recent medical appointment Exercise in the past month Non-smoking status Mammography in the past two years Up-to-date colorectal screening	Quantitative; cross-sectional	• 37% received written SCP • Receiving written SCP associated with higher education, being uninsured, type of cancer, provider type, exercise in the past month, up-to-date mammography
Tawfik et al (2021)	Rural Low-income minority	n = 283 (comprehensive cancer center treating poor, rural, and minority cancer patients) Breast, gynecological, prostate, colorectal, lymphoma	SCP templates based on ASCO and SGO templates SCPs were delivered electronically and integrated with the EHR SCPs were also faxed or mailed	Time points: time from cancer diagnosis to SCP ordered, SCP ordered to SCP created, SCP created to hardcopy SCP delivered to patient by provider, and rate and route of delivery of SCPs to PCPs Receipt and integration of SCPs by PCPs	Quantitative; cross-sectional	• 85.2% of SCPs created of those ordered • 34.2% of created SCPs given to patients
Timsina et al. (2021)	Low educational attainment	n = 7061 (BRFSS respondents) Not specified	No specific SCPs evaluated	Receipt of SCP (receiving both treatment summary and follow-up care instructions after completing treatment)	Quantitative; cross-sectional	• Lower educational attainment and being uninsured decreased the probability of the receipt of SCP • There was no association between race/ethnicity and receipt of SCP
Wu et al. (2018)	Low income Low educational attainment	n = 1446 (BRFSS respondents) (492 with gynecologic cancers, 954 with breast cancer) Breast, ovarian, endometrial, and cervical cancers	No specific SCPs evaluated	Receipt of instructions on follow-up care	Quantitative; cross-sectional	• Odds of receiving follow-up instructions associated with type of cancer, income, and BMI • Race did not modify the association between cancer type and receipt of follow-up instructions