Table A5.

Important Elements of a Survivorship Care Plan From a Primary Care Provider Perspective

Characteristic	Element
SCP is comprehensive and detailed
1	All the information about the patient's cancer history is collected from different provider sources and summarized clearly in one document
2	Lists the names of all providers who were involved in patient's cancer treatment
3	Is based on a multidisciplinary approach; diet, exercise and psychosocial aspects are addressed.
4	Includes different alternatives of course of action and the patient is included in the decision making process
5	Provides information on possible late effects of cancer treatment
6	Includes information on genetic counseling and testing to identify high risk individuals
7	Lists the specific resources for psycho-social support for the patient
SCP is evidence based
8	The recommendations in the SCP are evidence-based
9	Also lists the tests that were not shown to increase survival and therefore are not recommended by the American Society of Clinical Oncology for regular follow-up care of a cancer survivor

Abbreviation: SCP, survivorship care plan.