People with chronic cancer are less likely than those treated with curative intent to be offered survivorship care plans (SCPs), according to a study involving more than 5,800 individuals. Investigators compared treatment effects and follow-up care patterns of participants with chronic cancer and those treated with curative intent. They also evaluated satisfaction level with an internet-based SCP. Among the results:

• Chronic care survivors were more likely than curative intent survivors to experience fatigue, cognitive changes, dyspnea, peripheral neuropathy, lymphedema, and erectile dysfunction.
• Nearly half of chronic care survivors were managed by an oncologist alone, and were less likely to be comanaged by a primary care provider and a specialist.
• Providers generated fewer SCPs for chronic care than for curative intent survivors.
• Fewer chronic care survivors rated their experience and satisfaction with the SCP tool as very good or excellent.
• They were also less likely to share the provider summary with their health care team.