成人和儿童癌症幸存者及其父母代理人的幸存者关怀计划（SCPs）对近期和远期结果的影响尚不清楚。本研究旨在确定SCP接受与这些结果之间的关系。在澳大利亚和新西兰范围内对成人和儿童癌症幸存者（16岁以下幸存者的父母代理人）进行了横断面调查。使用多元回归模型测量SCP接受对近期结果（未满足的信息需求和参与和接受癌症相关后续护理的倾向）和远期结果（生活质量和对癌症相关后续护理的满意度）的影响，以控制癌症史和社会人口学因素。共1123名受访者中，499名为成人癌症幸存者，624名为儿童癌症幸存者（包括222名父母代理人）。我们发现SCP接受预测了更高的癌症相关后续护理出席率和意识（成人：比值比[OR]，2.46；95%置信区间[CI]，1.18-5.12；OR，2.38；95%CI，1.07-5.29；儿童/父母：OR，2.61；95%CI，1.63-4.17；OR，1.63；95%CI，1.06-2.50），SCP接受还预测了与“所需后续护理”和“潜在延迟效应”相关的未满足信息需求较少（成人：OR，0.44；95%CI，0.20-0.96；OR，0.29；95%CI，0.13-0.64；儿童/父母：OR，0.46；95%CI，0.30-0.72；OR，0.57；95%CI，0.38-0.85）。在远期结果方面，SCP接受预测了成人癌症幸存者全球生活质量更好（β，0.08；95%CI，-0.01-7.93），代理报告的健康相关生活质量（β，0.15；95%CI，0.44-7.12），以及儿童癌症幸存者对后续护理的满意度（OR，2.93；95%CI，1.64-5.23）。以往的研究表明，SCP对远期终点的影响较小。结果表明，SCP可能对癌症幸存者的近期和远期结果有益。 © 2023 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.

The impact of survivorship care plans (SCPs) on the proximal and distal outcomes of adult and childhood cancer survivors, and parent proxies, is unclear. This study aimed to determine the relationship between SCP receipt and these outcomes.A cross-sectional survey of adult and childhood cancer survivors (and parent proxies for survivors aged younger than 16 years) across Australia and New Zealand was conducted. Multivariate regression models were fitted to measure the impact of SCP receipt on proximal (unmet information needs and propensity to engage with, and attend, cancer-related follow-up care) and distal outcomes (quality of life and satisfaction with cancer-related follow-up care) with control for cancer history and sociodemographic factors.Of 1123 respondents, 499 were adult cancer survivors and 624 were childhood cancer survivors (including 222 parent proxies). We found that SCP receipt was predictive of greater attendance at, and awareness of, cancer-related follow-up care (adult: odds ratio [OR], 2.46; 95% CI, 1.18-5.12; OR, 2.38; 95% CI, 1.07-5.29; child/parent: OR, 2.61; 95% CI, 1.63-4.17; OR, 1.63; 95% CI, 1.06-2.50; respectively). SCP receipt also predicted fewer unmet information needs related to "follow-up care required" and "possible late effects" (adult: OR, 0.44; 95% CI, 0.20-0.96; OR, 0.29; 95% CI, 0.13-0.64; child/parent: OR, 0.46; 95% CI, 0.30-0.72; OR, 0.57; 95% CI, 0.38-0.85; respectively). In terms of distal outcomes, SCP receipt predicted a better global quality of life for adult cancer survivors (β, 0.08; 95% CI, -0.01-7.93), proxy-reported health-related quality of life (β, 0.15; 95% CI, 0.44-7.12), and satisfaction with follow-up care for childhood cancer survivors (OR, 2.93; 95% CI, 1.64-5.23).Previous studies have shown little impact of SCPs on distal end points. Results suggest that SCPs may be beneficial to cancer survivors' proximal and distal outcomes.© 2023 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.