OnCo
ideasIdea

Survivorship care plans generated automatically from the treatment record

Every patient finishing treatment should get a clear document listing what they had, what to watch for, and when to be checked. Software can write it from the record so it actually happens.

Survivorship care plans are recommended by every major body but are produced for a minority of patients because writing them by hand takes an hour. Structured treatment data (regimens, cumulative doses, radiation fields, surgery) can be mapped by rules to late-effect risks and evidence-based surveillance schedules (for example, the Children's Oncology Group long-term follow-up guidelines) and rendered for patient and family doctor automatically, with clinician review.

Hypothesis
Automated generation will raise survivorship plan delivery from under 30% to above 90% of eligible patients and increase adherence to recommended surveillance (echocardiography after anthracyclines, breast MRI after chest radiotherapy) by at least 25 percentage points.
Rationale
The knowledge is codified in guidelines; the failure is purely one of labour, which software removes.
What would test it
Implement in three centres and measure plan delivery, surveillance adherence at two years, and primary care physician awareness of late-effect risks.
Maturity
early clinical
Who has to act
data
Cost to try
Small (under $1M)
Years to first evidence
2
Bottlenecks it attacks

Connected

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