Concerns Across the Survivorship Trajectory: Results From a Survey of Cancer Survivors

Abstract

The results of this research confirmed the importance of designing programs to support cancer survivors in an integrative manner from initial diagnosis into the period of long-term survivorship. Specific attention should be placed on the concerns related to fear of recurrence, fatigue, financial burden, and the long-term effects of cancer treatment.

Comprehensive Survivorship Care With Cost and Revenue Analysis

“…These concerns mirror those of survivors across the country. 16 Unfortunately, in many centers, providing comprehensive survivorship care has been expensive. CoC-accredited community cancer centers across the country have been looking for sustainable models of comprehensive survivorship care.…”

Palliative Care Needs of Cancer Survivors

“…Hormonal changes, sleep disturbance, decreased blood counts, pro-inflammatory cytokines, and normal aging all contribute to the experience of chronic fatigue. 16,18 The cumulative effect of multiple factors, such as disease-related and psychosocial factors like anxiety, depression, pain, anemia, and sleep deprivation, can result in the experience of fatigue in the cancer survivor. 16,19 Recent research has evaluated a syndrome called Sickness Syndrome that includes both depression and fatigue.…”

“…16 Multiple factors in cancer survivors contribute to the experience of fatigue. Hormonal changes, sleep disturbance, decreased blood counts, pro-inflammatory cytokines, and normal aging all contribute to the experience of chronic fatigue.…”

“…Psychosocial symptoms, such as anxiety and depression, distress, cognitive changes, fear of recurrence, and effects on family and work function, are experienced by survivors. 11, [14][15][16] Working together, multidisciplinary management of survivor's symptoms can be efficiently and effectively improved.…”

Follow-Up Consultations for Cervical Cancer Patients in a Mexican Cancer Center. Comparison with NCCN Guidelines

“…Cancer-related events can be transient (hair loss, nausea, fatigue, etc), or permanent (e.g., infertility). Some can be "late" effects (e.g., cardiomyopathy or the development of a second cancer (Ness et al, 2013). Importantly, many survivors feel anxious about leaving the "safety" of the cancer care system when they transit from end of treatment to longterm follow-up (Jefford et al, 2008) and fear of cancer recurrence.…”