Survivorship Services for Adult Cancer Populations: A Pan-Canadian Guideline

Abstract

designed for survivors of cancer. Articles were excluded from the systematic review if they focused only on pediatric cancer survivor populations or on populations that transitioned from pediatric cancer to adult services; if they addressed only pharmacologic interventions or diagnostic testing and follow-up of cancer survivors; if they were systematic reviews with inadequately described methods; if they were qualitative or descriptive studies; and if they were opinion papers, letters, or editorials. Data Extraction and SynthesisEvidence was selected and reviewed by three members of the Cancer Journey Survivorship Expert Panel (SM, TC, TKO). The resulting summary of the evidence was guided further and reviewed by the members of Cancer Journey Survivorship Expert Panel. Fourteen practice guidelines, eight systematic reviews, and sixty-thee randomized controlled trials form the evidence base for this guidance document. These publications demonstrate that survivors benefit from coordinated post-treatment care, including interventions to address specific psychosocial, supportive care, and rehabilitative concerns. ConclusionsOngoing high-quality research is essential to optimize services for cancer survivors. Interventions that promote healthy lifestyle behaviours or that address psychosocial concerns and distress appear to improve physical functioning, psychosocial well-being, and quality of life for survivors. ABSTRACT ObjectiveOur goal was to develop evidence-based recommendations for the organization and structure of cancer survivorship services, and best-care practices to optimize the health and well-being of post-primary treatment survivors. This review sought to determine the optimal organization and care delivery structure for cancer survivorship services, and the specific clinical practices and interventions that would improve or maximize the psychosocial health and overall wellbeing of adult cancer survivors. Data SourcesWe conducted a systematic search of the

Breast Cancer Survivorship and South Asian Women: Understanding about the Follow-Up Care Plan and Perspectives and Preferences for Information Post Treatment

“…The present study confirms findings from the earlier-mentioned study by Smith et al 6 and from other studies [17][18][40][41][42] that there are universal physical and psychosocial effects of breast cancer treatment that persist among bcss of all ethnicities. Those effects include difficulties with fatigue, pain, psychological distress, fear of recurrence, family distress, concerns about employment and finances, and uncertainty over the future.…”

“…Respectful care-that is, listening for a woman's individual and specific needs-moves beyond culturally specific care. This notion of respectful care is exemplified in 42,43 . South Asian bcss have also expressed a willingness to declare their diagnosis with peers, and many value the emotional and informational support that they receive from others with a similar diagnosis, clearly expressing the importance of social support within the cancer community 26 .…”

“…In the present work, differences between age groups were meaningful, highlighting the varying psychosocial, emotional, and practical needs of the women, especially those related to reproduction, hormonal therapy, employment, and retirement. However, obtaining a larger number of women for each group would have produced data highlighting variations within the stratified age groups 6,12,41,42 . Although our findings are not generalizable to sa women in other settings, some cultural similarities might cross boundaries.…”

Developing a clinical pathway for the identification and management of anxiety and depression in adult cancer patients: an online Delphi consensus process

“…The point prevalence estimate for any mood disorder in cancer patients is 20.7%, for anxiety disorders is 10.3% , and for adjustment disorders is 19.4% [1]. Early detection and treatment of anxiety and depression symptoms not only reduce patient suffering and the likelihood of developing a major mood disorder, but directly impact on the health service through increased treatment adherence and lower health service utilisation [2]. However, despite being readily treatable and having a strong evidence-base for interventions [3][4][5], anxiety/depression are often undetected, overlooked and their severity underestimated [6] in busy cancer services.…”

Development and validation of an individualized survivorship care plan (ISCP) for women with endometrial cancer during the transition of the end of active treatment to the cancer survivorship

“…This is, in fact, one of the IOM's recommendations (Hewitt et al, 2006). The IFCP is an element of continuity of quality care (Howell et al, 2011). It is a partnership between the survivor and the caregiving team (McCorkle et al, 2011).…”