Asian Oncology Nursing (종양간호연구)

Korean Oncology Nursing Society (대한종양간호학회)
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Understanding Cancer Survivorship and Its New Perspectives

Cancer Survivorship에 대한 이해와 전망

  • Received : 2009.12.18
  • Accepted : 2010.02.06
  • Published : 2010.02.27
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Abstract

Purpose: The purpose of this article was to review and discuss the current status, issues, and nursing perspectives of cancer survivorship. Methods: A comprehensive literature review was conducted. Results: The major areas of concern for the survivors included recurrence, secondary malignancies, and long-term treatment sequalae which affect their quality of life. The four essential components of survivorship are prevention, surveillance, intervention, and coordination. Cancer survivorship care plan should address survivor's long-term care, such as types of cancer, treatment modalities, potential side effects, and recommendations for follow-up. It also needs to include preventive practices, health maintenance and well-being, information on legal protections regarding employment and health insurance, as well as psychosocial services in the community. Survivorship care for cancer patients requires multidisciplinary efforts and team approach. Conclusion: Nurses are uniquely positioned to play a key role in ensuring quality services for cancer survivors and family members. Nurses should review the care plans for cancer survivorship with patients and families by instructing them when to seek medical treatment, promoting any recommended surveillance protocols, and encouraging healthy life styles for health promotion and quality of life.

Keywords

References

  1. Rowland JH. Cancer survivorship: rethinking the cancer control continuum. Semin Oncol Nurs 2008;24:145-52. https://doi.org/10.1016/j.soncn.2008.05.002
  2. National Cancer Center (Korea). Cancer Facts and Figures. Goyang: National Cancer Center;2008.
  3. National Cancer Information Center. Cancer Statistics 2009. Available at: http://www.cancer.go. kr/cms/statics/survival_rate/index.html [accessed on October 19, 2009].
  4. President's Cancer Panel. Living beyond Cancer: A European Dialogue. Bethesda:National Cancer Institute;2004.
  5. Hewitt M, Greenfield S, Stovall E, eds. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: National Academies Press;2005.
  6. National Cancer Institute. Cancer control continuum. Available from http://cancercontrol.cancer.gov/od/continuum.html. [accessed on September 30, 2009].
  7. National Cancer Institute. Cancer control continuum. Available at: http://cancercontrol.cancer.gov/OD/continuum.html Retrieved September 1, 2009.
  8. Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med 1985;313:270-3.
  9. Ferrell BR, Grant M, Funk B, Otis-Green S, Garcia N. Quality of life in breast cancer. Part I: physical and social well-being. Cancer Nurs 1997;20:398-408. https://doi.org/10.1097/00002820-199712000-00003
  10. Ganz PA. Quality of life across the continuum of breast cancer care. Breast J 2000;6:324-30. https://doi.org/10.1046/j.1524-4741.2000.20042.x
  11. Ahn SH, Park BW, Noh DY, Nam SJ, Lee ES, Lee MK, et al. Health-related quality of life in disease-free survivors of breast cancer with the general population. Ann Oncol 2007;18:173- 82. Erratum in Ann Oncol 2009;20:1753-4. https://doi.org/10.1093/annonc/mdp007
  12. Kim SH, Son BH, Hwang SY, Han W, Yang JH, Lee S, et al. Fatigue and depression in disease-free breast cancer survivors: prevalence, correlates, and association with quality of life. J Pain Symptom Manage 2008;35:644-55. https://doi.org/10.1016/j.jpainsymman.2007.08.012
  13. Demark-Wahnefried W, Pinto BM, Gritz ER. Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol 2006;24:5125- 31. https://doi.org/10.1200/JCO.2006.06.6175
  14. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC:National Academy Press;2001.
  15. McCabe MS, Jacobs L. Survivorship care: models and programs. Semin Oncol Nurs 2008;24:202-7. https://doi.org/10.1016/j.soncn.2008.05.008
  16. Hewitt M, Ganz P. Implementing cancer survivorship care planning: Workshop summary. Washington, DC:National Academies Press;2007.
  17. Morgan MA. Cancer Survivorship: History, Quality-of-Life Issues, and the Evolving Multidisciplinary approach to Implementation of Cancer Survivorship Care Plans. Oncol Nurs Forum 2009;36:429-36. https://doi.org/10.1188/09.ONF.429-436
  18. American Society of Clinical Oncology. ASCO launches new template to document chemotherapy treatment and survivor care for cancer patients 2008. Available from http://www.asco. org/ASCOv2/Press+Center/Latest+News+Releases/ASCO+ Launches+New+Template+to+Document+Chemotherapy+Tr eatment+and+Survivor+Care+for+Cancer+Patients.
  19. Ferrell BR, Winn R. Medical and nursing education and training opportunities to improve survivorship care. J Clin Oncol 2006;24:5142-8. https://doi.org/10.1200/JCO.2006.06.0970
  20. American Society of Clinical Oncology. Curriculum for medical oncology 2009. Available at: http://www.asco.org/ASCO-v2/Education+&+Training/ASCO+Program+Guidelines
  21. Aziz NM, Rowland JH. Cancer survivorship research among ethnic minority and medically underserved groups. Oncol Nurs Forum 2002;29:789-801. https://doi.org/10.1188/02.ONF.789-801
  22. Park SY, Bae DS, Nam JH, Park CT, Cho CH, Lee JM, et al. Quality of life and sexual problems in disease-free survivors of cervical cancer compared with the general population. Cancer 2007;110:2716-25. https://doi.org/10.1002/cncr.23094
  23. Ayanian JZ, Jacobson PB. Enhancing research on cancer survivors. J Clin Oncol 2006;24:5149-53. https://doi.org/10.1200/JCO.2006.06.7207