Advancing survivorship care through the National Cancer Survivorship Resource Center

Cowens-Alvarado, Rebecca; Sharpe, Katherine; Pratt-Chapman, Mandi; Willis, Anne; Gansler, Ted; Ganz, Patricia A.; Edge, Stephen B.; McCabe, Mary S.; Stein, Kevin

doi:10.3322/caac.21183

Cited by 56 publications

(32 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, one third of cancer survivors with cardiovascular risk factors may not be engaging in discussion or receiving counseling for health behavior change [4]. The National Cancer Survivorship Resource Center was recently created in a collaborative effort by the American Cancer Society and George Washington University Cancer Institute, and is currently developing clinical follow-up care guidelines for primary care providers that include guidance on the prevention and management of chronic diseases, with an emphasis on promoting healthy behaviors [40]. Given the need for these services among cancer survivors, this may be an area for primary care providers to take the lead role in survivorship care.…”

Section: Discussionmentioning

confidence: 99%

Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender

et al. 2014

View full text Add to dashboard Cite

Purpose The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders. Methods A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models. Results Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95%CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors. Conclusions Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors. Implications for Cancer Survivors Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.

show abstract

Section: Discussionmentioning

confidence: 99%

Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender

et al. 2014

View full text Add to dashboard Cite

show abstract

“…3 Current survivorship guidelines suggest that patients with favorable long-term prognosis can be transitioned back to primary care after completion of initial curative treatment and the PCPs role in survivorship care can be enhanced. 4–6 Though, the guidelines do not explicitly state which provider should handle the numerous aspects of survivorship care.…”

Section: Introductionmentioning

confidence: 99%

Patient Preferences for Primary Care Provider Roles in Breast Cancer Survivorship Care

Wallner

Furgal

et al. 2017

JCO

View full text Add to dashboard Cite

Purpose Prior studies suggest a need for greater clarity about provider roles in team-based cancer care. However, little is known about patient’s preferences for which providers handle their care needs after primary cancer treatment. Methods We surveyed women newly diagnosed with stages 0-II breast cancer who were treated in 2014–15 as reported to the Georgia and Los Angeles SEER registries (N=2,372, 68% response rate). Patient preferences for which provider handles the following care needs after treatment were ascertained: follow-up mammograms, screening for other cancers, general preventive care, and comorbidity management. The associations between patient demographic factors with preferences for provider roles (Oncology-directed care vs. primary care provider (PCP)-directed) were assessed using multivariable logistic regression. Results The majority of women preferred that their PCPs handle their general preventive care (79%) and comorbidity care (84%), but a notable minority of women preferred their oncologists direct this care (21% and 16%). Minority women (black and Asian vs. white) and women with a high school education or less (vs. college grad or more) had a greater odds of preferring oncology-directed care (vs. PCP-directed) for their general preventive care (black OR: 2.01, 95%CI: 1.43, 2.82; Asian OR: 1.74, 95%CI: 1.13, 2.69; ≤ high school OR: 1.51, 95%CI: 1.10, 2.08). Similar variation existed for comorbidity care. Conclusion In this sample, minority women and those with less education more often preferred oncologists direct aspects of their care after breast cancer treatment that are normally delivered by a PCP. Efforts to clarify provider roles in survivorship care to patients may be effective in improving team-based cancer care.

show abstract

“…The establishment of survivorship programs and the use of treatment summaries and care plans have increased since the IOM’s recommendations on cancer survivorship care were published [33–35]. Some organizations have also developed cancer survivorship guidelines [36–38]. However, lack of high-quality evidence remains a barrier to the development of standardized practice recommendations for post-treatment care [37].…”

Section: Discussionmentioning

confidence: 99%

“…Cancer prevention and control entities are developing and implementing strategies that may improve communication between primary care providers and oncologists, including expansion of cancer survivorship training for healthcare practitioners, development of guidelines for long-term follow-up care, and support for research related to the development and evaluation of evidence-based survivorship care models [50, 51]. These efforts need to continue.…”

Section: Discussionmentioning

confidence: 99%

Physician visits and preventive care among Asian American and Pacific Islander long-term survivors of colorectal cancer, USA, 1996–2006

et al. 2013

View full text Add to dashboard Cite

Purpose Published literature on receipt of preventive healthcare services among Asian American and Pacific Islander (API) cancer survivors is scarce. We describe patterns in receipt of preventive services among API long-term colorectal cancer (CRC) survivors. Methods Surveillance, Epidemiology, and End Results registry–Medicare data were used to identify 9,737 API and white patients who were diagnosed with CRC during 1996–2000 and who survived 5 or more years beyond their diagnoses. We examined receipt of vaccines, mammography (females), bone densitometry (females), and cholesterol screening among the survivors and how the physician specialties they visited for follow-up care correlated to services received. Results APIs were less likely than whites to receive mammography (52.0 vs. 69.3 %, respectively; P <0.0001) but more likely to receive influenza vaccine, cholesterol screening, and bone densitometry. These findings remained significant in our multivariable model, except for receipt of bone densitometry. APIs visited PCPs only and both PCPs and oncologists more frequently than whites (P <0.0001). Women who visited both PCPs and oncologists compared with PCPs only were more likely to receive mammography (odds ratio=1.40; 95 % confidence interval, 1.05–1.86). Conclusions Visits to both PCPs and oncologists were associated with increased use of mammography. Although API survivors visited these specialties more frequently than white survivors, API women may need culturally appropriate outreach to increase their use of this test. Implications for Cancer Survivors Long-term cancer survivors need to be aware of recommended preventive healthcare services, as well as who will manage their primary care and cancer surveillance follow-up.

show abstract

Advancing survivorship care through the National Cancer Survivorship Resource Center

Cited by 56 publications

References 14 publications

Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender

Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender

Patient Preferences for Primary Care Provider Roles in Breast Cancer Survivorship Care

Physician visits and preventive care among Asian American and Pacific Islander long-term survivors of colorectal cancer, USA, 1996–2006

Contact Info

Product

Resources

About