Development of a Primary Care-Based Clinic to Support Adults With a History of Childhood Cancer: The Tactic Clinic

Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities

“…These include: oncology specialist models, multi-disciplinary clinics, treatment/disease site specific clinics, general survivorship clinics, consultative survivorship clinics, integrated survivorship clinics, community generalist models and shared care models (with and without transitions). Further, we found published literature describing cancer survivorship care within primary care settings and among primary care providers including examples of the following: shared care (40, 42), interventions comparing primary care survivorship delivery to a specialist arm (18, 33, 34), consultative or oncogeneralist model, (37, 39), designated primary care panel within primary care settings (37) and case management approach (31, 37). Finally, one example of a primary care physician-led survivorship clinic specializing in long-term follow-up was described (37).…”

“…(37, 39, 47). (Figure 1 and Box 3) Depending on the setting, the oncogeneralist may be involved in collecting information about the patient’s prior cancer type and treatment, and develop a strategy for assessing risk of recurrence as well as management and surveillance for late and long-term effects in the context of their other comorbid medical conditions.…”

“…Further, depending on the setting, the oncogeneralist may develop a survivorship care plan that is individualized to the patient needs, particularly weighing in on the interplay between cancer-related and comorbid medical conditions and their treatments. (39) In our recent study describing early innovators of primary care-centric models, each of the four primary care physicians who were key informants worked in an oncogeneralist model. (37) In one case, the providers delivered continuity of care for long-term survivors (37).…”

Identifying metrics of success for transitional care practices in childhood cancer survivorship: A qualitative study of survivorship providers

“…However, little is known on how to best deliver survivorship care for the transition from pediatric‐ to adult‐centered care (transitional care). This is especially true, as the success and delivery of survivor‐focused care across the age continuum is highly variable across centers …”

Intervention‐focused research for childhood cancer survivors: “It takes a village…”

“…But it is advantageous to include disciplines outside of pediatric oncology, including insurance companies, hospital administrators, and support services provided by organizations both inside medicine and in the wider community. This process has started and will involve rigorous research methods and the input of multidisciplinary expertise to ensure that findings can provide the foundation for meaningful intervention‐focused research.…”