NCCN Guidelines Insights: Survivorship, Version 2.2020

Abstract

The NCCN Guidelines for Survivorship provide screening, evaluation, and treatment recommendations for consequences of adult-onset cancer and its treatment, with the goal of helping healthcare professionals who work with survivors, including those in primary care. The guidelines also provide recommendations to help clinicians promote physical activity, weight management, and proper immunizations in survivors and facilitate care coordination to ensure that all of the survivors’ needs are addressed. These NCCN Guidelines Insights summarize additions and changes made to the guidelines in 2020 regarding cardiovascular disease risk assessment and screening for subsequent primary malignancies.

Patients-centered SurvivorShIp care plan after Cancer treatments based on Big Data and Artificial Intelligence technologies (PERSIST): a multicenter study protocol to evaluate efficacy of digital tools supporting cancer survivors

“…For those not treated with RT, age-appropriate screening guidelines should be followed. Following the NCCN2020 guidelines [ 37 , 51 ] a PREM was designed as a screening tool focusing on breast cancer recurrence or new primary breast cancer. For survivors treated with RT to the abdomen, pelvis, spine, or traumatic brain injury, COG guidelines recommend surveillance with colonoscopy from age 30, with further interval screening based on clinical findings at colonoscopy.…”

“…Cancer treatments can result in diverse cardiovascular issues. NCCN2020 guidelines [ 37 , 51 ] focus specifically on heart failure or cardiomyopathy that may arise from anthracycline therapy. However, cardiomyopathy may be laso caused by other systemic therapies, i.e., HER2-targeted therapies and other myopathies, i.e., myocarditis [ 53 ].…”

“…Lymphedema, a side effect of cancer treatment, results from damage to the lymphatic system. It occurs on the same side of the body as the cancer treatment, when lymph fluid accumulates in the interstitial tissue [ 37 , 51 ]. This causes swelling of the limb or other areas such as the neck, trunk, or genitals.…”

“…The diagnosis of lymphedema is, in most cases, confirmed within 18 months of treatment; however, it can develop at any time in the survivor’s life [ 37 , 51 ]. The cohort with higher risk of developing the lymphedema is represented by survivors that underwent surgery and/or radiation to the axillary, supraclavicular, cervical, or inguinal lymph node system [ 37 , 51 , 54 ]. Since stages 0 and 1 are reversible, early diagnosis is the key to optimal treatment.…”

Stress-Related Growth Scale-Short Form: A Portuguese validation for cancer patients

“…Human beings are often faced with challenges that can inflict different degrees of instability, suffering, uncertainty and incomprehension. For triggering a cascade of physical, psychosocial, practical and existential demands ( Denlinger et al, 2020 ; McCarter et al, 2020 ; Riba et al, 2019 ), the diagnosis of a cancer and the anticancer multimodal treatments, can constitute one of these disruptive stressful life events, sometimes even traumatic ( Cordova et al, 2017 ; Kaster et al, 2019 ; Marziliano et al, 2020 ; Ochoa et al, 2017 ). Therefore, cancer diagnosis and treatment are associated with increased risk for emotional distress and mental comorbidity ( Alarcón et al, 2020 ; Gil-Moncayo et al, 2020 ; Götz et al, 2019 ; Kuba et al, 2019 ; Mehnert et al, 2018 ; Zebrack et al, 2017 ).…”