The changing face of cancer survivorship

Rowland, Julia H.; Aziz, Noreen M.; Tesauro, G; Feuer, Eric J.

doi:10.1053/sonu.2001.27912

Cited by 78 publications

(65 citation statements)

References 16 publications

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“…2-6 Compared with others, cancer survivors are at greater risk for other cancers, cardiovascular disease, osteoporosis, diabetes, and accelerated functional decline. [2][3][4][5][6][7][8][9][10][11][12][13][14] Baker et al 7 compared 22,747 elderly cancer patients with an equal number of age-matched controls and found that individuals diagnosed with cancer had significantly poorer Short Form-36 (SF-36) health-related quality-of-life (QOL) scores, as well as poorer scores on each of the eight subscales (all P < .001). Chirikos et al 9 also found significant differences in SF-36 scores among breast cancer survivors compared with age-and work-matched controls (n = 210), and they conclude their cost analyses by reporting "the economic consequence of functional impairment exacts an enormous toll each year on cancer survivors, their families, and the American economy at large."…”

Section: Introductionmentioning

confidence: 99%

“…Given trends in aging coupled with increasing cure rates, unprecedented increases in the number of elderly cancer survivors are forecasted. [1][2][3][4][5] Although survivorship is celebrated, the impact of cancer is significant and associated with several long-term health and psychosocial sequelae. 2-6 Compared with others, cancer survivors are at greater risk for other cancers, cardiovascular disease, osteoporosis, diabetes, and accelerated functional decline.…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle Intervention Development Study to Improve Physical Function in Older Adults With Cancer: Outcomes From Project LEAD

Demark‐Wahnefried

Clipp

Morey

et al. 2006

JCO

210

183

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Purpose-Declines in physical functioning (PF) among elderly cancer patients threaten quality of life and the ability to maintain independence. Adherence to healthy lifestyle behaviors may prevent functional decline. Patients and Methods-Project Leading the Way in Exercise and Diet (LEAD), an intervention development study of the Pepper Older Americans Independence Center, aimed to determine whether breast and prostate cancer survivors (age 65+ years) assigned to a 6-month home-based diet and exercise intervention experienced improvements in PF when compared with an attention control arm receiving general health information. An accrual target was set at 420, and PF (Short Form-36 subscale), physical activity (Community Healthy Activities Models Program for Seniors), and diet quality (index from 3-day recalls) were assessed at baseline and at 6 and 12 months (6 months after intervention). Results-This developmental project did not achieve its accrual target (N = 182); however, PF change scores were in the direction and of the magnitude projected. Baseline to 6-month change scores in the intervention versus the control arms were as follows: PF, +3.1 v −0.5 (P = .23); physical activity energy expenditure, +111 kcal/wk v −400 kcal/wk (P = .13); and diet quality index, +2.2 v −2.9 (P = .003), respectively. Differences between arms diminished during the postintervention period.Conclusion-These findings suggest that home-based diet and exercise interventions hold promise in improving lifestyle behaviors among older cancer survivors, changes that trend toward improved PF. Future studies should incorporate larger sample sizes and interventions that sustain long-term effects and also take into account secular trends; these efforts will require adequate planning and resources to overcome the numerous barriers to intervening in this difficult to reach yet vulnerable population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lifestyle Intervention Development Study to Improve Physical Function in Older Adults With Cancer: Outcomes From Project LEAD

Demark‐Wahnefried

Clipp

Morey

et al. 2006

JCO

210

183

View full text Add to dashboard Cite

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“…[32][33][34] Care for these survivors, provided by oncologists, generally does not extend beyond surveillance for recurrence of the cancer, and after about 5-10 years, patients are discharged without specifi c plans for monitoring.…”

Section: Discussionmentioning

confidence: 99%

Shared care by paediatric oncologists and family doctors for long-term follow-up of adult childhood cancer survivors: a pilot study

Blaauwbroek

Tuinier

Jong

et al. 2008

The Lancet Oncology

103

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SummaryBackground Since 75% of children with cancer will become long-term survivors, late eff ects of treatment are an ever increasing issue for patients. Paediatric oncologists generally agree that cancer survivors should be followed up for the remainder of their lives, but they might not be the most suitable health-care providers to follow up survivors into late adulthood. We designed a 3-year study to assess whether shared-care by paediatric oncologists and family doctors in the long-term follow-up of survivors of childhood cancers is feasible, whether a shared-care model is compatible with collection of data needed for registration of late eff ects, and how a shared-care model is assessed by survivors and family doctors.

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“…These substantial numbers, along with significant increases in survival due to early detection and treatment, have resulted in increasing numbers of cancer survivors returning to work [2,3].…”

Section: Introductionmentioning

confidence: 99%

Factors in Removing Job Restrictions for Cancer Survivors in the United Kingdom Royal Air Force

Murray¹,

Lam

McLoughlin

et al. 2018

J Occup Rehabil

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Purpose To identify personal, occupational and clinical factors associated with the lifting of restrictions on duties among Royal Air Force (RAF) personnel who have returned to work after surviving primary cancer treatment. Methods A retrospective cohort of 205 RAF personnel aged 18-58 with cancer diagnosed between 2001 and 2011 was followed-up until May 2012. Personal, occupational, and clinical information was extracted from occupational health and primary care records. Predictors of the lifting of (a) employment restrictions on UK duties at 18 months after diagnosis and (b) the lifting of all deployment restrictions at the end of the study were analysed using logistic and Cox regression models. Results At 18 months, 62% of the cancer survivors had restrictions on their UK duties lifted. The positive independent predictors of unrestricted UK duties are testicular cancer (OR 5.34; 95% CI 1.21-23.6) and no treatment being required (16.8; 1.11-255.2). The lifting of all employment restrictions and return to full deployability was achieved by 41% of the participants (median time 2.1 years), with testicular cancer (HR 2.69; 95% CI 1.38-5.26) and age at diagnosis (1.05; 1.01-1.09) being the positive independent predictors of faster lifting of all restrictions. Conclusion Diagnostic group, prognosis and type of treatment are not the only predictor of employment outcome after cancer. Patient-centred factors such as smoking, age, fatigue, job status, job type and length of employment are also important predictors of return to pre-morbid job function in cancer survivors in the RAF.

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The changing face of cancer survivorship

Cited by 78 publications

References 16 publications

Lifestyle Intervention Development Study to Improve Physical Function in Older Adults With Cancer: Outcomes From Project LEAD

Lifestyle Intervention Development Study to Improve Physical Function in Older Adults With Cancer: Outcomes From Project LEAD

Shared care by paediatric oncologists and family doctors for long-term follow-up of adult childhood cancer survivors: a pilot study

Factors in Removing Job Restrictions for Cancer Survivors in the United Kingdom Royal Air Force

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