Many US cancer survivors still lost in transition : The Lancet
Showing posts with label survivorship care plans. Show all posts
Showing posts with label survivorship care plans. Show all posts
Thursday, May 17, 2012
Sunday, April 15, 2012
open access: Survivorship care plans in research and practice - Apr 2012 - CA: A Cancer Journal for Clinicians
Blogger's Note: while the focus here is breast/colorectal cancers, research background included gyn cancer
Survivorship care plans in research and practice - 2012 - CA: A Cancer Journal for Clinicians
Abstract
The
Institute of Medicine (IOM) recommends the use of survivorship care
plans (SCPs) for all cancer survivors. Developing useful SCPs requires
understanding what survivors and their providers need and how SCPs can
be implemented in practice. Published studies investigating the
perspectives of stakeholders (survivors, primary care providers, and
oncology providers) were reviewed regarding the content and use of SCPs.
All National Cancer Institute (NCI)-designated cancer centers were
surveyed concerning the extent to which SCPs for survivors of breast and
colorectal cancers are in use, their concordance with the IOM's
recommendation, and details about SCP delivery. Survivors and primary
care providers typically lack the information the IOM suggested should
be included in SCPs. Oncology providers view SCPs favorably but express
concerns about the feasibility of their implementation. Fewer than
one-half (43%) of NCI-designated cancer centers deliver SCPs to their
breast or colorectal cancer survivors. Of those that do, none deliver
SCPs that include all components recommended by the IOM. Survivors' and
providers' opinions about the use of SCPs are favorable, but there are
barriers to implementation. SCPs are not widely used in NCI-designated
cancer centers. Variation in practice is substantial, and many
components recommended by the IOM framework are rarely included.
Saturday, March 24, 2012
Guidelines needed to address cancer survivorship care, says oncologist - NCCN conference
Guidelines needed to address cancer survivorship care, says oncologist
A medical oncologist from the prestigious Fox Chase Cancer Center presented an argument at the ongoing National Comprehensive Cancer Network's 17th Annual Conference that, in light of people with cancer who are living much longer than ever, that they have special health needs that ought to be addressed by national standards of care.
Cancer survivors face a lot of unique and very specific challenges," says Crystal S. Denlinger, M.D., from Fox Chase Cancer Center. "In oncology medicine, there has been a much more concerted effort to address these needs in a systematic way."
For the last five years Denlinger has been the driving force at Fox for the establishment of of such guidelines, developing the Center for Survivorship at Fox Chase to address this for patients of that cancer center.
Together with colleagues from other NCCN institutions, Denlinger would like to see cancer accreditation organizations include survivorship care plans in their accreditation requirements.
Source: NCCN
Tuesday, January 31, 2012
2005 From Cancer Patient to Cancer Survivor: Lost in Transition (free book online)
Blogger's Note:
for the recently diagnosed -
the JCO publications of late (and others) stem, in part, from the 2005 From Cancer Patient to Cancer Survivor: Lost in Transition study - a large study detailing the issues and needs which concern patients/healthcare system/s as patients survive cancer.
Therefore, the advent of 'survivorship care plans', part of which is the transition of patients to primary healthcare practitioners from their oncologists for followup eg. leaving your oncologist to be cared for by family physicians after treatment/s including the issues (economies) of human resource scarcities (shortages of doctors etc).
From Cancer Patient to Cancer Survivor: Lost in Transition
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