Management of cancer survivors in Korea

Management of cancer survivors in Korea
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韩国癌症幸存者的管理

DOI:
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发表时间:
2015
期刊:
影响因子:
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通讯作者:
Jungkwon Lee
Jungkwon Lee
中科院分区:
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文献类型:
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作者:
Dong Wook Shin;S. Sunwoo;Jungkwon Lee

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随着癌症的早期发现和癌症治疗的进步,癌症幸存者的数量急剧增加,目前已超过100万。许多癌症幸存者面临与癌症治疗相关的终生风险,其中很大一部分面临严重发病和过早死亡的风险。癌症治疗对癌症幸存者及其家人的长期身体和心理社会影响越来越被认为是临床和公共卫生角度的新问题。本文总结了癌症幸存者管理的核心原则:原发性癌症的随访;第二原发性癌症的筛查和预防;癌症治疗的晚期效应和共病状况的管理;促进健康行为,如戒烟,锻炼和体育活动,营养和体重管理;心理社会问题的管理;和家庭照顾者的支持。最后,我们讨论了改善生存护理的前进方向:肿瘤学家和初级保健医生之间的共同护理;全面的癌症支持计划;以及进一步的研究,以产生有关这些管理原则的相关证据。关键词:肿瘤;生存者;第二原发性肿瘤;韩国
With the early detection of cancer and advances in cancer treatment, the number of cancer survivors is increasing dramatically and is currently over 1 million. Many cancer survivors face lifetime risks associated with their cancer therapy, with a significant proportion at risk for serious morbidity and premature mortality. The long-term physical and psychosocial effects of cancer treatment on cancer survivors and their families are increasingly being recognized as emerging problems from both clinical and public health perspectives. This article summarizes the core principles of management of cancer survivors: follow-up of primary cancer; screening and prevention of a second primary cancer; management of late effects of cancer treatment and comorbid conditions; promotion of healthy behaviors such as smoking cessation, exercise and physical activity, nutrition, and weight management; management of psychosocial problems; and support for family caregivers. Finally, we discuss the way forward for improving survivorship care: shared care between oncologists and primary care physicians; a comprehensive cancer support program; and further research to generate relevant evidence regarding these management principles. Key w ords: Neoplasms; Survivors; Second primary neoplasm; Korea
DOI: 10.1200/jco.2006.06.0855
发表时间: 2006-08-01
影响因子: 45.3
作者:
Meyerhardt, Jeffrey A.;Giovannucci, Edward L.;Fuchs, Charles S.
通讯作者: Fuchs, Charles S.