Follow-up care of cancer survivors: challenges and solutions
Follow-up care of cancer survivors: challenges and solutions
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DOI：
10.1016/s1470-2045(16)30386-2
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发表时间：
2017-01-01
期刊：
影响因子：
51.1
通讯作者：
Shulman, Lawrence N.
中科院分区：
文献类型：
--
作者：
Jacobs, Linda A.;Shulman, Lawrence N.
对成人癌症幸存者的关注在30多年前正式开始，当时来自20个组织的代表成立了全国癌症幸存者联盟，他们设想了一个包括朋友、家人和照顾者在内的解决幸存者问题的组织。从那时起，癌症护理服务取得了进展，这为向作为慢性病的癌症患者和幸存者提供最佳随访护理带来了挑战和障碍。关注癌症治疗后的护理，包括对长期和晚期影响的监测，以及对癌症诊断和治疗对生活质量的影响的关注，在过去十年中得到了加强。这一推动力主要来自2005年医学研究所的报告《从癌症患者到癌症幸存者：迷失在转变中》。尽管报告中提出的问题并不新颖，但它们为癌症幸存者运动发出了新的、强有力的声音，要求采取行动。在这篇系列文章中，我们概述了在美国提供癌症生存和后续护理的问题，并讨论了应对这些挑战的潜在解决方案。
Attention to survivors of adult cancers formally began more than 30 years ago with the founding of the National Coalition for Cancer Survivorship by representatives from 20 organisations who envisioned an organisation that would address survivorship issues and include friends, family, and caregivers. Since then, progress has been made in cancer care delivery, which has created challenges for and barriers to provision of optimal follow-up care to patients and survivors living with cancer as a chronic illness. Focus on post-treatment cancer care, including monitoring for long-term and late effects, and concerns regarding the effect of a cancer diagnosis and treatment on quality of life have gained momentum in the past 10 years. This impetus is largely a result of the 2005 Institute of Medicine Report From Cancer Patient to Cancer Survivor: Lost in Transition. Although the issues raised in the report were hardly novel, they gave a new and powerful voice to the cancer survivorship movement that demanded a call to action. In this Series paper, we provide an overview of the issues surrounding provision of cancer survivorship and follow-up care in the USA and discuss potential solutions to these challenges.