Implementing improved post-treatment care for cancer survivors in England, with reflections from Australia, Canada and the USA.
Implementing improved post-treatment care for cancer survivors in England, with reflections from Australia, Canada and the USA.
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DOI：
10.1038/bjc.2012.554
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发表时间：
2013-01-15
影响因子：
8.8
通讯作者：
Glaser, A.
中科院分区：
文献类型：
--
作者：
Jefford, M.;Rowland, J.;Grunfeld, E.;Richards, M.;Maher, J.;Glaser, A.
癌症发病率的增加和存活率的提高使癌症幸存者的人数不断增加。由于癌症本身或癌症治疗，幸存者可能会遇到一系列潜在的影响。传统上，随访护理的主要重点是发现癌症复发；然而，这些策略的有效性是值得怀疑的。传统的后续行动往往不能确定或充分解决许多幸存者的关切。需要规划善后护理，以便为幸存者提供更好的结果，同时有效地利用稀缺的保健资源。这篇综述的重点是提供遗属护理，而不是研究。英国国家癌症幸存者倡议已经制定了改善对癌症患者的护理的原则。这些措施包括风险分层的护理途径、使用治疗摘要和护理计划、提供信息和教育以促进选择和自我管理的信心、迅速重新获得专科护理、远程监测和协调良好的护理。虽然首选的护理模式将取决于当地情况，但其中许多原则在国际上是相关的。
Increasing cancer incidence together with improved survival rates are contributing to the growing number of cancer survivors. Survivors may encounter a range of potential effects as a result of the cancer itself or cancer treatments. Traditionally, the major focus of follow-up care has been on detection of cancer recurrence; however, the efficacy of such strategies is questionable. Traditional follow-up frequently fails to identify or adequately address many survivors’ concerns. Aftercare needs to be planned to enable better outcomes for survivors, while using scarce health-care resources efficiently. This review focuses on provision of survivorship care, rather than on research. England’s National Cancer Survivorship Initiative has developed principles for improved care of those living with and beyond cancer. These include risk-stratified pathways of care, the use of treatment summaries and care plans, information and education to enable choice and the confidence to self manage, rapid re-access to specialist care, remote monitoring and well-coordinated care. Many of these principles are relevant internationally, though preferred models of care will depend on local circumstances.
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影响因子：
5.9
作者：
Lewis, Ruth A.;Neal, Richard D.;Wilkinson, Clare
通讯作者：
Wilkinson, Clare
影响因子：
45.3
作者：
Grunfeld, E;Levine, MN;Whelan, T
通讯作者：
Whelan, T
影响因子：
3.4
作者：
Frew, G.;Smith, A.;Maher, E. J.
通讯作者：
Maher, E. J.
影响因子：
3.7
作者：
Mattioli, Vittorio;Montanaro, Rosanna;Romito, Francesca
通讯作者：
Romito, Francesca
DOI：
10.1007/s11764-008-0043-4
发表时间：
2008-03-01
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Jefford, Michael;Karahalios, Emily;Schofield, Penelope
通讯作者：
Schofield, Penelope