Open AccessAdult Cancer Survivorship: Evolution, Research, and Planning Care
Author(s) -
Jacobs Linda A.,
Palmer Steven C.,
Schwartz Lisa A.,
DeMichele Angela,
Mao Jun J.,
Carver Joseph,
Gracia Clarisa,
HillKayser Christine E.,
Metz James M.,
Hampshire Margaret K.,
Vachani Carolyn,
Pucci Donna,
Meadows Anna T.
Publication year - 2009
Publication title -
ca: a cancer journal for clinicians
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 62.937
H-Index - 168
eISSN - 1542-4863
pISSN - 0007-9235
DOI - 10.3322/caac.20040
Subject(s) - survivorship curve , psychosocial , medicine , cancer survivor , specialty , cancer , workforce , cancer survivorship , childhood cancer , family medicine , population , translational research , gerontology , nursing , psychiatry , environmental health , pathology , economics , economic growth
Abstract Increases in the number of adult cancer survivors and other issues have forced the oncology community to examine, evaluate, and alter the cancer care paradigm. Pediatric oncologists are grappling with the task of transitioning a growing population of adult survivors of childhood cancer to adult medicine, while oncologists caring for adult cancer survivors are seeking models of follow‐up care that are acceptable to patients and providers. Workforce and access‐to‐care issues suggest that primary care providers will see more cancer survivors in their practices across time, although it is unclear how prepared they are for this task. Translational research is needed to develop evidence‐based clinical care and survivorship care plans. A broad picture of the evolving field of adult cancer survivorship is presented. The recent focus on young adult survivors of childhood cancer, an overview of translational research needed to inform the physical and psychosocial care of cancer survivors, and the roles of primary and specialty care providers managing this population is examined. Finally, an overview of evolving treatment summary and care plan initiatives is presented. CA Cancer J Clin 2009;59:391–410. © 2009 American Cancer Society, Inc.