Comprehensive cancer control: promoting survivor health and wellness
Open accessAbstract
Purpose As of 2016, an estimated 15.5 million cancer survivors were living in the United States and the number of cancer survivors is expected to increase to 20.3 million by 2026. Numerous clinical studies have shown that comorbidities, such as obesity and diabetes, and unhealthy lifestyle choices, such as physical inactivity and heavy smoking, negatively influence overall quality of life and long-term survival of cancer survivors. Accordingly, survivorship programs seek to focus on overall wellness, including symptom management, monitoring for late effects of treatment, monitoring for recurrence, helping patients adapt healthy behaviors, and quality of life. This paper provides a broad overview of public health efforts to address the needs of cancer survivors.Methods To describe a range of examples of survivorship initiatives in comprehensive cancer control, we analyzed documents from comprehensive cancer control programs and coalitions and solicited detailed examples from several national partners.Results Comprehensive cancer control programs, coalitions, and partners are undertaking myriad initiatives to address cancer survivorship and building upon evidence-based interventions to promote healthy behaviors for cancer survivors across the country.Conclusion A coordinated public health approach to caring for the growing population of cancer survivors can help address the long-term physical, psychosocial, and economic effects of cancer treatment on cancer survivors and their families.
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Implementation challenges for comprehensive survivorship care include lack of health care professional awareness and training, prioritization of survivorship, organizational barriers such as dedicated time slots, multidisciplinary assessment, referral networks, and reimbursement issues.
“This may be related to implementation challenges such as lack of health care professional awareness and training and prioritization of survivorship, organizational barriers including the need for dedicated time slots in clinics to allow for multidisciplinary assessment and management involving a range of subspecialty professionals and supportive care experts, articulation with appropriate referral”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [17]
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References 51 · Cited by 29
Research works printed but not linked: 2
- [27]Institute of Medicine (2012) The role of obesity in cancer in cancer survival and recurrence. In: Workshop summary. The National Academies Press, Washington, DC 24830056
- [53]National Academies of Sciences, Engineering, and Medicine (2018) Long-term survivorship care after cancer treatment: proceedings of a workshop. The National Academies Press, Washington, DC 29738209
- Authors
- Rohan, E. A., Miller, N., Bonner, F., Fultz-Butts, K., Pratt-Chapman, M. L., Alfano, C. M., Santiago, K. C., Bergman, K., & Tai, E.
- Affiliations
- Centers for Disease Control and Prevention (US)
- American College of Surgeons (US)
- American Cancer Society (US)
- Cancer Support Community (US)
- Corresponding author
- Rohan, Elizabeth A.
- Venue
- Cancer Causes & Control
- Published
- 2018-12
- Volume
- 29
- Issue
- 12
- Pages
- 1277-1285
- ISSN
- 0957-5243 (ISSN-L)
- 1573-7225
- PMC
- PMC8790715
- OpenAlex
- W2903461226
- Cited by
- 29
- References
- 51
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Causes & Control (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention (Funding Source for the National Cancer Survivorship Resource Center: #5U55DP003054)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- cancer survivors, comprehensive cancer control, survivorship programs, public health interventions, health behavior, quality of life, late effects of cancer treatment, recurrence monitoring, economic burden of cancer, obesity, diabetes mellitus, physical inactivity, smoking
- MeSH terms
- Cancer Survivors, Delivery of Health Care, Humans, Life Style, Neoplasms, Obesity, Public Health, Quality of Life, United States, Health Behavior, Comorbidity
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