ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe

Vaz-Luis, I.; Masiero, M.; Cavaletti, G.; Cervantes, A.; Chlebowski, R.T.; Curigliano, G.; Felip, E.; Ferreira, A.R.; Ganz, P.A.; Hegarty, J.; Jeon, J.; Johansen, C.; Joly, F.; Jordan, K.; Koczwara, B.; Lagergren, P.; Lambertini, M.; Lenihan, D.; Linardou, H.; Loprinzi, C.; Partridge, A.H.; Rauh, S.; Steindorf, K.; van der Graaf, W.; van de Poll-Franse, L.; Pentheroudakis, G.; Peters, S.; Pravettoni, G.

doi:10.1016/j.annonc.2022.07.1941

Cited by 208Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeGlobal Cancer Incidence and Screening

ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe

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Vaz-Luis, I., Masiero, M., Cavaletti, G., Cervantes, A., Chlebowski, R.T., Curigliano, G., Felip, E., Ferreira, A.R. +20 more·2022·Annals of Oncology

DOI 10.1016/j.annonc.2022.07.1941

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Abstract

Background The increased number of cancer survivors and the recognition of physical and psychosocial challenges, present from cancer diagnosis through active treatment and beyond, led to the discipline of cancer survivorship.Design and methods Herein, we reflected on the different components of survivorship care, existing models and priorities, in order to facilitate the promotion of high-quality European survivorship care and research.Results We identified five main components of survivorship care: (i) physical effects of cancer and chronic medical conditions; (ii) psychological effects of cancer; (iii) social, work and financial effects of cancer; (iv) surveillance for recurrences and second cancers; and (v) cancer prevention and overall health and well-being promotion. Survivorship care can be delivered by structured care models including but not limited to shared models integrating primary care and oncology services. The choice of the care model to be implemented has to be adapted to local realities. High-quality care should be expedited by the generation of: (i) focused and shared European recommendations, (ii) creation of tools to facilitate implementation of coordinated care and (iii) survivorship educational programs for health care teams and patients. The research agenda should be defined with the participation of health care providers, researchers, policy makers, patients and caregivers. The following patient-centered survivorship research areas were highlighted: (i) generation of a big data platform to collect long-term real-world data in survivors and healthy controls to (a) understand the resources, needs and preferences of patients with cancer, and (b) understand biological determinants of survivorship issues, and (ii) develop innovative effective interventions focused on the main components of survivorship care.Conclusions The European Society for Medical Oncology (ESMO) can actively contribute in the efforts of the oncology community toward (a) promoting the development of high-quality survivorship care programs, (b) providing educational material and (c) aiding groundbreaking research by reflecting on priorities and by supporting research networking.

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The creation of new care pathway delivery methods and provision of novel technologies and infrastructures to support self-management have been flagged as research priorities in survivorship care.
“The creation of new care pathway delivery methods and provision of novel technologies and infrastructures to support self-management have been flagged as research priorities in survivorship care.9,48”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [9]

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Sex-differences in symptoms and functioning in >5000 cancer survivors: Results from the PROFILES registry
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Cancer-related accelerated ageing and biobehavioural modifiers: a framework for research and clinical care
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Partners and close family members of long‐term cancer survivors: health status, psychosocial well‐being and unmet supportive care needs
Turner, D. C., Adams, E., Boulton, M. G., Harrison, S., Khan, N., Rose, P. W., Ward, A. M., & Watson, E. K. (2011) · Psycho-Oncology · doi:10.1002/pon.2050 · Cited by 75 · see citing works
Returning to work after cancer: Survivors', caregivers', and employers' perspectives
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Integrated care pathways for cancer survivors – a role for patient-reported outcome measures and health informatics
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The use of patient-reported outcomes in routine cancer care: preliminary insights from a multinational scoping survey of oncology practitioners
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Cancer Survivorship Research: A Review of the Literature and Summary of Current NCI-Designated Cancer Center Projects
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Development of Exercise as Interception Therapy for Cancer: A Review
Iyengar, N. M., & Jones, L. W. (2019) · JAMA Oncology · doi:10.1001/jamaoncol.2019.2585 · Cited by 67 · see citing works
Patient-reported depression measures in cancer: a meta-review
Wakefield, C. E., Butow, P. N., Aaronson, N. K., Hack, T. F., Hulbert-Williams, N., & Jacobsen, P. B. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00168-6 · Cited by 66 · see citing works
Preexisting Cardiovascular Risk and Subsequent Heart Failure Among Non-Hodgkin Lymphoma Survivors
Salz, T., Zabor, E. C., Brown, P. D. N., Dalton, S. O., Raghunathan, N. J., Matasar, M. J., Steingart, R. M., Vickers, A. J., Munksgaard, P. S., Oeffinger, K. C., et al. (2017) · Journal of Clinical Oncology · doi:10.1200/jco.2017.72.4211 · Cited by 66 · see citing works
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Systematic Review and Meta-analysis of Short- versus Long-Acting Granulocyte Colony-Stimulating Factors for Reduction of Chemotherapy-Induced Febrile Neutropenia
Cornes, P., Gascón, P., Chan, S. Y. T., Hameed, K., Mitchell, C., Field, P., Latymer, M., & Arantes, L. H. (2018) · Advances in Therapy · doi:10.1007/s12325-018-0798-6 · Cited by 64 · see citing works
Survivorship Care Plans and the Commission on Cancer Standards: The Increasing Need for Better Strategies to Improve the Outcome for Survivors of Cancer
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Survivorship care for cancer patients in primary versus secondary care: a systematic review
Vos, J. A. M., Wieldraaijer, T., van Weert, H. C. P. M., & van Asselt, K. M. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-020-00911-w · Cited by 60 · see citing works
Cancer survivorship: Reproductive health outcomes should be included in standard toxicity assessments
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Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries
Mollica, M. A., Mayer, D. K., Oeffinger, K. C., Kim, Y., Buckenmaier, S. S., Sivaram, S., Muha, C., Taib, N. A. M., Andritsch, E., Asuzu, C. C., et al. (2020) · JCO Global Oncology · doi:10.1200/go.20.00180 · Cited by 59 · see citing works
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Unmet information needs and impact of cancer in (long-term) thyroid cancer survivors: results of the PROFILES registry
Husson, O., Mols, F., Oranje, W. A., Haak, H. R., Nieuwlaat, W., Netea-Maier, R. T., Smit, J. W. A., & van de Poll-Franse, L. V. (2014) · Psycho-Oncology · doi:10.1002/pon.3514 · Cited by 56 · see citing works
Interventions to improve care coordination between primary healthcare and oncology care providers: a systematic review
Tomasone, J. R., Brouwers, M. C., Vukmirovic, M., Grunfeld, E., O’Brien, M. A., Urquhart, R., Walker, M., Webster, F., & Fitch, M. I. (2016) · ESMO Open · doi:10.1136/esmoopen-2016-000077 · Cited by 55 · see citing works
Handbook of Cancer Survivorship
van Zanten-Przybysz, I. (2008) · Tijdschrift voor bedrijfs- en verzekeringsgeneeskunde · doi:10.1007/bf03078040 · Cited by 52 · see citing works
The European Code of Cancer Practice
Lawler, M., Oliver, K. R., Gijssels, S., Aapro, M., Abolina, A., Albreht, T., Erdem, S., Geißler, J., Jassem, J., Karjalainen, S., et al. (2021) · Journal of Cancer Policy · doi:10.1016/j.jcpo.2021.100282 · Cited by 51 · see citing works
Evaluation of effectiveness of survivorship programmes: how to measure success?
Halpern, M. T., & Argenbright, K. E. (2016) · The Lancet Oncology · doi:10.1016/s1470-2045(16)30563-0 · Cited by 49 · see citing works
Damocles’ syndrome revisited
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Towards a cancer mission in Horizon Europe: recommendations
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Transition From Patient to Survivor in African American Breast Cancer Survivors
Mollica, M. A., & Nemeth, L. S. (2014) · Cancer Nursing · doi:10.1097/ncc.0000000000000120 · Cited by 46 · see citing works
Reimagine: a randomized controlled trial of an online, symptom self-management curriculum among breast cancer survivors.
Smith, S. K., MacDermott, K., Amarasekara, S., Pan, W., Mayer, D., & Hockenberry, M. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-018-4431-7 · Cited by 46 · see citing works
Effect of general practitioner-led versus surgeon-led colon cancer survivorship care, with or without eHealth support, on quality of life (I CARE): an interim analysis of 1-year results of a randomised, controlled trial
Vos, J. A. M., Duineveld, L. A. M., Wieldraaijer, T., Wind, J., Busschers, W. B., Sert, E., Tanis, P. J., Leeuw, I. M. V., van Weert, H. C. P. M., & van Asselt, K. M. (2021) · The Lancet Oncology · doi:10.1016/s1470-2045(21)00273-4 · Cited by 39 · see citing works
A Bill of Rights for patients with cancer in Europe
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Total burden of disease in cancer patients at diagnosis—a Danish nationwide study of multimorbidity and redeemed medication
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Employment trends in young women following a breast cancer diagnosis
Rosenberg, S. M., Vaz-Luís, I., Gong, J., Rajagopal, P. S., Ruddy, K. J., Tamimi, R. M., Schapira, L., Come, S. E., Borges, V. F., de Moor, J. S., et al. (2019) · Breast Cancer Research and Treatment · doi:10.1007/s10549-019-05293-x · Cited by 36 · see citing works
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Measuring Quality of Life in Cancer Survivors
Victorson, D. E., Cella, D. F., Wagner, L. I., Kramer, L. M. B., & Smith, M. L. (2007) · Springer eBooks · doi:10.1007/978-0-387-34562-8_6 · Cited by 35 · see citing works
Navigating sexual health in cancer survivorship: a dyadic perspective
Gorman, J. R., Smith, E., Drizin, J. H., Lyons, K. S., & Harvey, S. M. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05396-y · Cited by 32 · see citing works
Addressing Survivorship in Cancer Care
McCanney, J., Winckworth-Prejsnar, K., Schatz, A. A., Nardi, E. A., Dwyer, A. J., Lieu, C. H., Biru, Y., & Carlson, R. W. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.7054 · Cited by 30 · see citing works
Transitioning Patients to Survivorship Care: A Systematic Review
Hebdon, M., Abrahamson, K., McComb, S. A., & Sands, L. P. (2014) · Oncology nursing forum · doi:10.1188/14.onf.615-625 · Cited by 29 · see citing works
Cancer outcomes research—a European challenge: measures of the cancer burden
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MASCC 2020 recommendations for the management of immune-related adverse events of patients undergoing treatment with immune checkpoint inhibitors
Rapoport, B. L., Anderson, R., Cooksley, T., & Johnson, D. B. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05727-z · Cited by 27 · see citing works
Pediatric Blood Cancer Survivors and Tobacco Use across Adolescence and Emerging Adulthood: A Narrative Review
Masiero, M., Riva, S., Fioretti, C., & Pravettoni, G. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00392 · Cited by 25 · see citing works
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Challenges and solutions to embed cancer survivorship research and innovation within the EU Cancer Mission
Lawler, M., Lorenzo, F. D., Lagergren, P., Mennini, F. S., Narbutas, Š., Scocca, G., & Meunier, F. (2021) · Molecular Oncology · doi:10.1002/1878-0261.13022 · Cited by 24 · see citing works
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Economic evaluations of follow-up strategies for cancer survivors: a systematic review and quality appraisal of the literature
Meregaglia, M., & Cairns, J. (2015) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.2015.1087316 · Cited by 23 · see citing works
Predicting trajectories of recovery in prostate cancer patients undergone Robot-Assisted Radical Prostatectomy (RARP)
Marzorati, C., Monzani, D., Mazzocco, K., Pavan, F., Cozzi, G., COBELLI, O. D., Monturano, M., & Pravettoni, G. (2019) · PLoS ONE · doi:10.1371/journal.pone.0214682 · Cited by 23 · see citing works
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A qualitative evaluation of the use of interventions to treat fatigue among cancer survivors: A healthcare provider’s view
Martin, É., Zingarello, A., Meglio, A. D., Baciarello, G., Matias, M., Charles, C., Arvis, J., Dumas, A., Menvielle, G., & Vaz-Luís, I. (2020) · European Journal of Cancer Care · doi:10.1111/ecc.13370 · Cited by 23 · see citing works
Shades of Survivorship
Park, E. R., Peppercorn, J. M., & El-Jawahri, A. R. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.7071 · Cited by 22 · see citing works
Prediction of Breast Cancer Treatment–Induced Fatigue by Machine Learning Using Genome-Wide Association Data
Lee, S., Deasy, J. O., Oh, J. H., Meglio, A. D., Dumas, A., Menvielle, G., Charles, C., Boyault, S., Rousseau, M., Besse, C., et al. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkaa039 · Cited by 22 · see citing works
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Cancer survivorship care for young adults: a risk-stratified, multicenter randomized controlled trial to improve symptoms
Syrjala, K. L., Walsh, C., Yi, J. C., Leisenring, W. M., Rajotte, E. J., Voutsinas, J. M., Ganz, P. A., Jacobs, L. A., Palmer, S. C., Partridge, A. H., et al. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01105-8 · Cited by 20 · see citing works
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Preventive Health in Cancer Survivors: What Should We Be Recommending?
Overholser, L., & Callaway, C. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.7083 · Cited by 17 · see citing works
Predicting anxiety in cancer survivors presenting to primary care – A machine learning approach accounting for physical comorbidity
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The Porto European Cancer Research Summit 2021
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Postmenopausal Breast Cancer and Physical Function Change: A Difference‐in‐Differences Analysis
Michael, Y. L., Wu, C., Pan, K., Seguin‐Fowler, R. A., Garcia, D. O., Zaslavsky, O., & Chlebowski, R. T. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16323 · Cited by 13 · see citing works
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Comprehensive Assessment of Incidence, Risk Factors, and Mechanisms of Impaired Medical and Psychosocial Health Outcomes among Adolescents and Young Adults with Cancer: Protocol of the Prospective Observational COMPRAYA Cohort Study
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Breast cancer survivorship: state of the science
Pan, K., Hurria, A., & Chlebowski, R. T. (2018) · Breast Cancer Research and Treatment · doi:10.1007/s10549-017-4650-5 · Cited by 11 · see citing works
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Medication use trajectories of postmenopausal breast cancer survivors and matched cancer-free controls
Pan, K., Chlebowski, R. T., Simon, M. S., Ray, R. M., Livaudais‐Toman, J., Sullivan, S. D., Stefanick, M. L., Wallace, R. B., LeBoff, M. S., Bluhm, E. C., et al. (2016) · Breast Cancer Research and Treatment · doi:10.1007/s10549-016-3773-4 · Cited by 8 · see citing works
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Trajectory of recurrent falls in post-menopausal breast cancer survivors and in matched cancer-free controls
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QualFatigue study: which factors influence the use of specific interventions for breast cancer survivors with fatigue? A cross-sectional exploratory study
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Survivorship Care for Cancer Patients
(2021) · Springer eBooks · doi:10.1007/978-3-030-78648-9 · Cited by 5 · see citing works
“There is Life after Cancer”: The Medical, Psychological, Social and Financial Challenges of Cancer Survivors at the End of the Active Treatment
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Who Should Be in Charge of Survivorship Care?
Rauh, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-78648-9_6 · Cited by 1 · see citing works
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Single-modality endocrine therapy versus radiotherapy after breast-conserving surgery in women aged 70 years and older with luminal A-like early breast cancer (EUROPA): a preplanned interim analysis of a phase 3, non-inferiority, randomised trial
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Blondeaux, E., Arecco, L., Punie, K., Graffeo, R., Toss, A., Angelis, C. D., Trevisan, L., Buzzatti, G., Linn, S. C., Dubsky, P. C., et al. (2023) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2023.102522 · Cited by 47 · see citing works
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Tackling Non–Small Cell Lung Cancer in Young Adults: From Risk Factors and Genetic Susceptibility to Lung Cancer Profile and Outcomes
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Prognostic and clinical impact of the endocrine resistance/sensitivity classification according to international consensus guidelines for advanced breast cancer: an individual patient-level analysis from the Mammella InterGruppo (MIG) and Gruppo Italiano Mammella (GIM) studies
Lambertini, M., Blondeaux, E., Bisagni, G., Mura, S., Placido, S. D., Laurentiis, M. D., Fabi, A., Rimanti, A., Michelotti, A., Mansutti, M., et al. (2023) · EClinicalMedicine · doi:10.1016/j.eclinm.2023.101931 · Cited by 31 · see citing works
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Psychosocial factors associated with quality of life in cancer survivors: umbrella review
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Advances in the Management of Menopausal Symptoms, Fertility Preservation, and Bone Health for Women With Breast Cancer on Endocrine Therapy
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Breast Cancer Survivors and Healthy Women: Could Gut Microbiota Make a Difference?—“BiotaCancerSurvivors”: A Case-Control Study
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A bio-behavioral model of systemic inflammation at breast cancer diagnosis and fatigue of clinical importance two years later.
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Support for Chronic Pain Management for Breast Cancer Survivors Through Novel Digital Health Ecosystems: Pilot Usability Study of the PainRELife Mobile App
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Breast cancer patients' experience of menopause care in the UK: thematic analysis of free-text comments
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Health-related quality of life and fear of recurrence after early breast cancer treatment: Results from a cross-sectional survey
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Consensus document between oncology and primary care for the follow-up of cancer survivors
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Models of Cancer Survivorship Care
Quality (2014)

Authors: Vaz-Luis, I., Masiero, M., Cavaletti, G., Cervantes, A., Chlebowski, R. T., Curigliano, G., Felip, E., Ferreira, A. R., Ganz, P. A., Hegarty, J., Jeon, J., Johansen, C., Joly, F., Jordan, K., Koczwara, B., Lagergren, P., Lambertini, M., Lenihan, D., Linardou, H., Loprinzi, C., Partridge, A. H., Rauh, S., Steindorf, K., van der Graaf, W., van de Poll-Franse, L., Pentheroudakis, G., Peters, S., & Pravettoni, G.
Affiliations: University of Milan (IT)
University of Milano-Bicocca (IT)
Universitat de València (ES)
The Lundquist Institute (US)
Vall d'Hebron Hospital Universitari (ES)
Champalimaud Foundation (PT)
University of California, Los Angeles (US)
University College Cork (IE)
Yonsei University (KR)
University of Copenhagen (DK)
Centre François Baclesse (FR)
Heidelberg University (DE)
Flinders University (AU)
Karolinska Institutet (SE)
Ospedale Policlinico San Martino (IT)
Metropolitan Hospital (GR)
Mayo Clinic (US)
Harvard University (US)
German Cancer Research Center (DE)
European Society for Medical Oncology (CH)
ORCID: Masiero, M.
Cavaletti, G.
Cervantes, A.
Chlebowski, R.T.
Curigliano, G.
Felip, E.
Ferreira, A.R.
Ganz, P.A.
Hegarty, J.
Jeon, J.
Johansen, C.
Joly, F.
Koczwara, B.
Lagergren, P.
Lambertini, M.
Linardou, H.
Loprinzi, C.
Partridge, A.H.
Rauh, S.
Steindorf, K.
Peters, S.
Pravettoni, G.
Venue: Annals of Oncology
Publisher: Elsevier BV
Published: 2022-11
Volume: 33
Issue: 11
Pages: 1119-1133
ISSN: 0923-7534 (ISSN-L)
DOI: 10.1016/j.annonc.2022.07.1941
OpenAlex: W4291396120
Cited by: 208
References: 123
Citations by year: 2026: 61 · 2025: 52 · 2024: 55 · 2023: 33 · 2022: 5 · 2019: 1
FWCI: 15.16
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
Locations: Annals of Oncology (publishedVersion)
PubMed (publishedVersion)
Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc-nd)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
HAL (submittedVersion)
BOA (University of Milano-Bicocca) (submittedVersion)
YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
IRIS (submittedVersion)
SERVAL (Université de Lausanne) (submittedVersion)
Funders: European Society for Medical Oncology
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: cancer survivorship, survivorship care, survivorship care models, cancer surveillance, secondary malignancies, cancer prevention, patient-oriented research, real-world data, survivorship education, research priorities, ESMO
MeSH terms: Cancer Survivors, Survivorship, Europe, Humans, Medical Oncology, Neoplasms

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ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe

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