Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities
Open accessAbstract
Since the release of the Institute of Medicine report: From cancer patient to cancer survivor: lost in transition, in 2005, there has been a national call in the USA to provide coordinated, comprehensive care for cancer survivors, with an emphasis on the role of primary care. Several models of care have been described, which focus on primary care providers (PCPs) as receiving cancer survivors who are transferred after successful treatment, and who are given specific types of information from oncology-based care (eg, survivorship care plans), and not as active members of the cancer survivorship team. In this Series paper, we assessed survivorship models that have been described in the literature, with a specific focus on strategies that aim to integrate PCPs into the care of cancer survivors across different settings. We offer insights differentiating PCPs' level of expertise in cancer survivorship and how such expertise could be used. We provide recommendations for education, clinical practice, research, and policy initiatives that might advance the integration of PCPs in the care of cancer survivors in diverse clinical settings.
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There has been little research to date evaluating the relative strengths and weaknesses of numerous survivorship care models.
“Numerous survivorship care models exist44; however, there has been little research to date evaluating their relative strengths and weaknesses.42,43,45”
From Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery (2018) · cites this paper as [43]
Evidence bearing on the optimal timing for transitioning some or all aspects of follow-up care to PCPs is lacking.
“Although there is a growing consensus that survivorship care should be shared between oncology specialists and PCPs for many survivors,43 evidence bearing on the optimal timing for transitioning some or all aspects of follow-up care to PCPs is lacking.”
From Systematic Review of the Impact of Cancer Survivorship Care Plans on Health Outcomes and Health Care Delivery (2018) · cites this paper as [43]
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Cites
Cancer treatment and survivorship statistics, 2016
Miller, K. D., Siegel, R. L., Lin, C. C., Mariotto, A. B., Kramer, J. L., Rowland, J. H., Stein, K. D., Alteri, R., & Jemal, A. (2016) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21349 · Cited by 6,066 · see citing works
A scoping review of scoping reviews: advancing the approach and enhancing the consistency
Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & McEwen, S. A. (2014) · Research Synthesis Methods · doi:10.1002/jrsm.1123 · Cited by 3,078 · see citing works
Scoping reviews: Time for clarity in definition, methods, and reporting
Colquhoun, H. L., Levac, D., O'Brien, K. K., Straus, S., Tricco, A. C., Perrier, L., Kastner, M., & Moher, D. (2014) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2014.03.013 · Cited by 2,783 · see citing works
From Cancer Patient to Cancer Survivor: Lost in Transition
(2005) · PsycEXTRA Dataset · doi:10.1037/e720092007-001 · Cited by 2,364 · see citing works
Edwards, B. K., Noone, A., Mariotto, A. B., Simard, E. P., Boscoe, F. P., Henley, S. J., Jemal, A., Cho, H., Anderson, R. N., Kohler, B., et al. (2013) · Cancer · doi:10.1002/cncr.28509 · Cited by 1,210 · see citing works
Runowicz, C. D., Leach, C. R., Henry, N. L., Henry, K. S., Mackey, H. T., Cowens-Alvarado, R. L., Cannady, R. S., Pratt-Chapman, M. L., Edge, S. B., Jacobs, L. A., et al. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2015.64.3809 · Cited by 1,071 · see citing works
Self-management: Enabling and empowering patients living with cancer as a chronic illness
McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L. S., Lorig, K., & Wagner, E. H. (2011) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.20093 · Cited by 950 · see citing works
From Cancer Patient to Cancer Survivor - Lost in Transition
Institute of Medicine and National Research Council (2006) · National Academies Press eBooks · doi:10.17226/11613 · Cited by 747 · see citing works
Runowicz, C. D., Leach, C. R., Henry, N. L., Henry, K. S., Mackey, H. T., Cowens‐Alvarado, R. L., Cannady, R. S., Pratt‐Chapman, M. L., Edge, S. B., Jacobs, L. A., et al. (2016) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21319 · Cited by 728 · see citing works
de Moor, J. S., Mariotto, A. B., Parry, C., Alfano, C. M., Padgett, L., Kent, E. E., Forsythe, L., Scoppa, S., Hachey, M., & Rowland, J. H. (2013) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-12-1356 · Cited by 670 · see citing works
Khatcheressian, J. L., Hurley, P., Bantug, E., Esserman, L. J., Grunfeld, E., Halberg, F., Hantel, A., Henry, N. L., Muss, H. B., Smith, T. J., et al. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.45.9859 · Cited by 626 · see citing works
American Cancer Society Head and Neck Cancer Survivorship Care Guideline
Cohen, E. E. W., LaMonte, S. J., Erb, N. L., Beckman, K. L., Sadeghi, N., Hutcheson, K. A., Stubblefield, M. D., Abbott, D. M., Fisher, P., Stein, K., et al. (2016) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21343 · Cited by 620 · see citing works
The 2010 NCCN Clinical Practice Guidelines in Oncology on Prostate Cancer
Mohler, J. L. (2010) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2010.0010 · Cited by 614 · see citing works
Projecting US Primary Care Physician Workforce Needs: 2010-2025
Petterson, S. M., Liaw, W. R., Phillips, R. L., Rabin, D. L., Meyers, D. S., & Bazemore, A. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1431 · Cited by 545 · see citing works
Grunfeld, E., Levine, M. N., Julian, J. A., Coyle, D., Szechtman, B., Mirsky, D., Verma, S., Dent, S. F., Sawka, C. A., Pritchard, K. I., et al. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2005.03.2235 · Cited by 541 · see citing works
Future supply and demand for oncologists: challenges to assuring access to oncology services
Erikson, C., Salsberg, E., Forte, G., Bruinooge, S., & Goldstein, M. (2007) · Journal of Oncology Practice · doi:10.1200/jop.0723601 · Cited by 528 · see citing works
Models for Delivering Survivorship Care
Oeffinger, K. C., & McCabe, M. S. (2006) · Journal of Clinical Oncology · doi:10.1200/jco.2006.07.0474 · Cited by 485 · see citing works
American Society of Clinical Oncology Statement: Achieving High-Quality Cancer Survivorship Care
McCabe, M. S., Bhatia, R., Oeffinger, K. C., Reaman, G. H., Tyne, C. A., Wollins, D. S., & Hudson, M. M. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.46.6854 · Cited by 468 · see citing works
Under use of necessary care among cancer survivors
Earle, C. C., & Neville, B. A. (2004) · Cancer · doi:10.1002/cncr.20560 · Cited by 458 · see citing works
Cancer survivors: a booming population
Parry, C., Kent, E. E., Mariotto, A. B., Alfano, C. M., & Rowland, J. H. (2011) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-11-0729 · Cited by 456 · see citing works
American Cancer Society prostate cancer survivorship care guidelines
Skolarus, T. A., Wolf, A. M. D., Erb, N. L., Brooks, D. D., Rivers, B. M., Underwood, W., Salner, A., Zeléfsky, M. J., Aragon‐Ching, J. B., Slovin, S. F., et al. (2014) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21234 · Cited by 398 · see citing works
Meyerhardt, J. A., Mangu, P. B., Flynn, P. J., Korde, L. A., Loprinzi, C. L., Minsky, B. D., Petrelli, N. J., Ryan, K., Schrag, D., Wong, S. L., et al. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2013.50.7442 · Cited by 369 · see citing works
Kremer, L. C. M., Mulder, R. L., Oeffinger, K. C., Bhatia, S., Landier, W., Levitt, G., Constine, L. S., Wallace, W. H., Caron, H. N., Armenian, S. H., et al. (2012) · Pediatric Blood & Cancer · doi:10.1002/pbc.24445 · Cited by 364 · see citing works
American Cancer Society Colorectal Cancer Survivorship Care Guidelines
El‐Shami, K., Oeffinger, K. C., Erb, N. L., Willis, A., Bretsch, J. K., Pratt‐Chapman, M. L., Cannady, R. S., Wong, S. L., Rose, J., Barbour, A. L., et al. (2015) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21286 · Cited by 327 · see citing works
Grunfeld, E., Julian, J. A., Pond, G. R., Maunsell, E., Coyle, D., Folkes, A., Joy, A. A., Provencher, L., Rayson, D., Rheaume, D., et al. (2011) · Journal of Clinical Oncology · doi:10.1200/jco.2011.36.8373 · Cited by 315 · see citing works
Comparisons of Patient and Physician Expectations for Cancer Survivorship Care
Cheung, W. Y., Neville, B. A., Cameron, D. B., Cook, E. F., & Earle, C. C. (2009) · Journal of Clinical Oncology · doi:10.1200/jco.2008.20.3232 · Cited by 289 · see citing works
Primary Care Physicians' Views of Routine Follow-Up Care of Cancer Survivors
Giudice, M. E. D., Grunfeld, E., Harvey, B. J., Piliotis, E., & Verma, S. (2009) · Journal of Clinical Oncology · doi:10.1200/jco.2008.20.4883 · Cited by 257 · see citing works
Leach, C. R., Weaver, K. E., Aziz, N. M., Alfano, C. M., Bellizzi, K. M., Kent, E. E., Forsythe, L. P., & Rowland, J. H. (2014) · Journal of Cancer Survivorship · doi:10.1007/s11764-014-0403-1 · Cited by 240 · see citing works
The Interface Between Primary and Oncology Specialty Care: Treatment Through Survivorship
Grunfeld, E., & Earle, C. C. (2010) · JNCI Monographs · doi:10.1093/jncimonographs/lgq002 · Cited by 228 · see citing works
Hewitt, M. E., Bamundo, A., Day, R., & Harvey, C. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.10.0826 · Cited by 227 · see citing works
Wattchow, D. A., Weller, D., Esterman, A., Pilotto, L., McGorm, K. J., Hammett, Z., Platell, C. F. E., & Silagy, C. A. (2006) · British Journal of Cancer · doi:10.1038/sj.bjc.6603052 · Cited by 218 · see citing works
Models of Cancer Survivorship Care: Overview and Summary of Current Evidence
Halpern, M. T., Viswanathan, M., Evans, T. S., Birken, S. A., Basch, E., & Mayer, D. K. (2015) · Journal of Oncology Practice · doi:10.1200/jop.2014.001403 · Cited by 199 · see citing works
American Society of Clinical Oncology Clinical Expert Statement on Cancer Survivorship Care Planning
Mayer, D. K., Nekhlyudov, L., Snyder, C. F., Merrill, J. K., Wollins, D. S., & Shulman, L. N. (2014) · Journal of Oncology Practice · doi:10.1200/jop.2014.001321 · Cited by 185 · see citing works
Self-citationRichards, M., Corner, J. L., & Maher, J. (2011) · British Journal of Cancer · doi:10.1038/bjc.2011.416 · Cited by 181 · see citing works
Bober, S. L., Recklitis, C. J., Campbell, E. G., Park, E. R., Kutner, J. S., Najita, J., & Diller, L. (2009) · Cancer · doi:10.1002/cncr.24590 · Cited by 176 · see citing works
General Internists’ Preferences and Knowledge About the Care of Adult Survivors of Childhood Cancer
Suh, E., Daugherty, C. K., Wroblewski, K., et al. (2014) · Annals of Internal Medicine · doi:10.7326/m13-1941 · Cited by 168 · see citing works
Howell, D., Hack, T. F., Oliver, T. K., Chulak, T., Mayo, S., Aubin, M., Chasen, M., Earle, C. C., Friedman, A. J., Green, E., et al. (2012) · Journal of Cancer Survivorship · doi:10.1007/s11764-012-0232-z · Cited by 156 · see citing works
Risk-Based Health Care, the Cancer Survivor, the Oncologist, and the Primary Care Physician
McCabe, M. S., Partridge, A. H., Grunfeld, E., & Hudson, M. M. (2013) · Seminars in Oncology · doi:10.1053/j.seminoncol.2013.09.004 · Cited by 150 · see citing works
An Epidemic in Evolution: The Need for New Models of HIV Care in the Chronic Disease Era
Chu, C., & Selwyn, P. A. (2011) · Journal of Urban Health · doi:10.1007/s11524-011-9552-y · Cited by 138 · see citing works
Resnick, M. J., Lacchetti, C., Bergman, J., Hauke, R. J., Hoffman, K. E., Kungel, T. M., Morgans, A. K., & Penson, D. F. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2014.60.2557 · Cited by 132 · see citing works
New NCCN Guidelines® for Survivorship Care
Ligibel, J. A., & Denlinger, C. S. (2013) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2013.0191 · Cited by 107 · see citing works
Virgo, K. S., Lerro, C. C., Klabunde, C. N., Earle, C. C., & Ganz, P. A. (2013) · Journal of Clinical Oncology · doi:10.1200/jco.2012.45.6954 · Cited by 86 · see citing works
ReCAP: ASCO Core Curriculum for Cancer Survivorship Education
Shapiro, C. L., Jacobsen, P. B., Henderson, T. O., Hurria, A., Nekhlyudov, L., Ng, A. K., Surbone, A., Mayer, D. K., & Rowland, J. H. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.009449 · Cited by 80 · see citing works
Self-citationAdult cancer survivorship care: experiences from the LIVESTRONG centers of excellence network
Campbell, M. K., Tessaro, I. A., Gellin, M., Valle, C. G., Golden, S. L., Kaye, L., Ganz, P. A., McCabe, M. S., Jacobs, L. A., Syrjala, K. L., et al. (2011) · Journal of Cancer Survivorship · doi:10.1007/s11764-011-0180-z · Cited by 77 · see citing works
Chubak, J., Tuzzio, L., Hsu, C., Alfano, C. M., Rabin, B. A., Hornbrook, M. C., Spegman, A. M., Worley, A. V., Williams, A., & Nekhlyudov, L. (2012) · Journal of Oncology Practice · doi:10.1200/jop.2011.000312 · Cited by 70 · see citing works
Self-citationShulman, L. N., Jacobs, L. A., Greenfield, S., Jones, B. L., McCabe, M. S., Syrjala, K. L., Diller, L., Shapiro, C. L., Marcus, A. C., Campbell, M. K., et al. (2009) · Journal of Oncology Practice · doi:10.1200/jop.0932001 · Cited by 67 · see citing works
Survivorship Programs and Care Plans in Practice: Variations on a Theme
Hahn, E. E., & Ganz, P. A. (2011) · Journal of Oncology Practice · doi:10.1200/jop.2010.000115 · Cited by 59 · see citing works
Jefford, M., Kinnane, N., Howell, P., Nolte, L., Galetakis, S., Mann, G. B., Naccarella, L., Lai-Kwon, J. E., Simons, K., Avery, S., et al. (2015) · Asia-Pacific Journal of Clinical Oncology · doi:10.1111/ajco.12406 · Cited by 46 · see citing works
O’Malley, D. M., Hudson, S. V., Nekhlyudov, L., Howard, J., Rubinstein, E. B., Lee, H. S., Overholser, L., Shaw, A., Givens, S. E., Burton, J. S., et al. (2016) · Journal of Cancer Survivorship · doi:10.1007/s11764-016-0555-2 · Cited by 46 · see citing works
Self-citationAssuring Quality Cancer Survivorship Care: We've Only Just Begun
Mayer, D. K., Shapiro, C. L., Jacobson, P., & McCabe, M. S. (2015) · American Society of Clinical Oncology Educational Book · doi:10.14694/edbook_am.2015.35.e583 · Cited by 36 · see citing works
Nekhlyudov, L. (2014) · The Oncologist · doi:10.1634/theoncologist.2013-0384 · Cited by 36 · see citing works
Self-citationAre primary care providers implementing evidence-based care for breast cancer survivors?
Luctkar‐Flude, M., Aiken, A. B., McColl, M. A., et al. (2015) · PubMed · Cited by 34 · see citing works
Cancer Survivorship Care: Exploring the Role of the General Internist
Hong, S., Nekhlyudov, L., Didwania, A. D., Olopade, O. I., & Ganschow, P. S. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1019-4 · Cited by 30 · see citing works
Self-citationResnick, M. J., Lacchetti, C., & Penson, D. F. (2015) · Journal of Oncology Practice · doi:10.1200/jop.2015.004606 · Cited by 29 · see citing works
Cancer survivorship: the impact on primary care
Watson, E. K., Rose, P. W., Loftus, R., et al. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x606771 · Cited by 20 · see citing works
Providers of follow-up care in a population-based sample of breast cancer survivors
Friese, C. R., Martinez, K. A., Abrahamse, P. H., Hamilton, A. S., Graff, J. J., Jagsi, R., Griggs, J. J., Hawley, S. T., & Katz, S. J. (2014) · Breast Cancer Research and Treatment · doi:10.1007/s10549-014-2851-8 · Cited by 19 · see citing works
Kenison, T. C., Silverman, P., Sustin, M., & Thompson, C. L. (2014) · Journal of Cancer Survivorship · doi:10.1007/s11764-014-0405-z · Cited by 19 · see citing works
Overholser, L., Moss, K., Kilbourn, K. M., Risendal, B., Jones, A., Greffe, B. S., Garrington, T. P., Leonardi-Warren, K., Yamashita, T. E., & Kutner, J. S. (2015) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2015.05.023 · Cited by 17 · see citing works
Facilitating survivorship program development for health care providers and administrators
GRANT, M. M., Economou, D. R., FERRELL, B. R., & Uman, G. C. (2014) · Journal of Cancer Survivorship · doi:10.1007/s11764-014-0397-8 · Cited by 7 · see citing works
Payment for Cancer Care: Time for a New Prescription
Schnipper, L. E., & Meropol, N. J. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2014.57.9573 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [31]Sussman J McBride ML Sisler J Integrating primary care and cancer care in survivorship: A collaborative approach ASCO Annual Meeting Proceedings 2016
- [32]Howell D Hack TF Oliver TK Models of care for post-treatment follow-up of adult cancer survivors: a systematic review and quality appraisal of the evidence J Cancer Surviv 2012 6 4 359 71 22777364
- [38]Viswanathan M Halpern M Swinson Evans T Models of Cancer Survivorship Care Rockville MD 2014 3 24783311
- [60]Nelson M Buelt L Patel K Patient-Centered Primary Care Collaborative The Patient-Centered Medical Home’s Impact on Cost and Quality Annual Review of Evidence 2014–2015 May be accessed at https://www.pcpcc.org
Cited by
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Nekhlyudov, L., Mollica, M. A., Jacobsen, P. B., Mayer, D. K., Shulman, L. N., & Geiger, A. M. (2019) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/djz089 · Cited by 416 · see citing works
Self-citationJacobsen, P. B., DeRosa, A. P., Henderson, T. O., Mayer, D. K., Moskowitz, C. S., Paskett, E. D., & Rowland, J. H. (2018) · Journal of Clinical Oncology · doi:10.1200/jco.2018.77.7482 · Cited by 274 · see citing works
Vaz-Luis, I., Masiero, M., Cavaletti, G., Cervantes, A., Chlebowski, R. T., Curigliano, G., Felip, E., Ferreira, A. R., Ganz, P. A., Hegarty, J., et al. (2022) · Annals of Oncology · doi:10.1016/j.annonc.2022.07.1941 · Cited by 208 · see citing works
Chan, R. J., Crawford-Williams, F., Crichton, M., Joseph, R., Hart, N. H., Milley, K., Druce, P., Zhang, J., Jefford, M., Lisy, K., et al. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01128-1 · Cited by 192 · see citing works
Self-citationMayer, D. K., & Alfano, C. M. (2019) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/djy232 · Cited by 127 · see citing works
Patients’ expectations and preferences regarding cancer follow-up care
Brandenbarg, D., Berendsen, A. J., & de Bock, G. H. (2017) · Maturitas · doi:10.1016/j.maturitas.2017.07.001 · Cited by 45 · see citing works
O'Malley, D. M., Davis, S. N., Devine, K. A., Sullivan, B., Bator, A., Clemow, L., Ferrante, J. M., Findley, P. A., Miller, S. M., & Hudson, S. V. (2020) · Psycho-Oncology · doi:10.1002/pon.5222 · Cited by 25 · see citing works
Self-citationBrauer, E. R., & Ganz, P. A. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.22.00174 · Cited by 12 · see citing works
- Authors
- Nekhlyudov, L., O'malley, D. M., & Hudson, S. V.
- Affiliations
- Brigham and Women's Hospital (US)
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Nekhlyudov, Larissa
- Venue
- The Lancet Oncology
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 18
- Issue
- 1
- Pages
- e30-e38
- ISSN
- 1470-2045 (ISSN-L)
- PMC
- PMC5553291
- OpenAlex
- W2566660488
- Cited by
- 249
- References
- 60
- Citations by year
- 2026: 16 · 2025: 20 · 2024: 27 · 2023: 24 · 2022: 32 · 2021: 41 · 2020: 20 · 2019: 36 · 2018: 23 · 2017: 7 · 2013: 2
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Lancet Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs (CDA‐13‐279)
- National Cancer Institute (R01CA176545, R01CA176838)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- cancer survivors, primary care providers, survivorship care, care transitions, care coordination, survivorship care plans, models of care, health policy, clinical guidelines
- MeSH terms
- Humans, Neoplasms, Practice Patterns, Physicians', Survivors, Evidence-Based Medicine, Physicians, Primary Care
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