Developing a Quality of Cancer Survivorship Care Framework: Implications for Clinical Care, Research, and Policy
Open accessAbstract
There are now close to 17 million cancer survivors in the United States, and this number is expected to continue to grow. One decade ago the Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition, outlined 10 recommendations aiming to provide coordinated, comprehensive care for cancer survivors. Although there has been noteworthy progress made since the release of the report, gaps remain in research, clinical practice, and policy. Specifically, the recommendation calling for the development of quality measures in cancer survivorship care has yet to be fulfilled. In this commentary, we describe the development of a comprehensive, evidence-based cancer survivorship care quality framework and propose the next steps to systematically apply it in clinical settings, research, and policy.
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Optimal comprehensive survivorship care delivery needs to go beyond screening of recurrences and new malignancies and include health promotion, identification and management of physical and psychosocial needs, and proper attention to concomitant chronic health conditions.
“It is now consensual that optimal comprehensive survivorship care delivery needs to go beyond screening of recurrences and new malignancies and include health promotion, identification and management of physical and psychosocial needs, and proper attention to concomitant chronic health conditions.8,10-12”
From Implementing a PROACTive Care Pathway to Empower and Support Survivors of Breast Cancer (2023) · cites this paper as [8]
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Self-citation
- Authors
- Nekhlyudov, L., Mollica, M. A., Jacobsen, P. B., Mayer, D. K., Shulman, L. N., & Geiger, A. M.
- Affiliations
- Brigham and Women's Hospital (US)
- National Cancer Institute (US)
- University of North Carolina at Chapel Hill (US)
- Abramson Cancer Center (US)
- Corresponding author
- Nekhlyudov, Larissa
- ORCID
- Venue
- JNCI: Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-05-16
- Volume
- 111
- Issue
- 11
- Pages
- 1120-1130
- ISSN
- 0027-8874 (ISSN-L)
- 1460-2105
- PMC
- PMC6855988
- OpenAlex
- W2946520226
- Cited by
- 416
- References
- 64
- Citations by year
- 2026: 71 · 2025: 79 · 2024: 63 · 2023: 64 · 2022: 44 · 2021: 56 · 2020: 30 · 2019: 6 · 2018: 1
- FWCI
- 3.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JNCI Journal of the National Cancer Institute (publishedVersion, public-domain)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- 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
- survivorship care, quality of care, quality metrics, care transitions, comprehensive cancer care, health policy, clinical practice
- MeSH terms
- Cancer Survivors, Survivorship, Continuity of Patient Care, Delivery of Health Care, Health Services Needs and Demand, Humans, Neoplasms, Quality of Health Care, Practice Guidelines as Topic, Translational Research, Biomedical
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