American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline
Abstract
The purpose of the American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline is to provide recommendations to assist primary care and other clinicians in the care of female adult survivors of breast cancer. A systematic review of the literature was conducted using PubMed through April 2015. A multidisciplinary expert workgroup with expertise in primary care, gynecology, surgical oncology, medical oncology, radiation oncology, and nursing was formed and tasked with drafting the Breast Cancer Survivorship Care Guideline. A total of 1,073 articles met inclusion criteria; and, after full text review, 237 were included as the evidence base. Patients should undergo regular surveillance for breast cancer recurrence, including evaluation with a cancer-related history and physical examination, and should be screened for new primary breast cancer. Data do not support performing routine laboratory tests or imaging tests in asymptomatic patients to evaluate for breast cancer recurrence. Primary care clinicians should counsel patients about the importance of maintaining a healthy lifestyle, monitor for post-treatment symptoms that can adversely affect quality of life, and monitor for adherence to endocrine therapy. Recommendations provided in this guideline are based on current evidence in the literature and expert consensus opinion. Most of the evidence is not sufficient to warrant a strong evidence-based recommendation. Recommendations on surveillance for breast cancer recurrence, screening for second primary cancers, assessment and management of physical and psychosocial long-term and late effects of breast cancer and its treatment, health promotion, and care coordination/practice implications are made. This guideline was developed through a collaboration between the American Cancer Society and the American Society of Clinical Oncology and has been published jointly by invitation and consent in both CA: A Cancer Journal for Clinicians and Journal of Clinical Oncology. Copyright © 2015 American Cancer Society and American Society of Clinical Oncology. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without written permission by the American Cancer Society or the American Society of Clinical Oncology.
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Additional content was developed based on peer-reviewed sources, as well as mixed methods research conducted by the research team and involving iNNOVBC's primary and secondary end users.
“Additional content was developed based on peer-reviewed sources [46-50], as well as mixed methods research conducted by the research team and involving iNNOVBC’s primary and secondary end users [51,52].”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [50]
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BackgroundObesity and Breast Cancer Prognosis: Evidence, Challenges, and Opportunities
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Cancer treatment and survivorship statistics, 2025
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ESO–ESMO 4th International Consensus Guidelines for Breast Cancer in Young Women (BCY4)
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“estrogen-based treatments are controversial or discouraged for women with a history of or at high risk for breast cancer.(20)”
BackgroundESO–ESMO fifth international consensus guidelines for breast cancer in young women (BCY5)
Paluch–Shimon, S., Cardoso, F., Partridge, A. H., Abulkhair, O. A. M., Azim, H. A., Bianchi-Micheli, G., Cardoso, M. J., Curigliano, G., Gelmon, K. A., Gentilini, O., et al. (2022) · Annals of Oncology · doi:10.1016/j.annonc.2022.07.007 · Cited by 242 · see citing works
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Self-citationCardio-oncology - strategies for management of cancer-therapy related cardiovascular disease
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Clinical practice guidelines for BRCA1 and BRCA2 genetic testing
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“However, most guidelines do not represent international consensus, differ from each other in the lBRCAm threshold retained (10% [14,15] or 5% [11]) and may not integrate the recent need for BRCA genotyping for PARPi treatment and personalised breast cancer management.”
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Going Beyond Being Lost in Transition: A Decade of Progress in Cancer Survivorship
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Presence of Circulating Tumor Cells in High-Risk Early Breast Cancer During Follow-Up and Prognosis
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BRCA1/BRCA2Pathogenic Variant Breast Cancer: Treatment and Prevention Strategies
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Provision of integrated psychosocial services for cancer survivors post-treatment
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“Patients with the following characteristics are excluded: (1) T4 and stage IV breast cancer by AJCC seventh edition,(14) (2) evidence of local or distant recurrence, (3) history of other cancer within 5 years prior to entry into the study, with the exception of basal cell carcinoma of the skin or carcinoma in situ of…”
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- Authors
- 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., Hurria, A., Marks, L. B., LaMonte, S. J., Warner, E., Lyman, G. H., & Ganz, P. A.
- Affiliations
- American Cancer Society (US)
- Carolyn D. Runowicz, Herbert Wertheim College of Medicine, Florida International University; Karen S. Henry, Sylvester Cancer Center at the University of Miami, Miami, FL; Corinne R. Leach, Rebecca L. Cowens-Alvarado, Rachel S. Cannady, and Samuel J. LaMonte, American Cancer Society, Atlanta, GA; N. Lynn Henry, University of Michigan, Comprehensive Cancer Center, Ann Arbor, MI; Heather T. Mackey, Oncology Nursing Society, Pittsburgh; Linda A. Jacobs, Abramson Cancer Center, University of Pennsylvania,...
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2016-02-20
- Volume
- 34
- Issue
- 6
- Pages
- 611-635
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2191632272
- Cited by
- 1,071
- References
- 229
- Citations by year
- 2026: 69 · 2025: 84 · 2024: 74 · 2023: 68 · 2022: 109 · 2021: 126 · 2020: 144 · 2019: 123 · 2018: 119 · 2017: 98 · 2016: 52 · 2015: 1 · 2013: 2
- FWCI
- 39.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Chronic Disease Prevention and Health Promotion (5U55DP003054)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer survivorship care, endocrine therapy adherence, late effects of cancer treatment, long-term effects of cancer treatment, psychosocial impact, health promotion, care coordination, primary care, quality of life
- MeSH terms
- Anxiety, Body Image, Breast Neoplasms, Cardiovascular Diseases, Cognition Disorders, Depression, Fatigue, Female, Genetic Counseling, Health Promotion, Humans, Life Style, Lymphedema, Neoplasm Recurrence, Local, Osteoporosis, Patient Care Planning, Population Surveillance, Primary Health Care, Sexual Dysfunction, Physiological, Neoplasms, Second Primary, Survivors, Hot Flashes, Medication Adherence, Pain Management
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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