Cited by 1,071Cancer survivorship and careBreast Cancer Treatment StudiesWomen's cancer prevention and management

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American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline

Runowicz, Carolyn D., Leach, Corinne R., Henry, N. Lynn, Henry, Karen S., Mackey, Heather T., Cowens-Alvarado, Rebecca L., Cannady, Rachel S., Pratt-Chapman, Mandi L., Edge, Stephen B., Jacobs, Linda A., Hurria, Arti, Marks, Lawrence B., LaMonte, Samuel J., Warner, Ellen, Lyman, Gary H., Ganz, Patricia A.·2016·Journal of Clinical Oncology

DOI 10.1200/jco.2015.64.3809

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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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“Other studies have reported that hyperglycemia can be caused by the mammalian target of rapamycin inhibitor everolimus, aromatase inhibitors, or L-asparaginase.([8,9,35]) The pathophysiology behind chemotherapy-induced hyperglycemia and diabetes has not been well-elucidated.”
Background
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“However, cancer surveillance guidelines have yet to be established for cancer survivors, except for post-treatment follow-up protocols for a few primary cancer sites, which recommend cancer screening protocol similar to those for the general population [28,29].”
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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: Runowicz, Carolyn D.
Leach, Corinne R.
Henry, N. Lynn
Edge, Stephen B.
Jacobs, Linda A.
Hurria, Arti
Marks, Lawrence B.
Warner, Ellen
Lyman, Gary H.
Ganz, Patricia A.
Venue: Journal of Clinical Oncology
Publisher: American Society of Clinical Oncology (ASCO)
Published: 2016-02-20
Volume: 34
Issue: 6
Pages: 611-635
ISSN: 0732-183X (ISSN-L)
1527-7755
DOI: 10.1200/jco.2015.64.3809
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
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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