American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline
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Answer questions and earn CME/CNE 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 1073 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. CA Cancer J Clin 2016;43–73. © 2015 American Cancer Society.
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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 [10]
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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
- Florida International University (US)
- American Cancer Society (US)
- University of Michigan (US)
- University of Miami (US)
- Oncology Nursing Society (US)
- Vice President, South Atlantic Division Health Systems American Cancer Society Atlanta GA
- George Washington University (US)
- Director Baptist Cancer Center Memphis TN
- Abramson Cancer Center (US)
- City Of Hope National Medical Center (US)
- University of North Carolina at Chapel Hill (US)
- Sunnybrook Health Science Centre (CA)
- Fred Hutch Cancer Center (US)
- University of California, Los Angeles (US)
- Corresponding author
- Leach, Corinne R.
- ORCID
- Venue
- CA: A Cancer Journal for Clinicians
- Publisher
- Wiley
- Published
- 2015-12-07
- Volume
- 66
- Issue
- 1
- Pages
- 43-73
- ISSN
- 0007-9235 (ISSN-L)
- 1542-4863
- OpenAlex
- W2193066862
- Cited by
- 728
- References
- 228
- Citations by year
- 2026: 29 · 2025: 75 · 2024: 100 · 2023: 86 · 2022: 119 · 2021: 79 · 2020: 83 · 2019: 55 · 2018: 49 · 2017: 32 · 2016: 21
- FWCI
- 14.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- CA A Cancer Journal for Clinicians (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- American Cancer Society
- Breast Cancer Research Foundation
- Amgen
- Pfizer
- GlaxoSmithKline
- Celgene
- Sun Nuclear Corporation
- Accuray
- Centers for Disease Control and Prevention
- Genentech
- Takeda Oncology
- 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, physical effects, health promotion, care coordination, primary care
- MeSH terms
- Adult, Aged, American Cancer Society, Body Image, Breast Neoplasms, Female, Genetic Counseling, Humans, Medical History Taking, Middle Aged, Neoplasm Recurrence, Local, Physical Examination, Quality of Life, United States, Neoplasms, Second Primary, Survivors, Risk Assessment, Early Detection of Cancer, Young Adult
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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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