Assessment of the status of A National Action Plan for Cancer Survivorship in the USA
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
There are currently more than 12 million cancer survivors in the USA. Survivors face many issues related to cancer and treatment that are outside the purview of the clinical care system. Therefore, understanding and providing for the evolving needs of cancer survivors offers challenges and opportunities for the public health system. In 2004, the Centers for Disease Control and Prevention and the Lance Armstrong Foundation, now the Livestrong Foundation, partnered with national cancer survivorship organizations to develop the National Action Plan for Cancer Survivorship (NAPCS). This plan outlines public health strategies to address the needs of cancer survivors. To date, no assessment of NAPCS strategies and their alignment with domestic cancer survivorship activities has been conducted.
The activities of five national organizations with organized public health agendas about cancer survivorship were assessed qualitatively during 2003–2007. Using the NAPCS as an organizing framework, interviews were conducted with key informants from all participating organizations. Interview responses were supplemented with relevant materials from informants and reviews of the organizations’ websites.
Strategies associated with surveillance and applied research; communication, education, and training; and programs, policy, and infrastructure represent a large amount of the organizational efforts. However, there are gaps in research on preventive interventions, evaluation of implemented activities, and translation.
Numerous NAPCS strategies have been implemented. Future efforts of national cancer survivorship organizations should include rigorous evaluation of implemented activities, increased translation of research to practice, and assessment of dissemination efforts.
Implications for Cancer Survivors
The results of this descriptive assessment provide cancer survivors, cancer survivorship organizations, researchers, providers, and policy makers with initial information about cancer survivorship public health efforts in the USA. Additionally, results suggest areas in need of further attention and next steps in advancing the national cancer survivorship public health agenda.
- Centers for Disease Control and Prevention and Lance Armstrong Foundation. A national action plan for cancer survivorship: advancing public health strategies. Atlanta: US Department of Health and Human Services, 2004.
- Centers for Disease Control and Prevention. Basic information about cancer survivorship. Atlanta: CDC. http://www.cdc.gov/cancer/survivorship/basic_info (2011). Accessed 16 May 2012.
- Centers for Disease Control and Prevention. Cancer survivors—United States, 2007. MMWR Morb Mortal Wkly Rep. 2011;60:269–72.
- Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Altekruse SF, Kosary CL, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975–2009 (Vintage 2009 Populations). Bethesda: National Cancer Institute. http://seer.cancer.gov/csr/1975_2009_pops09/, based on November 2011 SEER data submission, posted to the SEER web site, April 2012.
- Edwards BK, Howe HL, Ries LA, Thun ML, Rosenberg HM, Yancik R, et al. Annual report to the nation on the status of cancer, 1973–1999, featuring implications of age and aging on the U.S. cancer burden. Cancer. 2002;94:2766–92. CrossRef
- Centers for Disease Control and Prevention. Cancer survivorship—United States, 1971–2001. MMWR Morb Mortal Wkly Rep. 2004;53:526–9.
- Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst. 2004;96:1322–30. CrossRef
- Institute of Medicine. From cancer patient to cancer survivor: lost in transition. Washington: The National Academy Press; 2006.
- Institute of Medicine. Cancer care for the whole patient: meeting psychosocial health needs. Washington: National Academy Press; 2008.
- President’s Cancer Panel. Living beyond cancer: finding a new balance, 2003–2004 annual report. Bethesda: National Cancer Institute. http://deainfo.nci.nih.gov/advisory/pcp/annualReports/index.htm (2004). Accessed 10 Jan 2013.
- Rajotte EJ, Yi JC, Baker KS, Gregerson L, Leiserowitz A, Syriala KL. Community-based exercise program effectiveness and safety for cancer survivors. J Cancer Surviv. 2012;6:219–28. CrossRef
- Brown JC, Chu CS, Al C, Schmitz KH. The prevalence of lymphedema symptoms among survivors of long-term cancer with or at risk for lower limb lymphedema. Am J Phys Med Rehabil. 2013;92:223–31. CrossRef
- Levy EW, Pfalzer LA, Danoff L, Springer BA, McGarvey C, Shieh CY, et al. Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery. Breast Cancer Res Treat. 2012;134:315–24. CrossRef
- Hawkins NA, Pollack LA, Leadbetter S, Steele WR, Carroll J, Dolan JG, et al. Informational needs of patients and perceived adequacy of information available before and after treatment of cancer. J Psychosoc Oncol. 2008;26:1–16. CrossRef
- Kent EE, Arora NK, Rowland JH, Bellizzi KM, Forsythe LP, Hamilton AS, et al. Health information need and health-related quality of life in a diverse population of long-term cancer survivors. Patient Educ Couns. 2012;89:345–52. CrossRef
- Hoffman KE, McCarthy EP, Recklitis CJ, Ng AK. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009;169:1274–81. CrossRef
- Andrykowski MA. Physical and mental health status of survivors of multiple cancer diagnoses: findings from the National Health Interview Survey. Cancer. 2012;118:3645–53. CrossRef
- Davidoff AJ, Erten M, Shaffer T, Shoemaker JS, Zuckerman IH, Pandya N, et al. Out-of-pocket health care expenditure burden for medicare beneficiaries with cancer. Cancer. 2013;119:1257–65. CrossRef
- Bellury L, Pett MA, Ellington L, Beck SL, Clark JC, Stein KD. The effect of aging and cancer on the symptom experience and physical function of elderly breast cancer survivors. Cancer. 2012;118:6171–8. CrossRef
- Cohen HJ, Lan L, Archer L, Kornblith AB. Impact of age, comorbidity and symptoms on physical function in long-term breast cancer survivors (CALGB 70803). J Geriatr Oncol. 2012;3:82–9. CrossRef
- Fairley TL, Pollack LA, Moore AR, Smith JL. Addressing cancer survivorship through public health: an update from the Centers for Disease Control and Prevention. J Womens Health. 2009;18:525–31. CrossRef
- Smith T, Stein KD, Mehta CC, Kaw C, Kener JL, Buskirk T, et al. The rationale, design and implementation of the American Cancer Society’s studies of cancer survivors. Cancer. 2007;109:1–12. CrossRef
- Blanchard CM, Courneya KS, Stein K. American Cancer Society’s SCS-II. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II J Clin Oncol. 2008;26:2198–204.
- Hawkins NA, Smith T, Zhao L, Rodriguez J, Berkowitz Z, Stein KD. Health-related behavior change after cancer: results from the American Cancer Society’s Studies of Cancer Survivors (SCS). J Cancer Surviv. 2010;4:20–32. CrossRef
- Shi Q, Smith T, Michonski JD, Stein KD, Kaw C, Cleeland CS. Symptom burden in cancer survivors 1 year after diagnosis: a report from the American Cancer Society’s Studies of Cancer Survivors. Cancer. 2011;17:2779–90. CrossRef
- Butler A, Owen-Smith A, DiIorio C, Goodman M, Liff J, Steenland K. Use of complementary and alternative medicine among men with prostate cancer in a rural setting. J Community Health. 2011;36:1004–10. CrossRef
- Wheeler SB, Wu Y, Meyer AM, Carpenter WR, Richardson LC, Smith JL, et al. Use and timeliness of radiation therapy after breast-conserving surgery in low-income women with early-stage breast cancer. Cancer Invest. 2012;30:258–67. CrossRef
- Zeliadt SB, Moinpour CM, Blough D, Penson DF, Hall IJ, Smith JL, et al. Preliminary treatment considerations among men with newly diagnosed prostate cancer. Am J Manag Care. 2010;16:e121–30.
- Zeliadt SB, Penson DF, Moinpour CM, Blough DK, Fedorenko CR, Hall IJ, et al. Provider and partner interactions in the treatment decision-making process for newly diagnosed localized prostate cancer patients. BJU Int. 2011;108:851–6.
- Ramsey SD, Zeliadt SB, Fedorenko CR, Blough DK, Moinpour CM, Hall IJ, et al. Patient preferences and urologist recommendations among local-stage prostate cancer patients who present for initial consultation and second opinion. World J Urol. 2011;29:3–9. CrossRef
- Institute of Medicine and Commission on Life Sciences. Ensuring quality cancer care. Washington: The National Academy Press; 1999.
- Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. JCO. 2006;24:2917–31. CrossRef
- Coccia PF, Altman J, Bhatia S, Borinstein SC, Flynn J, George S, et al. Adolescent and young adult oncology. J Natl Compr Canc Netw. 2012;10:1112–50.
- Wilson KM, Fridinger F. Focusing on public health: a different look at translating research to practice. J Womens Health. 2008;17:173–9. CrossRef
- Pollack LA, Hawkins NA, Peaker BL, Buchanan N, Riesendal BC. Dissemination and translation: a frontier for cancer survivorship research. Cancer Epi Biomarkers Prev. 2011;20:2093–8. CrossRef
- Assessment of the status of A National Action Plan for Cancer Survivorship in the USA
Journal of Cancer Survivorship
Volume 7, Issue 3 , pp 425-438
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Cancer survivorship
- National Action Plan for Cancer Survivorship
- Public health
- Industry Sectors
- Author Affiliations
- 1. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mail Stop K-55, Atlanta, GA, 30341, USA
- 7. Prevention and Response Branch, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
- 2. Behavioral Research Center, Intramural Research Department, American Cancer Society, Atlanta, GA, USA
- 3. Livestrong Foundation, Austin, TX, USA
- 4. National Coalition for Cancer Survivorship, Silver Spring, MD, USA
- 5. CancerCare, New York, NY, USA
- 6. RTI International, Research Triangle Park, NC, USA