Advertisement

Models of Survivorship Care

  • Maria Alma Rodriguez
  • Frances Zandstra
Chapter
Part of the MD Anderson Cancer Care Series book series (MDCCS)

Abstract

The official definition of a cancer survivor encompasses those experiencing the entire trajectory of cancer care, including diagnosis, treatment, and beyond treatment. For each of these three phases, survivors have different health care needs. A report issued in 2005 by the Institute of Medicine, entitled “From Cancer Patient to Cancer Survivor: Lost in Transition,” brought to light the problems that many cancer survivors face once they are past the phase of cancer treatment. Survivors reported they struggled to find health care services and providers in their communities to address their persistent or late-emerging health problems that were secondary to their former cancer diagnosis or effects of treatment. This chapter will describe the process within our institution for developing a multidisciplinary care delivery model, as well as the components of care in the model. The domains of health care that address known and anticipated “after cancer” health care needs of survivors are as follows: surveillance for possible late recurrence of the primary cancer; screening and early detection, as well as prevention, of additional primary cancers; monitoring for and management of persistent or late effects of treatment; and psychosocial health. Communication between the primary oncology teams and community physicians is very important for continuity of care. It is recommended that a summary document be prepared as a care plan for each survivor, detailing the following: type of treatments received; residual and possible future late effects or complications; indicated evaluations for health maintenance; and cancer surveillance/screening.

Keywords

Cancer Survivor Cancer Screening Multidisciplinary Care Survivorship Care Plan National Coalition 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Readings

  1. Adler NE, Page AEK. Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. Washington, DC: National Academy Press; 2008.Google Scholar
  2. Aisenberg AC, Finklestein DM, Doppke KP, et al. High-risk of breast carcinoma after irradiation of young women with Hodgkin’s disease. Cancer 1997;79:1203–1210.PubMedCrossRefGoogle Scholar
  3. American Cancer Society. Cancer facts & figures 2012. http://www.cancer.org/research/cancerfactsfigures/cancerfactsfigures/cancer-facts-figures-2012. Accessed February 14, 2012.
  4. Feeley TW, Fly H, Albright H, Walters R, Burke TW. A method for defining value in healthcare using cancer care as a model. J Healthc Manage 2010;55(6):399–411.Google Scholar
  5. Hewitt ME, Greenfield S, Stovall E., eds. From Cancer Patient to Cancer Survivor: Lost in Transition. Washington, DC: National Academy Press; 2006.Google Scholar
  6. Howlader N, Noone A, Krapcho M, et al., eds. SEER cancer statistics review, 1975–2008. Bethesda, MD: National Cancer Institute. http://seer.cancer.gov/csr/1975_2008. Based on November 2010 SEER data posted 2011. Accessed December 30, 2011.
  7. Lee SJ, Schover LR, Partridge AH, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol 2006;24(18):2917–2931.PubMedCrossRefGoogle Scholar
  8. Levit L, Balogh E, Nass S, Gang PA, eds. Delivering high-quality cancer care: charting a new course for a system in crisis. Washington, DC: Institute of Medicine and National Research Council of the National Academics (The National Academics Press); 2013.Google Scholar
  9. Mullan F. Seasons of survival: reflections of a physician with cancer. New Engl J Med 1985;313:270–273.PubMedCrossRefGoogle Scholar
  10. National Cancer Institute Office of Cancer Survivorship. About cancer survivorship research: history. http://cancercontrol.cancer.gov/ocs/history.html. Updated July 17, 2011. Accessed November 21, 2012.
  11. National Cancer Institute. Facing forward: life after cancer treatment. http://www.cancer.gov/cancertopics/coping/life-after-treatment. Published July 31, 2012. Accessed December 13, 2012.
  12. Porter ME. A strategy for health care reform—toward a value-based system. New Engl J Med 2009;361:109–112.PubMedCrossRefGoogle Scholar
  13. Porter ME, Teisburg EO. Redefining Health Care: Creating Value-Based Competition on Results. Boston, MA: Harvard Business School Press; 2006.Google Scholar
  14. The University of Texas MD Anderson Cancer Center. Clinical practice algorithms. http://www.mdanderson.org/education-and-research/resources-for-professionals/clinical-tools-and-resources/practice-algorithms/index.html. Accessed December 13, 2012.

Copyright information

© The University of Texas M. D. Anderson Cancer Center 2015

Authors and Affiliations

  • Maria Alma Rodriguez
    • 1
  • Frances Zandstra
    • 2
  1. 1.Department of Lymphoma and MyelomaThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Office of Cancer SurvivorshipThe University of Texas MD Anderson Cancer CenterHoustonUSA

Personalised recommendations