Skip to main content
Log in

An evaluation of cancer survivorship activities across national comprehensive cancer control programs

  • Published:
Journal of Cancer Survivorship Aims and scope Submit manuscript

Abstract

Introduction

Centers for Disease Control and Prevention’s (CDC) National Comprehensive Cancer Control Program (NCCCP) funds states, the District of Columbia, tribal organizations, territories, and jurisdictions across the USA develop and implement jurisdiction-specific comprehensive cancer control (CCC) plans. The objective of this study was to analyze NCCCP action plan data for incorporation and appropriateness of cancer survivorship-specific goals and objectives.

Methods

In August 2013, NCCCP action plans maintained within CDC’s Chronic Disease Management Information System (CDMIS) from years 2010 to 2013 were reviewed to assess the inclusion of cancer survivorship objectives. We used the CDMIS search engine to identify “survivorship” within each plan and calculated the proportion of programs that incorporate cancer survivorship-related content during the study period and in each individual year. Cancer survivorship objectives were then categorized by compatibility with nationally accepted, recommended strategies from the report A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies (NAP).

Results

From 2010 to 2013, 94 % (n = 65) of NCCCP action plans contained survivorship content in at least 1 year during the time period and 38 % (n = 26) of all NCCCP action plans addressed cancer survivorship every year during the study period. Nearly 64 % (n = 44) of NCCCP action plans included cancer survivorship objectives recommended in NAP.

Conclusion

Nearly all NCCCP action plans addressed cancer survivorship from 2010 to 2013, and most programs implemented recommended cancer survivorship efforts during the time period.

Implications for Cancer Survivors

NCCCP grantees can improve cancer survivorship support by incorporating recommended efforts within each year of their plans.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Hewitt M, Greenfield S, Stovall E. From cancer patient to cancer survivor: lost in transition. Committee on cancer survivorship: Improving care and quality of life. Washington (DC): National Academies Press; 2006.

    Google Scholar 

  2. Underwood, J. M., et al., Surveillance of demographic characteristics and health behaviors among adult cancer survivors—behavioral risk factor surveillance system, United States, 2009. 2012.

  3. de Moor JS et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev. 2013;22(4):561–70.

    Article  Google Scholar 

  4. A national action plan for cancer survivorship: advancing public health strategies. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention; 2004.

  5. Sabatino SA et al. Receipt of cancer treatment summaries and follow-up instructions among adult cancer survivors: results from a national survey. J Cancer Surviv. 2013;7(1):32–43.

    Article  PubMed  Google Scholar 

  6. Dulko, D., et al. Barriers and facilitators to implementing cancer survivorship care plans. In Oncology Nursing Forum. 2013. Onc Nurs Society.

  7. Fairley TL et al. Addressing cancer survivorship through public health: an update from the Centers for Disease Control and Prevention. J Women′s Health. 2009;18(10):1525–31.

    Article  Google Scholar 

  8. National Comprehensive Cancer Control Program. Centers for disease control and prevention. http://www.cdc.gov/cancer/ncccp/about.htm. Accessed February 25, 2014

  9. Major A, Stewart SL. Celebrating 10 years of the national comprehensive cancer control program, 1998 to 2008. Prev Chronic Dis. 2009;6(4):A133.

    PubMed Central  PubMed  Google Scholar 

  10. Stewart SL et al. Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions. J Women’s Health. 2013;22(8):651–7.

    Article  Google Scholar 

  11. Neri, A., S. L. Stewart, and W. Angell, Peer reviewed: radon control activities for lung cancer prevention in National Comprehensive Cancer Control Program plans, 2005–2011. Preventing chronic disease, 2013. 10.

  12. Dunne, K., et al., Peer reviewed: an update on tobacco control initiatives in comprehensive cancer control plans. Preventing Chronic Disease, 2013. 10.

  13. White, D., Evidence-based interventions and screening recommendations for colorectal cancer in comprehensive cancer control plans: a content analysis.

  14. Momin B, Richardson L. An analysis of content in comprehensive cancer control plans that address chronic hepatitis B and C virus infections as major risk factors for liver cancer. J Community Health. 2012;37(4):912–6.

    Article  PubMed  Google Scholar 

  15. Pollack LA et al. Cancer survivorship: a new challenge in comprehensive cancer control. Cancer Causes Control. 2005;16 Suppl 1:51–9.

    Article  PubMed  Google Scholar 

  16. Underwood JM et al. Persistent cigarette smoking and other tobacco use after a tobacco-related cancer diagnosis. J Cancer Surviv. 2012;6(3):333–44.

    Article  PubMed  Google Scholar 

  17. Rajotte EJ et al. Community-based exercise program effectiveness and safety for cancer survivors. J Cancer Surviv. 2012;6(2):219–28.

    Article  PubMed  Google Scholar 

  18. Huntsman DG, Gilks CB. Surgical staging of early stage epithelial ovarian cancer. Gynecol Oncol. 2011;122(2):460–1.

    Article  PubMed  Google Scholar 

  19. O′Malley CD et al. The implications of age and comorbidity on survival following epithelial ovarian cancer: summary and results from a Centers for Disease Control and Prevention study. J Women′s Health. 2012;21(9):887–94.

    Article  Google Scholar 

  20. Hamilton AS et al. Regional, provider, and economic factors associated with the choice of active surveillance in the treatment of men with localized prostate cancer. JNCI Monographs. 2012;2012(45):213–20.

    Article  Google Scholar 

  21. Trivers KF et al. Issues of ovarian cancer survivors in the USA: a literature review. Support Care Cancer. 2013;21(10):2889–98.

    Article  PubMed  Google Scholar 

  22. Roland KB et al. A literature review of the social and psychological needs of ovarian cancer survivors. Psychooncology. 2013;22(11):2408–18.

    Article  PubMed  Google Scholar 

  23. U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2007 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010. Available at: www.cdc.gov/uscs.

  24. Martin, M. Y., et al., Meeting the information needs of lower income cancer survivors: results of a randomized control trial evaluating the American Cancer Society′s “I Can Cope”. Journal of health communication, 2014(ahead-of-print): p. 1–19.

  25. Birken, S.A., et al., Following through: the consistency of survivorship care plan use in United States cancer programs. Journal of Cancer Education, 2014: p. 1–9.

  26. Stricker CT, O′Brien M. Implementing the commission on cancer standards for survivorship care plans. Clin J Oncol Nurs. 2014;18:15–22.

    Article  PubMed  Google Scholar 

  27. Freeman HP, Rodriguez RL. History and principles of patient navigation. Cancer. 2011;117(S15):3537–40.

    Article  Google Scholar 

  28. Dohan D, Schrag D. Using navigators to improve care of underserved patients. Cancer. 2005;104(4):848–55.

    Article  PubMed  Google Scholar 

  29. Percac-Lima S et al. A culturally tailored navigator program for colorectal cancer screening in a community health center: a randomized, controlled trial. J Gen Intern Med. 2009;24(2):211–7.

    Article  PubMed Central  PubMed  Google Scholar 

  30. Wells KJ et al. Do community health worker interventions improve rates of screening mammography in the United States? A systematic review. Cancer Epidemiol Biomark Prev. 2011;20(8):1580–98.

    Article  Google Scholar 

  31. Cancer, A.C.o.S.C.o., Cancer program standards 2012: ensuring patient-centered care. 2011: American College of Surgeons.

Download references

Acknowledgments

This work was supported by the Centers for Disease Control and Prevention’s Division of Cancer Prevention and Control. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Conflict of interest

All authors have read and approved the manuscript, and there are no financial disclosures and conflicts of interests.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Michael Underwood.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Underwood, J.M., Lakhani, N., Rohan, E. et al. An evaluation of cancer survivorship activities across national comprehensive cancer control programs. J Cancer Surviv 9, 554–559 (2015). https://doi.org/10.1007/s11764-015-0432-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11764-015-0432-4

Keywords

Navigation