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Comprehensive cancer control: promoting survivor health and wellness

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Abstract

Purpose

As of 2016, an estimated 15.5 million cancer survivors were living in the United States and the number of cancer survivors is expected to increase to 20.3 million by 2026. Numerous clinical studies have shown that comorbidities, such as obesity and diabetes, and unhealthy lifestyle choices, such as physical inactivity and heavy smoking, negatively influence overall quality of life and long-term survival of cancer survivors. Accordingly, survivorship programs seek to focus on overall wellness, including symptom management, monitoring for late effects of treatment, monitoring for recurrence, helping patients adapt healthy behaviors, and quality of life. This paper provides a broad overview of public health efforts to address the needs of cancer survivors.

Methods

To describe a range of examples of survivorship initiatives in comprehensive cancer control, we analyzed documents from comprehensive cancer control programs and coalitions and solicited detailed examples from several national partners.

Results

Comprehensive cancer control programs, coalitions, and partners are undertaking myriad initiatives to address cancer survivorship and building upon evidence-based interventions to promote healthy behaviors for cancer survivors across the country.

Conclusion

A coordinated public health approach to caring for the growing population of cancer survivors can help address the long-term physical, psychosocial, and economic effects of cancer treatment on cancer survivors and their families.

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References

  1. CDC (2018) Basic information about cancer survivorship. https://www.cdc.gov/cancer/survivorship/basic_info/survivors/. Accessed 18 Apr 2018

  2. CDC (2004) A national action plan for cancer survivorship: advancing public health strategies. https://www.cdc.gov/cancer/survivorship/what_cdc_is_doing/action_plan.htm. Accessed 15 Apr 2018

  3. National Cancer Institute. Office of Cancer Survivorship: Statistics (2016) https://cancercontrol.cancer.gov/ocs/statistics/definitions.html. Accessed 6 May 2018

  4. National Coalition for Cancer Survivorship (2018) https://www.canceradvocacy.org/about-us/our-mission/. Accessed 18 Apr 2018

  5. American Cancer Society, Cancer Facts & Figs 2018 (2018) American Cancer Society, Atlanta. Accessed 18 Apr 2018

  6. Bluethmann SM, Mariotto AB, Rowland JH (2016) Anticipating the “silver tsunami”: prevalence trajectories and comorbidity burden among older cancer survivors in the United States. Cancer Epidemiol Biomark Prev 25(7):1029–1036

    Article  Google Scholar 

  7. Miller KD et al (2016) Cancer treatment and survivorship statistics, 2016. CA Cancer J Clin 66(4):271–289

    Article  Google Scholar 

  8. de Moor JS et al (2013) Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev 22(4):561–570

    Article  Google Scholar 

  9. Meyerhardt JA et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541

    Article  Google Scholar 

  10. Denlinger CS, Barsevick AM (2009) The challenges of colorectal cancer survivorship. J Natl Compr Cancer Netw 7(8):883–893

    Article  Google Scholar 

  11. Ligibel J (2012) Lifestyle factors in cancer survivorship. J Clin Oncol 30(30):3697–3704

    Article  Google Scholar 

  12. Kyrgiou M et al (2017) Adiposity and cancer at major anatomical sites: umbrella review of the literature. BMJ 356:j477

    Article  Google Scholar 

  13. Edwards BK et al (2014) Annual report to the nation on the status of cancer, 1975–2010, featuring prevalence of comorbidity and impact on survival among persons with lung, colorectal, breast, or prostate cancer. Cancer 120(9):1290–1314

    Article  Google Scholar 

  14. De Bruijn KM et al (2013) Systematic review and meta-analysis of the association between diabetes mellitus and incidence and mortality in breast and colorectal cancer. Br J Surg 100(11):1421–1429

    Article  Google Scholar 

  15. Underwood JM et al (2012) Surveillance of demographic characteristics and health behaviors among adult cancer survivors—Behavioral Risk Factor Surveillance System, United States, 2009. MMWR Surveill Summ 61(1):1–23

    PubMed  Google Scholar 

  16. Rohan EA et al (2015) Health behaviors and quality of life among colorectal cancer survivors. J Natl Compr Cancer Netw 13(3):297–302

    Article  Google Scholar 

  17. Hewitt M, Greenfield S, Stovall E (2006) From cancer patient to cancer survivor: lost in transition. National Academies Press, Washington, DC

    Google Scholar 

  18. American Society of Clinical Oncology (2017) The State of Cancer Care in America, 2017: a report by the American Society of Clinical Oncology. J Oncol Pract 13(4):e353–e394

    Article  Google Scholar 

  19. Bodai BI et al (2017) Lifestyle medicine: a brief review of its dramatic impact on health and survival. Perm J. https://doi.org/10.7812/TPP/17-025

    Article  PubMed Central  Google Scholar 

  20. Centers for Disease Control and Prevention. National Comprehensive Cancer Control Program (2018) https://www.cdc.gov/cancer/ncccp/index.htm. Accessed 18 Apr 2018

  21. Rochester PW et al (2010) Comprehensive cancer control: progress and accomplishments. Cancer Causes Control 21(12):1967–1977

    Article  Google Scholar 

  22. Hohman K et al (2010) The CCC National Partnership: an example of organizations collaborating on comprehensive cancer control. Cancer Causes Control 21(12):1979–1985

    Article  Google Scholar 

  23. Kegler MC, Swan DW (2011) An initial attempt at operationalizing and testing the Community Coalition Action Theory. Health Educ Behav 38(3):261–270

    Article  Google Scholar 

  24. Given LS et al (2010) From planning to implementation to outcomes: comprehensive cancer control implementation building blocks. Cancer Causes Control 21(12):1987–1994

    Article  Google Scholar 

  25. Lafranca JA et al (2013) Systematic review and meta-analysis of the relation between body mass index and short-term donor outcome of laparoscopic donor nephrectomy. Kidney Int 83(5):931–939

    Article  Google Scholar 

  26. Underwood JM et al (2015) An evaluation of cancer survivorship activities across National Comprehensive Cancer Control Programs. J Cancer Surviv 9:554–559

    Article  Google Scholar 

  27. Institute of Medicine (2012) The role of obesity in cancer in cancer survival and recurrence. In: Workshop summary. The National Academies Press, Washington, DC

    Google Scholar 

  28. Rohan EA et al (2018) Prioritizing population approaches in cancer prevention and control: results of a case study evaluation of policy, systems, and environmental change population health management. https://doi.org/10.1089/pop.2018.0081

  29. Robison LL et al (2009) The Childhood Cancer Survivor Study: a National Cancer Institute-supported resource for outcome and intervention research. J Clin Oncol 27(14):2308–2318

    Article  Google Scholar 

  30. Steele CB et al (2017) Vital signs: trends in incidence of cancers associated with overweight and obesity–United States, 2005–2014. Morb Mortal Wkly Rep 66(39):1052–1058

    Article  Google Scholar 

  31. Rice MS et al (2016) Breast cancer research in the nurses’ health studies: exposures across the life course. Am J Public Health 106(9):1592–1598

    Article  Google Scholar 

  32. Yuan C et al (2017) Cigarette smoking and pancreatic cancer survival. J Clin Oncol 35(16):1822–1828

    Article  CAS  Google Scholar 

  33. Stewart SL et al (2013) Gynecologic cancer prevention and control in the National Comprehensive Cancer Control Program: progress, current activities, and future directions. J Womens Health 22(8):651–657

    Article  Google Scholar 

  34. U.S. Department of Health and Human Services (2014) The health consequences of smoking: 50 years of progress: a report of the surgeon general. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta

    Google Scholar 

  35. Westmaas JL et al (2014) Prevalence and correlates of smoking and cessation-related behavior among survivors of ten cancers: findings from a nationwide survey nine years after diagnosis. Cancer Epidemiol Biomark Prev 23(9):1783–1792

    Article  Google Scholar 

  36. Dobson Amato KA et al (2015) Tobacco cessation may improve lung cancer patient survival. J Thorac Oncol 10(7):1014–1019

    Article  Google Scholar 

  37. Roach MC et al (2016) It’s never too late: smoking cessation after stereotactic body radiation therapy for non-small cell lung carcinoma improves overall survival. Pract Radiat Oncol 6(1):12–18

    Article  Google Scholar 

  38. American Lung Association (2018). http://www.lungusa2.org/slati/statedetail.php?stateId=22. Accessed 7 Aug 2018

  39. Lauby-Secretan B et al (2016) Body fatness and cancer–viewpoint of the IARC Working Group. N Engl J Med 375(8):794–798

    Article  Google Scholar 

  40. Puckett M et al (2016) Nutrition and physical activity strategies for cancer prevention in Current National Comprehensive Cancer Control Program plans. J Community Health 41(5):1013–1020

    Article  Google Scholar 

  41. Damaskos P, Parry C (2015) Cancer survivorship: concepts, interventions, and research. In: Christ G, Messner C, Behar L (eds) Handbook of oncology social work: psychosocial care of people with cancer. Oxford University Press, New York, pp 57–64

    Google Scholar 

  42. Carter J et al (2018) Interventions to address sexual problems in people with cancer: american society of clinical oncology clinical practice guideline adaptation of cancer care ontario guideline. J Clin Oncol 36(5):492–511

    Article  Google Scholar 

  43. Birken SA et al (2018) Survivorship care plan implementation in US cancer programs: a national survey of cancer care providers. J Cancer Educ. https://doi.org/10.1007/s13187-018-1374-0

    Article  PubMed  Google Scholar 

  44. Shalom MM et al (2011) Do survivorship care plans make a difference? A primary care provider perspective. J Oncol Pract 7(5):314–318

    Article  Google Scholar 

  45. National Cancer Institute (2018) Palliative care in cancer. https://www.cancer.gov/about-cancer/advanced-cancer/care-choices/palliative-care-fact-sheet. Accessed 3 May 2018

  46. World Health Organization (2018) WHO definition of palliative care. http://www.who.int/cancer/palliative/definition/en/. Accessed 3 May 2018

  47. Comprehensive Cancer Control National Partnership. Comprehensive Cancer Control (2018) https://www.cccnationalpartners.org/. Accessed 16 Aug 2018

  48. National Cancer Survivorship Resource Center (2018) https://www.cancer.org/health-care-professionals/national-cancer-survivorship-resource-center.html. Accessed 2 May 2018

  49. Irwin ML et al (2017) Effect of the LIVESTRONG at the YMCA exercise program on physical activity, fitness, quality of life, and fatigue in cancer survivors. Cancer 123(7):1249–1258

    Article  Google Scholar 

  50. Rock CL et al (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62(4):243–274

    Article  Google Scholar 

  51. Cancer Support Community (2017) Insight into the patient experience: Cancer Experience Registry report 2017

  52. Rohan EA (2012) Removing the stress from selecting instruments: arming social workers to take leadership in routine distress screening implementation. J Psychosoc Oncol 30(6):667–678

    Article  Google Scholar 

  53. National Academies of Sciences, Engineering, and Medicine (2018) Long-term survivorship care after cancer treatment: proceedings of a workshop. The National Academies Press, Washington, DC

    Google Scholar 

  54. Brothers BM et al (2011) Cancer patients with major depressive disorder: testing a biobehavioral/cognitive behavior intervention. J Consult Clin Psychol 79(2):253–260

    Article  Google Scholar 

  55. Recklitis CJ, Syrjala KL (2017) Provision of integrated psychosocial services for cancer survivors post-treatment. Lancet Oncol 18(1):e39–e50

    Article  Google Scholar 

  56. Andersen BL et al (2014) Screening, assessment, and care of anxiety and depressive symptoms in adults with cancer: an American Society of Clinical Oncology guideline adaptation. J Clin Oncol 32(15):1605–1619

    Article  Google Scholar 

  57. Pollack LA et al (2005) Cancer survivorship: a new challenge in comprehensive cancer control. Cancer Causes Control 16(Suppl 1):51–59

    Article  Google Scholar 

  58. Koh HK (2010) A 2020 vision for healthy people. N Engl J Med 362(18):1653–1656

    Article  CAS  Google Scholar 

  59. National Cancer Institute (2018) Cancer trends progress report. https://progressreport.cancer.gov. Accessed 6 May 2018

  60. Koh HK, Blakey CR, Roper AY (2014) Healthy people 2020: a report card on the health of the nation. JAMA 311(24):2475–2476

    Article  CAS  Google Scholar 

  61. Weir HK et al (2015) Meeting the healthy people 2020 objectives to reduce cancer mortality. Prev Chronic Dis 12:E104

    Article  Google Scholar 

  62. Schabath MB et al (2017) Ask and tell: the importance of the collection of sexual orientation and gender identity data to improve the quality of cancer care for sexual and gender minorities. J Oncol Pract 13(8):542–546

    Article  Google Scholar 

  63. Ramsey S et al (2013) Washington state cancer patients found to be at greater risk for bankruptcy than people without a cancer diagnosis. Health Aff 32(6):1143–1152

    Article  Google Scholar 

  64. Guy GP Jr et al (2013) Economic burden of cancer survivorship among adults in the United States. J Clin Oncol 31(30):3749–3757

    Article  Google Scholar 

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Funding

Funding source was provided by Centers for Disease Control and Prevention for the National Cancer Survivorship Resource Center: #5U55DP003054.

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Correspondence to Elizabeth A. Rohan.

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The authors declare that they have no conflicts of interest.

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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.

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Rohan, E.A., Miller, N., Bonner, F. et al. Comprehensive cancer control: promoting survivor health and wellness. Cancer Causes Control 29, 1277–1285 (2018). https://doi.org/10.1007/s10552-018-1107-z

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