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Quality Cancer Care pp 1–12Cite as

Outlining the Crisis in Cancer Care

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Abstract

The task of providing accessible, high-quality care to cancer patients is facing an increasing number of stresses and threatens to reach a crisis in the future. This literature review looks at these stresses. The US population increased 0.07% (2.2 million) in 2016. Aging is a major risk factor for cancer and the number of persons over 65 is projected to double by 2050. The needed increased workforce is not projected to be adequate. The increased complexity of cancer care creates the need for improved communication among providers and patients. The rising cost of health care has been unsustainable and solutions are controversial, changing, and unresolved. Quality is an essential component of cancer care but measures are in development and challenging to implement. Knowledge of these stresses can help cancer programs in their strategic planning as they prepare to face these challenges and work to provide quality cancer care.

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References

  1. United States Census Bureau. Tuesday December 20, 2016. Release number: CB16-214.

    Google Scholar 

  2. Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States. Population Estimates and Projections. Current Population Reports. US Department of Commerce, Economics and Statistics Administration, US Census Bureau. 2014. p. 25–1140. https://www.census.gov/prod/2014pubs/p25-1140.pdf.

  3. Pew Research Center. The changing face of America 1965–2065. www.pewresearch.org/ft_16-01-25_nextamerica_fig.2_1_495px/.

  4. American Cancer Society. Cancer Facts and Figures 2017. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2017.html.

  5. Lifetime risk (percent) of being diagnosed with cancer by site and race/ethnicity:males, 18 SEER Areas, 2010–2012 (Table 1.16). http://seer.cancer.gov/csr/1975_2012/browse_csr.php?sectionSEL=1&pageSEL=sect_01_table.16.html and females, 18 SEER Areas, 2010–2012 (Table 1.17) http://seer.cancer.gov/csr/1975_2012/browse_csr.php?sectionSEL=1&pageSEL=sect_01_table.17.html.2014.

  6. Lifetime risk (percent) of dying from cancer by site and race/ethnicity:males, Total US, 2010–2012 (Table 1.19) http://seer.cancer.gov/csr/1975_2012/browse_csr.php?sectopmSEL=1&pageSEL=sect_01_table.19.html and females, total US, 2010–2012 (Table 1.20) http://seer.cancer.gov/csr/1975_2012/browse_csr.php?sectionSEL=1&pageSEL=set_01_table.20.html.2014.

  7. Serrano M. Unraveling the links between cancer and aging. Carcinogenesis. 2016;37(2):107.

    Article  CAS  PubMed  Google Scholar 

  8. Li D, de Glas NA, Hurria A. Cancer and aging: general principles, biology, and geriatric assessment. Clin Geriatr Med. 2016;32(1):1–15.

    Article  PubMed  Google Scholar 

  9. Marosi C, Koller M. Challenge of cancer in the elderly. ESMO Open. 2016;1(3):e000020. eCollection 2016.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bluethmann SM, Mariotto AB, Rowland JH. Anticipating the “Silver Tsunami”: prevalence trajectories and comorbidity burden among older cancer survivors in the United States. Cancer Epidemiol Biomark Prev. 2016;25(7):1029–36.

    Article  Google Scholar 

  11. Hutchins L, Unger J, Crowley J, Coltman C, Albain K. Underrepresentation of patients 65 years of age or older in cancer-treatment trials. N Engl J Med. 1999;341:2061–7.

    Article  CAS  PubMed  Google Scholar 

  12. Feinstein A. The pre-therapeutic classification of co-morbidity in chronic disease. J Chronic Dis. 1970;23:45–469.

    Article  Google Scholar 

  13. Sarfati D, Koczwara B, Jackson C. The impact of comorbidity on cancer and its treatment. CA Cancer J Clin. 2016;66:337–50.

    Article  PubMed  Google Scholar 

  14. Mohile S, Hurria A, Cohen H, Rowland J, Leach C, Arora N, et al. Improving the quality of survivorship for older adults with cancer. Cancer. 2016;122:2459–68.

    Article  PubMed  Google Scholar 

  15. Rowland J, Bellizzi K. Cancer survivorship issues: life after treatment and implications for an aging population. J Clin Oncol. 2014;32(24):2662–8.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Global Burden of Disease Cancer Collaboration. Global, Regional, and National Cancer Incidence, Mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol. 2017;3(4):524–48.

    Article  PubMed Central  Google Scholar 

  17. Mayer D, Nasso S, Earp J. Defining cancer survivors, their needs, and perspectives on survivorship health care in the USA. Lancet Oncol. 2017;18:e11–8.

    Article  PubMed  Google Scholar 

  18. Snyder C, Frick K, Herbert R, Blackford A, Neville B, Lemke K, et al. Comorbid condition care quality in cancer survivors: role of primary care and specialty providers and care coordination. J Cancer Surviv. 2015;9:641–9.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Mayer D, Shapiro C, Jacobson P, McCabe M. Assuring quality cancer survivorship care: we’ve only just begun. Am Soc Clin Oncol Educ Book. 2015:e583–91.

    Article  Google Scholar 

  20. Levit L, Smith A, Benz E, Ferrell B. Ensuring quality cancer care through the oncology workforce. J Oncol Pract. 2010;6(1):7–11.

    Article  PubMed  PubMed Central  Google Scholar 

  21. ASCO State of Cancer 2016. American Society of Clinical Oncology. 2016. doi:101200/JOP2015.010462.

  22. ASCO. The State of cancer care in America 2017. Proc Am Soc Clin Oncol. 2017;13(4):e353–94. https://doi.org/10.1200/JOP.2016.020743.

    Article  Google Scholar 

  23. CancerCare. CancerCare patient access and engagement report. New York: CancerCare; 2016.

    Google Scholar 

  24. Lyman G, Levine M. Comparative effectiveness research in oncology: an overview. J Clin Oncol. 2012;30(34):4181–4.

    Article  PubMed  Google Scholar 

  25. Neuss M, Desch C, McNiff K, Eisenberg P, Gesme D, Jacobson J. A process for measuring the quality of cancer care: the quality oncology process initiative. J Clin Oncol. 2005;23(25):6233–9.

    Article  PubMed  Google Scholar 

  26. Tina Shih YC, Mullins Daniel C, Drummond M. The role of economic evaluation in meeting IOM’s recommendations on delivering high-quality cancer care. Value Health. 2014;17(5):497–500.

    Article  PubMed  Google Scholar 

  27. Martin A, Hartman M, Washington B, Catlin A, The National Health Expenditures Accounts Team. National health spending: faster growth in 2015 as coverage expands and utilization increases. Health Aff (Millwood). 2017;36(1):166–76.

    Article  Google Scholar 

  28. Collins S, Rasmussen P, Beulet S, Doty M. The problem of underinsurance and how rising deductibles will make it worse: findings from the common wealth fund biennial health insurance survey, 2014. Issue Brief (Commonw Fund). 2015;13:1–20.

    Google Scholar 

  29. Kale H, Carroll N. Self-reported financial burden of cancer care and its effect on physical and mental health-related quality of life among US cancer survivors. Cancer. 2016;122:1283–9.

    Article  Google Scholar 

  30. Pisu M, Azuero A, Benz R, McNees P, Meneses K. Out-of-pocket costs and burden among rural breast cancer survivors. Cancer Med. 2017;6(3):572–81.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Bradley C. Economic recovery: a measure of the quality of cancer treatment and survivorship. Cancer. 2015;121:4282–5.

    Article  PubMed  Google Scholar 

  32. Halpern M, Brawley O. Insurance status, health equity, and the cancer care continuum. Cancer. 2016;122:3106–9.

    Article  PubMed  Google Scholar 

  33. Shih Y, Chien C. A review of cost communication in oncology: patient attitude provider acceptance, and outcome assessment. Cancer. 2017;123:928–39.

    Article  PubMed  Google Scholar 

  34. Kaiser Family Foundation. “Key facts about the uninsured population” KFF.org. 2016. http://www.kff.org/uninsured/fact=sheet/key-facts-about-the-uninsured-population/.

  35. Auter Z. U.S. Uninsured rate rises to 11.7%. www.news.gallup. July 10, 2017. Gallup and Healthways U.S. Uninsured Rate Rises to 11.7%. Healthcare. 2017. http://news.gallup.com/poll/213665/uninsured-rate-rises.aspx.

  36. Jost T. First steps of repeal, replace, and repair. Health Aff. 2017;36(3):398–9.

    Article  Google Scholar 

  37. Institute of Medicine. Best care at lower cost: the path to continuously learning health care in America. 2012. http://www.nationalacademies.org/hmd/Reports/2012/Best-Care-at-Lower-Cost-The-Path-to-Continuously-Learning-Health-Care-in-America.aspx.

  38. The National Academy of Sciences, Engineering and Medicine: Delivering high-quality cancer care: charting a new course for a system. 2013. http//nationalacademes.org/hmd/reports/2013/delivering-high-quality-cancer-care-charting-a-new-course-for-a-system-in-crisis.aspx.

  39. Nekhlyudov L, Levit L, Hurria A, Ganz P. Patient-centered, evidence-based, and cost-conscious cancer care across the continuum: translating the Institute of Medicine report into clinical practice. CA Cancer J Clin. 2014;64:408–21.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Sanford School of Medicine, University of South Dakota, Vermillion, SD, USA

    Mary J. Milroy

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  1. Mary J. Milroy
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Editors and Affiliations

  1. Cape Cod Healthcare, Falmouth, Massachusetts, USA

    Peter Hopewood

  2. University of South Dakota Sanford School of Medicine, Vermillion, South Dakota, USA

    Mary J. Milroy

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Milroy, M.J. (2018). Outlining the Crisis in Cancer Care. In: Hopewood, P., Milroy, M. (eds) Quality Cancer Care . Springer, Cham. https://doi.org/10.1007/978-3-319-78649-0_1

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  • DOI: https://doi.org/10.1007/978-3-319-78649-0_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78648-3

  • Online ISBN: 978-3-319-78649-0

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