Integrating a prospective surveillance model for rehabilitation into breast cancer survivorship care§


  • Lynn H. Gerber MD,

    Corresponding author
    1. George Mason University, Center for the Study of Chronic Illness and Disability, Fairfax, Virginia
    • George Mason University, Center for the Study of Chronic Illness and Disability, 4400 University Dr., MS 2G7, Fairfax, VA 22030
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    • Fax: (703) 993-2695

  • Nicole L. Stout MPT, CLT-LANA,

    1. Breast Cancer Center, National Naval Medical Center, Walter Reed National Military Medical Center, Bethesda, Maryland
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  • Kathryn H. Schmitz PhD, MPH,

    1. Division of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Perelman School of Medicine, Abramson Cancer Center, Philadelphia, Pennsylvania
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  • Carrie T. Stricker PhD, RN

    1. Abramson Cancer Center, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania
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  • The articles in this supplement were commissioned based on presentations and deliberations at a Roundtable Meeting on a Prospective Model of Care for Breast Cancer Rehabilitation, held February 24-25, 2011, at the American Cancer Society National Home Office in Atlanta, Georgia.

  • The views expressed in this article are those of the authors and do not necessarily reflect the official positions nor policies of the US Navy, the Department of Defense, or the US Government.

  • §

    The opinions or views expressed in this supplement are those of the authors, and do not necessarily reflect the opinions or recommendations of the editors or the American Cancer Society.

  • A Prospective Surveillance Model for Rehabilitation for Women with Breast Cancer, Supplement to Cancer.

  • Re-use of this article is permitted in accordance with the Terms and Conditions set out at


At some point during or after treatment, breast cancer may be considered a chronic illness, presenting many choices for managing the disease, its adverse treatment-related effects, other medical comorbidities as well as the biobehavioral burden of having a life-threatening disease, even for individuals with potentially curable breast cancer. Health care models, such as the chronic care model, the medical home, and the shared care model, provide a context for building survivorship health care models. Goals and characteristics of recently proposed shared care models for cancer survivorship health care delivery closely align with the goals and concepts of the prospective surveillance model (PSM) proposed elsewhere in this supplement to the journal Cancer. Given these similarities, along with the growth and expansion of survivorship care models and impending mandates for delivery, there is merit to considering how implementation of the PSM can be integrated with models of survivorship care delivery. The PSM model will likely face many similar challenges and barriers that have impeded widespread dissemination of other survivorship models of care. There exist opportunities to integrate lessons learned as well as to align efforts to achieve greater impact on the shared goal of improving health outcomes for breast cancer survivors. Cancer 2012;118(8 suppl):. © 2012 American Cancer Society.