Adult Cancer Survivorship: Evolution, Research, and Planning Care§

Authors

  • Linda A. Jacobs PhD, RN,

    Corresponding author
    1. Director, LIVESTRONG Survivorship Center of Excellence, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, Clinical Associate Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania
    • LIVESTRONG Survivorship Center of Excellence Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104
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  • Steven C. Palmer PhD,

    1. Research Assistant Professor, Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Lisa A. Schwartz,

    1. The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
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  • Angela DeMichele MD, MSCE,

    1. Associate Professor, Department of Medicine, Divisions of Hematology/Oncology and Epidemiology, Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Jun J. Mao MD, MSCE,

    1. Assistant Professor, Department of Family Medicine and Community Health, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Joseph Carver MD,

    1. Associate Professor, Department of Medicine, Penn Heart and Vascular Center, Chief of Staff, Abramson Cancer Center, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Clarisa Gracia MD, MSCE,

    1. Assistant Professor, Obstetrics and Gynecology, Department of Reproductive Endocrinology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • Christine E. Hill-Kayser MD,

    1. Chief Resident, Department of Radiation and Oncology, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
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  • James M. Metz MD,

    1. Associate Professor and Vice Chair, Department of Radiation Oncology, University of Pennsylvania School of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania
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  • Margaret K. Hampshire BSN, RN,

    1. Oncology Nurse, Department of Radiation Oncology, Managing Editor OncoLink, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania
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  • Carolyn Vachani MSN, RN,

    1. OncoLink Nurse Educator, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania
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  • Donna Pucci MHK,

    1. Research Coordinator, LIVESTRONG Survivorship Center of Excellence, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania
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  • Anna T. Meadows MD

    1. Professor, Department of Medicine and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Abramson Cancer Center University of Pennsylvania, Philadelphia, Pennsylvania
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  • To earn free CME credit or nursing contact hours for successfully completing the online quiz based on this article, go to http://CME.AmCancerSoc.org.

  • DISCLOSURES: Financial support for this study was provided by the Lance Armstrong Foundation, the Sarah Rosato Fund, the VanBuren Family Fund, the Alison and Richard Prezelski Fund, and the American Cancer Society (CCCDA-08-107-08).

  • §

    Available online at http://cajournal.org and http://cacancerjournal.org

Abstract

Increases in the number of adult cancer survivors and other issues have forced the oncology community to examine, evaluate, and alter the cancer care paradigm. Pediatric oncologists are grappling with the task of transitioning a growing population of adult survivors of childhood cancer to adult medicine, while oncologists caring for adult cancer survivors are seeking models of follow-up care that are acceptable to patients and providers. Workforce and access-to-care issues suggest that primary care providers will see more cancer survivors in their practices across time, although it is unclear how prepared they are for this task. Translational research is needed to develop evidence-based clinical care and survivorship care plans. A broad picture of the evolving field of adult cancer survivorship is presented. The recent focus on young adult survivors of childhood cancer, an overview of translational research needed to inform the physical and psychosocial care of cancer survivors, and the roles of primary and specialty care providers managing this population is examined. Finally, an overview of evolving treatment summary and care plan initiatives is presented. CA Cancer J Clin 2009;59:391–410. © 2009 American Cancer Society, Inc.

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