DISCLOSURES: Dr. Schulman-Green is supported by the American Cancer Society (MRSG08-292-01-CPPB, D. Schulman-Green, PI). Dr. McCorkle is supported by a National Institutes of Health grant (R01NR011872). Dr. Kate Lorig receives royalties from Bull Publishing Company.
Article first published online: 4 JAN 2011
Copyright © 2011 American Cancer Society, Inc.
CA: A Cancer Journal for Clinicians
Volume 61, Issue 1, pages 50–62, January/February 2011
How to Cite
McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L. S., Lorig, K. and Wagner, E. H. (2011), Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians, 61: 50–62. doi: 10.3322/caac.20093
- Issue published online: 14 JAN 2011
- Article first published online: 4 JAN 2011
- National Institutes of Health. Grant Number: R01NR011872
With recent improvements in the early detection, diagnosis, and treatment of cancer, people with cancer are living longer, and their cancer may be managed as a chronic illness. Cancer as a chronic illness places new demands on patients and families to manage their own care, and it challenges old paradigms that oncology's work is done after treatment. As a chronic illness, however, cancer care occurs on a continuum that stretches from prevention to the end of life, with early detection, diagnosis, treatment, and survivorship in between. In this article, self-management interventions that enable patients and families to participate in managing their care along this continuum are reviewed. Randomized controlled trials of self-management interventions with cancer patients and families in the treatment, survivorship, and end-of-life phases of the cancer care continuum are reviewed, and the Chronic Care Model is presented as a model of care that oncology practices can use to enable and empower patients and families to engage in self-management. It is concluded that the need for a common language with which to speak about self-management and a common set of self-management actions for cancer care notwithstanding, oncology practices can now build strong relationships with their patients and formulate mutually agreed upon care plans that enable and empower patients to care for themselves in the way they prefer. CA Cancer J Clin 2011. © 2011 American Cancer Society.