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J Natl Cancer Inst. 2018 Dec 1;110(12):1300-1310. doi: 10.1093/jnci/djy176.

Long-Term Survivorship Care After Cancer Treatment - Summary of a 2017 National Cancer Policy Forum Workshop.

Author information

1
Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services, Baltimore, MD.
2
Healthcare Delivery and Disparities Research Program, Patient Centered Outcomes Research Institute, Washington, DC.
3
Department of Health Systems, Management, and Policy, School of Public Health, University of Colorado, Denver, CO.
4
Jonsson Comprehensive Cancer Center, University of California - Los Angeles, Los Angeles, CA.
5
Office of Minority Health, Centers for Medicare & Medicaid Services, Baltimore, MD.
6
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
7
Independent Consultant in Survivorship and Medical Ethics, Arlington, VA.
8
National Coalition for Cancer Survivorship, Silver Spring, MD.
9
Department of Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, MA.
10
Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD.
11
Smith Center for Healing and the Arts, Washington, DC.
12
LIVESTRONG Cancer Institutes at Dell Medical School, University of Texas at Austin, Austin, TX.
13
Department of Health Policy & Management and Medicine, Schools of Public Health and Medicine, Jonsson Comprehensive Cancer Center, University of California - Los Angeles, Los Angeles, CA.

Abstract

The National Cancer Policy Forum of the National Academies of Sciences, Engineering and Medicine sponsored a workshop on July 24 and 25, 2017 on Long-Term Survivorship after Cancer Treatment. The workshop brought together diverse stakeholders (patients, advocates, academicians, clinicians, research funders, and policymakers) to review progress and ongoing challenges since the Institute of Medicine (IOM)'s seminal report on the subject of adult cancer survivors published in 2006. This commentary profiles the content of the meeting sessions and concludes with recommendations that stem from the workshop discussions. Although there has been progress over the past decade, many of the recommendations from the 2006 report have not been fully implemented. Obstacles related to the routine delivery of standardized physical and psychosocial care services to cancer survivors are substantial, with important gaps in care for patients and caregivers. Innovative care models for cancer survivors have emerged, and changes in accreditation requirements such as the Commission on Cancer's (CoC) requirement for survivorship care planning have put cancer survivorship on the radar. The Center for Medicare & Medicaid Innovation's Oncology Care Model (OCM), which requires psychosocial services and the creation of survivorship care plans for its beneficiary participants, has placed increased emphasis on this service. The OCM, in conjunction with the CoC requirement, is encouraging electronic health record vendors to incorporate survivorship care planning functionality into updated versions of their products. As new models of care emerge, coordination and communication among survivors and their clinicians will be required to implement patient- and community-centered strategies.

PMID:
30496448
DOI:
10.1093/jnci/djy176

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