Cancer survivorship care is comprehensive care for all people who have a history of cancer. It begins at the time of diagnosis, has the goal of assessing and mitigating the impact of cancer and its treatment, and includes the following components of care:
- Surveillance and amelioration of physical, emotional, and psychological effects, including evaluation of risk, prevention, and management of late effects
- Surveillance for recurrence and new cancers
- Assessment and promotion of health behaviors (e.g., smoking cessation, physical activity)
- Coordination of care between care team members, health systems, survivors, and caregivers
- Addressing comorbidities and preventing and managing chronic conditions exacerbated by cancer and its treatment
- Engagement in care planning, including discussing goals of care and advanced care planning
- Provision of supportive health services (e.g., nutrition, occupational and physical therapy, rehabilitation, sexual health, fertility services, dental and podiatry services)
- Genetic risk assessment or referral to genetic testing as appropriate
- Management of social risks, health-related social needs, education and employment
- Addressing financial hardship and insurance coverage
In lieu of U.S. Federal guidelines on cancer survivorship, the following meta-analyses inform the interventions selected for inclusion on EBCCP:
- Psychosocial
- Meta-analysis of psychosocial interventions on survival time in patients with cancer.
- Effects of psychosocial support interventions on survival in inpatient and outpatient healthcare settings: A meta-analysis of 106 randomized controlled trials.
- A systematic review and meta-analysis of psychosocial interventions for immigrant and limited English proficient cancer patients.
- Mindfulness-based psychosocial interventions and psychological wellbeing in cancer survivorship: a meta-analysis.
- Effects of psychosocial interventions on meaning and purpose in adults with cancer: A systematic review and meta-analysis.
- Health Behaviors
- Effects of tandem cognitive behavioral therapy and healthy lifestyle interventions on health-related outcomes in cancer survivors: a systematic review.
- Effectiveness of mobile health for exercise promotion on cardiorespiratory fitness after a cancer diagnosis: A systematic review and meta-analysis.
- Interventions for insomnia in cancer patients and survivors-a comprehensive systematic review and meta-analysis.
- Quality of Life
Additional evidence can be found in the following: