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Improved models of care for cancer survivors
The number of survivors of cancer is increasing substantially. Current models of care are unsustainable and fail to address the many unmet needs of survivors of cancer. Numerous trials have investigated alternate models of care, including models led by primary-care providers, care shared between onc...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009839/ https://www.ncbi.nlm.nih.gov/pubmed/35430022 http://dx.doi.org/10.1016/S0140-6736(22)00306-3 |
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author | Jefford, Michael Howell, Doris Li, Qiuping Lisy, Karolina Maher, Jane Alfano, Catherine M Rynderman, Meg Emery, Jon |
author_facet | Jefford, Michael Howell, Doris Li, Qiuping Lisy, Karolina Maher, Jane Alfano, Catherine M Rynderman, Meg Emery, Jon |
author_sort | Jefford, Michael |
collection | PubMed |
description | The number of survivors of cancer is increasing substantially. Current models of care are unsustainable and fail to address the many unmet needs of survivors of cancer. Numerous trials have investigated alternate models of care, including models led by primary-care providers, care shared between oncology specialists and primary-care providers, and care led by oncology nurses. These alternate models appear to be at least as effective as specialist-led care and are applicable to many survivors of cancer. Choosing the most appropriate care model for each patient depends on patient-level factors (such as risk of longer-term effects, late effects, individual desire, and capacity to self-manage), local services, and health-care policy. Wider implementation of alternative models requires appropriate support for non-oncologist care providers and endorsement of these models by cancer teams with their patients. The COVID-19 pandemic has driven some changes in practice that are more patient-centred and should continue. Improved models should shift from a predominant focus on detection of cancer recurrence and seek to improve the quality of life, functional outcomes, experience, and survival of survivors of cancer, reduce the risk of recurrence and new cancers, improve the management of comorbidities, and reduce costs to patients and payers. This Series paper focuses primarily on high-income countries, where most data have been derived. However, future research should consider the applicability of these models in a wider range of health-care settings and for a wider range of cancers. |
format | Online Article Text |
id | pubmed-9009839 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90098392022-04-15 Improved models of care for cancer survivors Jefford, Michael Howell, Doris Li, Qiuping Lisy, Karolina Maher, Jane Alfano, Catherine M Rynderman, Meg Emery, Jon Lancet Series The number of survivors of cancer is increasing substantially. Current models of care are unsustainable and fail to address the many unmet needs of survivors of cancer. Numerous trials have investigated alternate models of care, including models led by primary-care providers, care shared between oncology specialists and primary-care providers, and care led by oncology nurses. These alternate models appear to be at least as effective as specialist-led care and are applicable to many survivors of cancer. Choosing the most appropriate care model for each patient depends on patient-level factors (such as risk of longer-term effects, late effects, individual desire, and capacity to self-manage), local services, and health-care policy. Wider implementation of alternative models requires appropriate support for non-oncologist care providers and endorsement of these models by cancer teams with their patients. The COVID-19 pandemic has driven some changes in practice that are more patient-centred and should continue. Improved models should shift from a predominant focus on detection of cancer recurrence and seek to improve the quality of life, functional outcomes, experience, and survival of survivors of cancer, reduce the risk of recurrence and new cancers, improve the management of comorbidities, and reduce costs to patients and payers. This Series paper focuses primarily on high-income countries, where most data have been derived. However, future research should consider the applicability of these models in a wider range of health-care settings and for a wider range of cancers. Elsevier Ltd. 2022 2022-04-14 /pmc/articles/PMC9009839/ /pubmed/35430022 http://dx.doi.org/10.1016/S0140-6736(22)00306-3 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Series Jefford, Michael Howell, Doris Li, Qiuping Lisy, Karolina Maher, Jane Alfano, Catherine M Rynderman, Meg Emery, Jon Improved models of care for cancer survivors |
title | Improved models of care for cancer survivors |
title_full | Improved models of care for cancer survivors |
title_fullStr | Improved models of care for cancer survivors |
title_full_unstemmed | Improved models of care for cancer survivors |
title_short | Improved models of care for cancer survivors |
title_sort | improved models of care for cancer survivors |
topic | Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009839/ https://www.ncbi.nlm.nih.gov/pubmed/35430022 http://dx.doi.org/10.1016/S0140-6736(22)00306-3 |
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