【Cancer Survivorship 癌症生存】


【原文】Advances in cancer screening and early detection, improvements in therapeutics, and supportive care all contribute to decreasing cancer mortality. There will be an estimated 26 million survivors in 2040, the majority of whom will be in their 60s, 70s, or 80s. Nearly every health care provider will encounter cancer survivors. At present, the care of cancer survivors is often an after thought, tends to be fragmentary, and is not well integrated into the mainstream of cancer care. Also, the best models for providing survivor care remain undefined. Some models exist, but there are scant data on their effectiveness in improving survivorship outcomes. But survivors face a wide range of medical and psyco-social changes that need to be planed for and properly managed. Survivorship starts at the time of diagnosis and lasts throughout the lifespan. This holistic definition encourages clinicians to think about the care of survivors as an integral part of the cancer care continuum. Included in the definition of survivors are family members, friends, and caregivers. The primary reason for including these persons is that in most cases cancer is not experienced alone. The two most pressing challenges are meeting the needs of the growing population of older cancer survivors and providing care for survivors of childhood cancer who have treatment-related cancers and coexisting medical conditions.