Supportive care after curative treatment for breast cancer (survivorship care): Resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement

被引：81

作者：

Ganz, Patricia A. ^{[1
]}

Yip, Cheng Har ^{[2
]}

Gralow, Julie R. ^{[3
,4
]}

Distelhorst, Sandra R. ^{[4
]}

Albain, Kathy S. ^{[5
]}

Andersen, Barbara L. ^{[6
]}

Bevilacqua, Jose Luiz B. ^{[7
]}

de Azambuja, Evandro ^{[8
]}

El Saghir, Nagi S. ^{[9
]}

Kaur, Ranjit

McTiernan, Anne ^{[4
]}

Partridge, Ann H. ^{[10
]}

Rowland, Julia H. ^{[11
]}

Singh-Carlson, Savitri ^{[12
]}

Vargo, Mary M. ^{[13
]}

Thompson, Beti ^{[4
]}

Anderson, Benjamin O. ^{[3
,4
]}

机构：

[1] Univ Calif Los Angeles, Los Angeles, CA USA

[2] Univ Malaya, Med Ctr, Kuala Lumpur, Malaysia

[3] Univ Washington, Seattle Canc Care Alliance, Seattle, WA 98195 USA

[4] Fred Hutchinson Canc Ctr, Seattle, WA USA

[5] Loyola Univ Chicago, Stritch Sch Med, Maywood, IL USA

[6] Ohio State Univ, Columbus, OH 43210 USA

[7] Hosp Sirio Libanes, Sao Paulo, Brazil

[8] Inst Jules Bordet, B-1000 Brussels, Belgium

[9] Amer Univ Beirut, Med Ctr, Beirut, Lebanon

[10] Harvard Univ, Sch Med, Dana Farber Canc Inst, Boston, MA 02115 USA

[11] NCI, Bethesda, MD 20892 USA

[12] Calif State Univ Long Beach, Sch Nursing, Long Beach, CA 90840 USA

[13] Case Western Reserve Univ, MetroHlth Rehabil Inst Ohio, Cleveland, OH 44106 USA

来源：

BREAST | 2013年 / 22卷 / 05期

关键词：

Breast cancer; Supportive care; Survivorship; Low- and middle-income countries; Resource allocations; QUALITY-OF-LIFE; FOLLOW-UP CARE; BODY-IMAGE; GUIDELINE IMPLEMENTATION; CULTURAL COMPETENCE; SEXUAL DYSFUNCTION; MEDICAL-EDUCATION; AMERICAN-SOCIETY; PALLIATIVE CARE; ARM LYMPHEDEMA;

D O I：

10.1016/j.breast.2013.07.049

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low- and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert panel identified nine key resources recommended for appropriate survivorship care, and developed resource-stratified recommendations to illustrate how health systems can provide supportive care services for breast cancer survivors after curative treatment, using available resources. Key recommendations include health professional education that focuses on the management of physical and psychosocial long-term treatment complications. Patient education can help survivors transition from a provider-intense cancer treatment program to a post-treatment provider partnership and self-management program, and should include: education on recognizing disease recurrence or metastases; management of treatment-related sequelae, and psychosocial complications; and the importance of maintaining a healthy lifestyle. Increasing community awareness of survivorship issues was also identified as an important part of supportive care programs. Other recommendations include screening and management of psychosocial distress; management of long-term treatment-related complications including lymphedema, fatigue, insomnia, pain, and women's health issues; and monitoring survivors for recurrences or development of second primary malignancies. Where possible, breast cancer survivors should implement healthy lifestyle modifications, including physical activity, and maintain a healthy weight. Health professionals should provide well-documented patient care records that can follow a patient as they transition from active treatment to follow-up care. (C) 2013 The Authors. Published by Elsevier Ltd. All rights reserved.

引用

页码：606 / 615

页数：10

共 115 条

[1]

Abulkhair Omalkhair, 2010, J Natl Compr Canc Netw, V8 Suppl 3, pS8

[2] Quality of life, anxiety and depression in Turkish breast cancer patients and in their husbands [J].