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Lifestyle Medicine in Female Cancer Survivorship
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Amber Orman, Gautam Krishna Koipallil, Meghana Reddy, Nigel Brockton, Michelle Faris, Michelle Tollefson
Any woman diagnosed with cancer is considered a cancer survivor from the time of diagnosis through the rest of her life. However, one limitation of research into the role of lifestyle factors on postdiagnostic outcomes in cancer survivors is the potential that factors may have different effects at different phases of cancer survivorship. The most commonly used definition of phases of survivorship are those proposed by the American Society for Clinical Oncology (ASCO). The first phase, acute survivorship, starts at diagnosis and goes through to the end of initial treatment. Lifestyle factors that impact treatment tolerance and efficacy of therapy are likely to have the greatest impact on survival outcomes during this phase. The next phase, extended survivorship, covers a very extended and heterogeneous period from the completion of therapy to the point at which recurrence is unlikely, and concerns regarding the effect of cancer therapy are reduced. Finally, permanent survivorship is the phase that begins when years have passed since cancer treatment ended, the chances of recurrence are much lower, and the long-term effects of cancer, cancer treatment, and overall health are the focus. Surveillance for cancer spread or recurrence is tailored based on patient age, type of cancer, and the survivorship phase, and is beyond the scope of this chapter.
Malignant Neoplasms
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Amy J. Litterini, Christopher M. Wilson
Care for cancer survivors, considered from the day of diagnosis throughout the duration of life, is an area of medicine and rehabilitation which requires advanced knowledge of the treating clinician. Awareness about how the many different types of cancers present, signs and symptoms of primary and metastatic cancers, side effects of the disease and the various treatments utilized, and a firm understanding of needs and prognoses across the cancer survivorship continuum are vital components for individuals wishing to provide oncology rehabilitation. This chapter will provide an overview of these major aspects, particularly pertaining to advanced cancer, but the authors strongly encourage mentorship from experienced oncology clinicians as well as networking and collaboration with local, regional, and national oncology societies and associations.
Cancer Prevention and Treatment
Published in James M. Rippe, Manual of Lifestyle Medicine, 2021
Lifestyle measures play significant roles in both the prevention and treatment of cancer. In addition, lifestyle measures play an important role in the ongoing health of cancer survivors. These facts are underscored by the Joint Statement issued by the American Cancer Society (ACS), the American Diabetes Association (ADA), and the American Heart Association (AHA) on preventing cancer, cardiovascular disease (CVD), and diabetes (T2DM) (1).
Age as a moderator for the association between depression and self-rated health among cancer survivors: a U.S. based population study
Published in Journal of Psychosocial Oncology, 2023
Anao Zhang, Kaipeng Wang, Chiara Acquati, Aarti Kamat, Emily Walling
The number of cancer survivors in the United States continues to grow, with studies estimating 16.9 million cancer survivors in 2019.1 Notably, this statistic is projected to increase by 31.4%, to 22.2 million, by 2030.2 According to the National Cancer Institute, an individual is considered a cancer survivor from the time of diagnosis, including patients receiving active treatment and post-treatment survivors.3 As cancer survivors’ long-term survival rate continues to improve, attention to their psychosocial outcomes has increased significantly.4 Self-rated health (SRH) is a robust proxy measure of cancer survivors’ general health and encompasses physical, psychosocial, and behavioral health.5 SRH is arguably one of the most significant indicators for cancer survivors’ outcomes because it is predictive of health behaviors, quality of life, and mortality.6,7 Therefore, it is essential for oncology social workers, the primary psychosocial oncology workforce, to understand protective and risk factors that are associated with cancer survivors’ SRH.
Survivorship care planning, quality of life, and confidence to transition to survivorship: A randomized controlled trial with women ending treatment for breast cancer
Published in Journal of Psychosocial Oncology, 2022
Erin L. O’Hea, Samantha Creamer, Julie M. Flahive, Beth A. Keating, Candace R. Crocker, Shannon R. Williamson, Kathryn L. Edmiston, Tina Harralson, Edwin D. Boudreaux
In 2006, the Institute of Medicine published “From Cancer Patient to Cancer Survivor: Lost in Transition.”1 This publication emphasized that cancer survivors were historically ignored in medical care and specifically noted that survivorship care plans should be carefully built for all patients ending treatment for cancer. The Institute of Medicine stated such plans should include four essential components of care: (1) Prevention of recurrent or new cancers and other late effects; (2) Surveillance for cancer spread and assessment of medical and psychosocial late effects; (3) Intervention for consequences of cancer and treatment that address psychosocial distress, sexual dysfunction, physical symptoms and disability, and financial concerns; and (4) Coordination between specialists and primary care providers.1 This publication was received with interest as many providers acknowledged survivorship planning needed to be addressed. It was also received with skepticism because, at the time, there was a lack of evidence that survivorship planning would have a positive impact on survivors.
Feasibility and acceptability of a telehealth behavior change intervention for promoting physical activity and fruit and vegetable consumption among rural-living young adult cancer survivors
Published in Journal of Psychosocial Oncology, 2021
Rural-living YAs are in need of accessible health behavior change interventions to help address the health disparities associated with living in a rural community. Cancer survivors, including YAs, who live in rural areas report poorer overall quality of life, lower functional well-being, and a greater number of cancer-specific symptoms than their urban-living peers.21,22 Cancer survivors have difficulty accessing a range of supportive care services including physical therapy and nutritional counseling in rural communities, likely because there are fewer health professionals on a per-capita basis available in rural areas.23 Therefore, it is necessary to explore means of promoting rural-living YAs’ access to supportive care services that do not require them to travel into urban centers.