Grunfeld Eva
Cancer Outcomes Research Program, Cancer Care Nova Scotia, Halifax, Nova Scotia, Canada.
J Clin Oncol. 2006 Nov 10;24(32):5166-9. doi: 10.1200/JCO.2006.06.5953.
The prevalence of cancer survivors is increasing worldwide. This creates the imperative to look beyond cancer survival to cancer survivorship. This review explores cancer survivorship from an international perspective in two ways: from a cancer control perspective through a review of cancer control strategies and from a cancer care perspective through a review of clinical practice guidelines and research on cancer follow-up care.
Many national cancer control strategies or cancer charities consider survivorship obliquely, primarily under the umbrellas of quality of life and rehabilitation. Few have well-developed policies or plans specifically directed at survivorship. Cancer follow-up care is recognized internationally as a pressing health care issue. Many countries have tested new and innovative models to deliver follow-up care. Similarly, many countries have developed guidelines that specifically address follow-up care. Few studies or guidelines address the broader, multifaceted aspects of cancer survivorship.
This review suggests that research and recognition of cancer survivorship as a unique phase of the cancer care trajectory need to be improved. In many of the poorer countries of the world, the imperative remains the basics of cancer care: timely diagnosis, access to treatment, and alleviation of suffering.
全球癌症幸存者的数量正在增加。这使得人们有必要从关注癌症生存转向关注癌症幸存者的生活。本综述从国际视角通过两种方式探讨癌症幸存者的生活：从癌症控制角度，通过回顾癌症控制策略；从癌症护理角度，通过回顾临床实践指南和癌症随访护理研究。
许多国家的癌症控制策略或癌症慈善机构对幸存者生活的考虑较为间接，主要是在生活质量和康复的框架下。很少有针对幸存者生活制定完善的政策或计划。癌症随访护理在国际上被公认为一个紧迫的医疗问题。许多国家已经试验了新的创新模式来提供随访护理。同样，许多国家也制定了专门针对随访护理的指南。很少有研究或指南涉及癌症幸存者生活更广泛、多方面的内容。
本综述表明，对癌症幸存者生活作为癌症护理轨迹中一个独特阶段的研究和认识需要改进。在世界上许多较贫穷的国家，当务之急仍然是癌症护理的基本要素：及时诊断、获得治疗和减轻痛苦。
