Ganz Patricia A, Hahn Erin E
Division of Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, 650 Charles Young Dr South, Room A2-125 CHS, Los Angeles, CA 90095-6900, USA.
J Clin Oncol. 2008 Feb 10;26(5):759-67. doi: 10.1200/JCO.2007.14.2851.
Breast cancer survivors account for 23% of the more than 10 million cancer survivors in the United States today. The treatments for breast cancer are complex and extend over a long period of time. The post-treatment period is characterized by gradual recovery from many adverse effects from treatment; however, many symptoms and problems persist as late effects (eg, infertility, menopausal symptoms, fatigue), and there may be less frequent long-term effects (eg, second cancers, lymphedema, osteoporosis). There is increasing recognition of the need to summarize the patient's course of treatment into a formal document, called the cancer treatment summary, that also includes recommendations for subsequent cancer surveillance, management of late effects, and strategies for health promotion. This article provides guidance on how oncologists can implement a cancer treatment summary and survivorship care plan for breast cancer survivors, with examples and linkage to useful resources. Providing the breast cancer treatment summary and survivorship care plan is being recognized as a key component of coordination of care that will foster the delivery of high-quality cancer care.
乳腺癌幸存者占当今美国1000多万癌症幸存者的23%。乳腺癌的治疗复杂且持续时间长。治疗后的阶段特点是从治疗带来的许多不良反应中逐渐恢复；然而，许多症状和问题会持续存在成为晚期效应（如不孕、更年期症状、疲劳），并且可能有不太常见的长期效应（如二次癌症、淋巴水肿、骨质疏松）。人们越来越认识到有必要将患者的治疗过程总结成一份正式文件，即癌症治疗总结，其中还包括后续癌症监测、晚期效应管理以及健康促进策略的建议。本文就肿瘤学家如何为乳腺癌幸存者实施癌症治疗总结和生存护理计划提供指导，并举例说明并链接到有用资源。提供乳腺癌治疗总结和生存护理计划正被视为护理协调的关键组成部分，这将促进高质量癌症护理的提供。
