Department of Pharmacy, National University of Singapore, Blk S4A level 3, 18 Science Drive 4, Singapore, 117543, Singapore.
Department of Pharmacy, National Cancer Centre Singapore, 11 Hospital Drive, Singapore, 169610, Singapore.
Support Care Cancer. 2018 Jul;26(7):2125-2141. doi: 10.1007/s00520-018-4197-y. Epub 2018 Apr 25.
Well-elucidated survivorship care models are pertinent in the long-term management of cancer survivors. This review aims to update existing literature and evaluate the key components of such models with a focus on breast, colorectal, and adolescent and young adult (AYA) cancer survivors.
The PubMed electronic database were searched comprehensively for relevant publications in English through February 2017. Additional manual searches were conducted for reference lists and official guidelines published by oncology societies. Included studies addressed the correct cancer type, elaborated on each model's structure and provided patient-related outcome data to support its model's effectiveness if applicable.
Among the 25 included studies, six articles described survivorship models applicable to all cancer types, and the remaining focused on breast cancer (n = 10), colorectal cancer (n = 3), and AYA cancer survivors (n = 6). Shared-care model was largely described for all cancer types whereas multidisciplinary model predominated for AYA cancer survivors. Upon evaluation, these models described the essential components of survivorship care fairly well except for the care coordination component. Also, the definition of time points of care was vague and noncomprehensive.
The reviewed survivorship model studies were comprehensive but were limited by a lack of existing rigorous evaluation efforts to assess their effectiveness. This review further provided valuable recommendations for future methodological evaluation of such models. This review has highlighted care coordination as an area for improvement and emphasized the importance of obtaining data on the effectiveness of these survivorship models to ensure satisfactory quality of life and health outcomes.
详细阐述的生存护理模式对于癌症幸存者的长期管理至关重要。本综述旨在更新现有文献，并评估这些模型的关键组成部分，重点关注乳腺癌、结直肠癌和青少年及年轻成人（AYA）癌症幸存者。
通过 2017 年 2 月在 PubMed 电子数据库中全面检索英文相关出版物。还对肿瘤学会发布的参考文献列表和官方指南进行了手动搜索。纳入的研究涉及正确的癌症类型，详细说明了每个模型的结构，并提供了患者相关的结果数据，以支持其模型的有效性（如适用）。
在 25 项纳入的研究中，有 6 篇文章描述了适用于所有癌症类型的生存模型，其余的则专注于乳腺癌（n=10）、结直肠癌（n=3）和 AYA 癌症幸存者（n=6）。共享护理模式在所有癌症类型中得到了广泛描述，而多学科模式则在 AYA 癌症幸存者中占主导地位。经评估，这些模型相当详细地描述了生存护理的基本组成部分，但护理协调部分除外。此外，护理时间点的定义也比较模糊且不全面。
所综述的生存模型研究较为全面，但由于缺乏对其有效性进行严格评估的现有努力，存在一定的局限性。本综述进一步为未来对这些模型进行方法学评估提供了有价值的建议。本综述突出了护理协调作为改进的一个领域，并强调了获得这些生存模型有效性数据的重要性，以确保满意的生活质量和健康结果。
