Rohan Elizabeth A, Miller Nina, Bonner Floyd, Fultz-Butts Kristi, Pratt-Chapman Mandi L, Alfano Catherine M, Santiago Kristen Cox, Bergman Kendall, Tai Eric
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F76, Chamblee, Atlanta, GA, 30341-3717, USA.
American College of Surgeons, Commission on Cancer, Cancer Liaison Initiatives, Chicago, IL, USA.
Cancer Causes Control. 2018 Dec;29(12):1277-1285. doi: 10.1007/s10552-018-1107-z. Epub 2018 Dec 1.
As of 2016, an estimated 15.5 million cancer survivors were living in the United States and the number of cancer survivors is expected to increase to 20.3 million by 2026. Numerous clinical studies have shown that comorbidities, such as obesity and diabetes, and unhealthy lifestyle choices, such as physical inactivity and heavy smoking, negatively influence overall quality of life and long-term survival of cancer survivors. Accordingly, survivorship programs seek to focus on overall wellness, including symptom management, monitoring for late effects of treatment, monitoring for recurrence, helping patients adapt healthy behaviors, and quality of life. This paper provides a broad overview of public health efforts to address the needs of cancer survivors.
To describe a range of examples of survivorship initiatives in comprehensive cancer control, we analyzed documents from comprehensive cancer control programs and coalitions and solicited detailed examples from several national partners.
Comprehensive cancer control programs, coalitions, and partners are undertaking myriad initiatives to address cancer survivorship and building upon evidence-based interventions to promote healthy behaviors for cancer survivors across the country.
A coordinated public health approach to caring for the growing population of cancer survivors can help address the long-term physical, psychosocial, and economic effects of cancer treatment on cancer survivors and their families.
截至2016年，估计有1550万癌症幸存者生活在美国，预计到2026年癌症幸存者人数将增至2030万。众多临床研究表明，肥胖和糖尿病等合并症以及缺乏体育锻炼和重度吸烟等不健康的生活方式选择会对癌症幸存者的总体生活质量和长期生存产生负面影响。因此，幸存者计划致力于关注整体健康，包括症状管理、监测治疗的后期影响、监测复发情况、帮助患者养成健康行为以及提高生活质量。本文全面概述了为满足癌症幸存者需求而开展的公共卫生工作。
为了描述综合癌症控制中一系列幸存者倡议的实例，我们分析了综合癌症控制项目和联盟的文件，并向几个国家合作伙伴征集了详细实例。
综合癌症控制项目、联盟和合作伙伴正在开展无数倡议，以应对癌症幸存者问题，并在循证干预措施的基础上，促进全国癌症幸存者养成健康行为。
采取协调一致的公共卫生方法来照顾不断增加的癌症幸存者群体，有助于应对癌症治疗对癌症幸存者及其家庭产生的长期身体、心理社会和经济影响。
