J Natl Cancer Inst. 2019 Nov 1;111(11):1120-1130. doi: 10.1093/jnci/djz089.
There are now close to 17 million cancer survivors in the United States, and this number is expected to continue to grow. One decade ago the Institute of Medicine report, From Cancer Patient to Cancer Survivor: Lost in Transition, outlined 10 recommendations aiming to provide coordinated, comprehensive care for cancer survivors. Although there has been noteworthy progress made since the release of the report, gaps remain in research, clinical practice, and policy. Specifically, the recommendation calling for the development of quality measures in cancer survivorship care has yet to be fulfilled. In this commentary, we describe the development of a comprehensive, evidence-based cancer survivorship care quality framework and propose the next steps to systematically apply it in clinical settings, research, and policy.
目前美国有近 1700 万癌症幸存者,而且这一数字预计还会继续增长。十年前,医学研究所的报告《从癌症患者到癌症幸存者:在转变中迷失》提出了 10 项建议,旨在为癌症幸存者提供协调、全面的护理。尽管自报告发布以来已经取得了显著的进展,但在研究、临床实践和政策方面仍存在差距。具体来说,该报告呼吁制定癌症生存护理质量措施的建议尚未得到落实。在这篇评论中,我们描述了一个全面的、基于证据的癌症生存护理质量框架的发展,并提出了将其系统地应用于临床环境、研究和政策的下一步措施。