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明尼苏达大学生存项目的发展与变迁:进展、挑战与机遇。

The development and flux of the University of Minnesota Survivorship Program: progress, challenges, and opportunities.

机构信息

Department of Medicine, Division of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN, USA.

M Health Fairview, Minneapolis, MN, USA.

出版信息

J Cancer Surviv. 2024 Feb;18(1):42-52. doi: 10.1007/s11764-023-01520-z. Epub 2024 Jan 31.

Abstract

For the past 30 years, the University of Minnesota's Cancer Survivorship Program has been dedicated to providing exceptional care to patients who have lived the cancer experience. Our model is consultative, risk-stratified, and oncologist-led but executed predominately by advanced practice providers. Care is personalized and serves three survivor populations: children, adults, and patients who received BMT with over 500 new patients evaluated annually. As guidelines and survivorship standards have changed, our clinical programs have evolved from a focus on survivorship care plans to supportive care. The program offers a wide range of supportive services from acupuncture to nutritional services as well as several educational programs for patients. The program has a strong research legacy, notably as the birthplace of research that led to the Children's Oncology Group Guidelines as well as advancements in cardio-oncology and frailty after bone marrow transplantation. In 2021, we hosted the first annual Survivorship Research Forum, providing the opportunity and space for experts across disciplines to exchange ideas on a broad range of survivorship topics not possible at other national cancer-related conferences. With successes and challenges, we have identified opportunities for growth as our program continues to evolve and grow in our goal to improve cancer outcomes along a wide spectrum of physical, emotional, functional, and social dimensions. IMPLICATIONS FOR CANCER SURVIVORS: The University of Minnesota Cancer Survivorship Program provides care, education, and research opportunities for patients across the cancer continuum.

摘要

在过去的 30 年里,明尼苏达大学的癌症生存项目一直致力于为经历过癌症的患者提供卓越的护理。我们的模式是咨询式的、风险分层的、以肿瘤学家为主导但主要由高级实践提供者执行的。护理是个性化的,服务于三个生存者群体:儿童、成人和接受过 BMT 的患者,每年有超过 500 名新患者接受评估。随着指南和生存标准的改变,我们的临床项目已经从关注生存护理计划发展到支持性护理。该项目提供了广泛的支持服务,从针灸到营养服务,以及为患者提供的几个教育项目。该项目拥有强大的研究传统,特别是作为儿童肿瘤学组指南研究的发源地,以及在心脏肿瘤学和骨髓移植后虚弱方面的进展。2021 年,我们举办了第一届年度生存研究论坛,为跨学科专家提供了交流思想的机会和空间,讨论其他国家癌症相关会议上不可能涉及的广泛生存主题。在取得成功和面临挑战的同时,我们已经确定了增长的机会,因为我们的项目在继续发展和壮大,我们的目标是沿着广泛的身体、情感、功能和社会维度改善癌症结果。对癌症幸存者的影响:明尼苏达大学癌症生存项目为癌症连续体中的患者提供护理、教育和研究机会。

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