Abramson Cancer Center, Perelman Center for Advanced Medicine, University of Pennsylvania, South Pavilion 10-149, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
J Cancer Surviv. 2024 Feb;18(1):29-33. doi: 10.1007/s11764-023-01524-9. Epub 2024 Jan 31.
The Cancer Survivorship Program was established at the University of Pennsylvania Cancer Center in 2001. The Cancer Center was renamed the Abramson Cancer Center of the University of Pennsylvania in 2002 and the survivorship program was henceforth known as the ACC Survivorship Program. The program was supported from 2001 to 2004 in part by a seed grant from the Lance Armstrong Foundation (LAF). The LIVESTRONG Survivorship Centers of Excellence Network was created by the LAF in 2005 and the ACC Survivorship Program joined the Network in 2007. The seven nationwide Cancer Centers that comprised the Network were supported by the LAF through 2015. A focus on clinical care, research, and education led the development of the ACC Survivorship Program. The program is currently led by an advanced practice provider (APP) and staffed by medical, surgical, and radiation oncology APPs and collaborating oncologists. This program provides care to adult survivors of pediatric cancers, as well as survivors of adult-onset cancers such as breast, genitourinary/prostate, lymphoma, head and neck, gastrointestinal, thoracic, sarcoma, and central nervous system. Research protocols for survivors of specific cancer diagnoses have been developed and have resulted in collaborative research, publications, and conference presentations. Sustaining the ACC Survivorship Program has been challenging despite strong endorsement of services by patients, families, and providers. Challenges include barriers such as cost restraints, changing cancer center priorities, and a reduced oncology workforce, issues experienced across the country that must be addressed in the years to come.
宾夕法尼亚大学癌症中心的癌症康复计划成立于 2001 年。该癌症中心于 2002 年更名为宾夕法尼亚大学艾布拉姆森癌症中心,此后该康复计划被称为 ACC 康复计划。该计划在 2001 年至 2004 年期间得到了兰斯·阿姆斯特朗基金会 (LAF) 的种子基金的部分支持。2005 年,LAF 创建了 LIVESTRONG 卓越康复中心网络,ACC 康复计划于 2007 年加入该网络。该网络由全国七个癌症中心组成,得到了 LAF 的支持,直至 2015 年。以临床护理、研究和教育为重点,推动了 ACC 康复计划的发展。该计划目前由一名高级实践提供者 (APP) 领导,并由医学、外科和放射肿瘤学 APP 以及合作肿瘤学家组成。该计划为儿科癌症幸存者以及乳腺癌、泌尿生殖系统/前列腺癌、淋巴瘤、头颈部、胃肠道、胸部、肉瘤和中枢神经系统等成人癌症幸存者提供护理。已经为特定癌症诊断的幸存者制定了研究方案,并进行了合作研究、发表论文和会议演讲。尽管患者、家庭和提供者强烈支持该服务,但维持 ACC 康复计划一直具有挑战性。面临的挑战包括成本限制、癌症中心优先事项的变化以及肿瘤学劳动力减少等障碍,这些问题是全国范围内都必须在未来几年解决的问题。