NCCN Guidelines Insights: Survivorship, Version 2.2019

The NCCN Guidelines for Survivorship provide screening, evaluation, and treatment recommendations for consequences of cancer and cancer treatment to aid healthcare professionals who work with survivors of adult-onset cancer. Guidance is also provided to help promote physical activity, weight management, and proper immunizations in survivors and to facilitate care coordination to ensure that all needs are addressed. These NCCN Insights summarize some of the topics discussed by the NCCN Survivorship Panel during the 2019 update of the guidelines, including the survivorship population addressed, ways to improve care coordination, and pain management.

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Survivorship, Version 1.2021

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2021.0028 ◽

2021 ◽

Vol 19 (6) ◽

pp. 676-685

Author(s):

Amye Tevaarwerk ◽

Crystal S. Denlinger ◽

Tara Sanft ◽

Shannon M. Ansbaugh ◽

Saro Armenian ◽

...

Keyword(s):

Return To Work ◽

Cancer Survivors ◽

Weight Management ◽

Care Coordination ◽

Healthcare Professionals ◽

Treatment Recommendations ◽

Lifestyle Behaviors ◽

Adult Onset ◽

Nccn Guidelines

The NCCN Guidelines for Survivorship are intended to help healthcare professionals working with cancer survivors to ensure that each survivor’s complex and varied needs are addressed. The Guidelines provide screening, evaluation, and treatment recommendations for consequences of adult-onset cancer and its treatment; recommendations to help promote healthful lifestyle behaviors, weight management, and immunizations in survivors; and a framework for care coordination. This article summarizes the recommendations regarding employment and return to work for cancer survivors that were added in the 2021 version of the NCCN Guidelines.

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NCCN Guidelines Insights: Survivorship, Version 2.2020

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2020.0037 ◽

2020 ◽

Vol 18 (8) ◽

pp. 1016-1023 ◽

Cited By ~ 4

Author(s):

Crystal S. Denlinger ◽

Tara Sanft ◽

Javid J. Moslehi ◽

Linda Overholser ◽

Saro Armenian ◽

...

Keyword(s):

Physical Activity ◽

Cardiovascular Disease ◽

Risk Assessment ◽

Primary Care ◽

Weight Management ◽

Healthcare Professionals ◽

Disease Risk ◽

Cardiovascular Disease Risk ◽

Adult Onset ◽

Nccn Guidelines

The NCCN Guidelines for Survivorship provide screening, evaluation, and treatment recommendations for consequences of adult-onset cancer and its treatment, with the goal of helping healthcare professionals who work with survivors, including those in primary care. The guidelines also provide recommendations to help clinicians promote physical activity, weight management, and proper immunizations in survivors and facilitate care coordination to ensure that all of the survivors’ needs are addressed. These NCCN Guidelines Insights summarize additions and changes made to the guidelines in 2020 regarding cardiovascular disease risk assessment and screening for subsequent primary malignancies.

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Oncologists’ Attitudes and Practice of Addressing Diet, Physical Activity, and Weight Management With Patients With Cancer: Findings of an ASCO Survey of the Oncology Workforce

Journal of Oncology Practice ◽

10.1200/jop.19.00124 ◽

2019 ◽

Vol 15 (6) ◽

pp. e520-e528 ◽

Cited By ~ 14

Author(s):

Jennifer A. Ligibel ◽

Lee W. Jones ◽

Abenaa M. Brewster ◽

Steven K. Clinton ◽

Larissa A. Korde ◽

...

Keyword(s):

Physical Activity ◽

Cancer Treatment ◽

Weight Management ◽

Online Survey ◽

Clinical Care ◽

The United States ◽

Related Factors ◽

Patients With Cancer ◽

Physical Activity Programs ◽

Oncology Providers

PURPOSE: Obesity and related factors have been linked to cancer risk and outcomes, but little information exists with regard to oncologists’ attention to these issues as a part of clinical care. METHODS: Oncology providers actively caring for patients with cancer in the United States and internationally were asked to complete an online survey about practice patterns and perceptions with regard to obesity and weight management during and after active cancer treatment. RESULTS: Nine hundred seventy-one practicing oncology providers completed the survey. The majority of respondents indicated a belief that the evidence linking obesity to cancer outcomes was strong and that weight and related factors should be addressed as a part of cancer treatment. The majority of respondents also reported that they frequently assessed body weight and related factors as well as counsel their patients to exercise, consume a healthy diet, and lose weight, if applicable. However, referral to providers and programs to support weight loss and increased physical activity occurred less frequently, and a number of barriers were identified for the incorporation of weight management and physical activity programs in the treatment of patients with cancer. CONCLUSION: In a survey of oncology providers, attention to weight management, physical activity, and diet in patients with cancer was high during and after cancer treatment but often did not result in referrals to support lifestyle change. Future work is needed to support education and training of oncology providers to facilitate referrals and overcome barriers to implementation of weight management and physical activity programs for patients with cancer.

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Physical activity and nutrition recommendations for weight management during breast cancer treatment

Nursing and Palliative Care ◽

10.15761/npc.1000153 ◽

2017 ◽

Vol 2 (3) ◽

Author(s):

Karen Y Wonders ◽

Brittany Stout

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Cancer Treatment ◽

Weight Management ◽

Breast Cancer Treatment

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Pain assessment and registration in medical oncology clinics: operationalised through the lens of health care professionals and patients

HRB Open Research ◽

10.12688/hrbopenres.13367.1 ◽

2021 ◽

Vol 4 ◽

pp. 86

Author(s):

Laserina O'Connor ◽

Aileen Hassett ◽

Noeleen Sheridan

Keyword(s):

Pain Management ◽

Cancer Pain ◽

Cancer Treatment ◽

Pain Assessment ◽

Health Care Professionals ◽

Healthcare Professionals ◽

Medical Oncology ◽

Pain Treatment ◽

Self Report ◽

Common Symptom

Background: Pain is a common symptom in patients who survive cancer and in those who live with progressive advanced disease. Systematic screening and documentation of pain are necessary to improve the quality of cancer pain treatment, because a key pain-related barrier is that patients are reluctant to discuss pain, due to fear that reporting pain will distract the healthcare professional from their cancer treatment. Methods: This study adopted an explanatory sequential mixed-methods design. Data collection incorporated three strands. The first strand involved a quantitative enquiry in which medical chart reviews of patients (n=100) attending the medical oncology outpatient clinic were examined. The second qualitative strand comprised of semi-structured interviews with patients (n=10) attending that service. The third strand was qualitative and consisted of focus group discussions with healthcare professionals (n=12). Results: All 100 patients had cancer. The quantitative findings confirmed the suboptimum assessment and subsequent recording of patient’s pain, that seemed to afford a reality check for all healthcare professionals. For patients, the outcomes of the anti-cancer treatment were their priority, and pain was perceived as inevitable, being associated with a cancer diagnosis. There were multifaceted complexities voiced amongst healthcare professionals associated with balancing the benefits and harms aligned with treating cancer pain. Conclusions: Pain assessment in medical records was not systematically recorded by healthcare professionals. Patients were reluctant to self-report pain during their medical oncology outpatient review. The expectation that patients will self-report pain can be accommodated by healthcare professionals if a personalized pain goal is part of the cancer pain management plan during each clinical encounter. Healthcare professionals reported a need to take distinct responsibility for supplementing their dearth of knowledge, skills and beliefs regarding assessing and managing patients’ cancer pain. Optimal pain management stems from an interprofessional approach that was applied in this study design.

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