TAILIEUCHUNG - Ebook Oncology in primary care: Part 2
(BQ) Part 2 book “Oncology in primary care” hass contents: Bone health, hepatocellular carcinoma, prostate cancer, bladder cancer, kidney cancer, breast cancer, gynecologic cancers, psychosocial sequelae of cancer, sexual dysfunction, and other contents. | SECTION VI Cancer Survivorship (c) 2015 Wolters Kluwer. All Rights Reserved. CHAPTER 38 Cancer Survivors, Oncologists, and Primary Care Clinicians Kevin C. Oeffinger, MD KEY POINTS • The population of cancer survivors is growing rapidly; many cancer survivors have complex health care needs. • Risk-based health care of cancer survivors is lifelong care that integrates the cancer and survivorship experience in the overall health care needs of the individual and includes a systematic plan for surveillance and prevention that incorporates risks based on the previous cancer, cancer therapy, genetic factors, lifestyle behaviors, and comorbid health conditions. • The survivorship care plan is a key component of risk-based health care. • Many cancer survivors are lost in transition from active therapy to posttreatment health care and have many health care needs that are not addressed. • The primary care clinician’s role in the care of cancer survivors is critically important. strategies that incorporate prevention and early detection. The Institute of Medicine (IOM) published two seminal reports on survivors of childhood and adult The latter report, subtitled Lost in Transition, highlighted the fact that the transition of patients from active cancer therapy to posttreatment care is often Through these reports, the concept of risk-based health care for cancer survivors was developed. Risk-based health care (Table 38-1) is an approach to lifelong care that integrates the cancer and survivorship experience in the overall health care needs of the individual and includes a systematic plan for surveillance and prevention that incorporates risks based on the previous cancer, cancer therapy, genetic factors, lifestyle behaviors, and comorbid health conditions. The document that is the cornerstone of this process is the survivorship care plan (SCP), which includes an individualized cancer treatment summary, information on potential late effects, and .
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