The Resource Models of cancer survivorship care, investigators, Meera Viswanathan, Michael Halpern, Tammeka Swinson Evans, Sarah A Birken, Deborah K Mayer, Ethan Basch

Models of cancer survivorship care, investigators, Meera Viswanathan, Michael Halpern, Tammeka Swinson Evans, Sarah A Birken, Deborah K Mayer, Ethan Basch

Label
Models of cancer survivorship care
Title
Models of cancer survivorship care
Statement of responsibility
investigators, Meera Viswanathan, Michael Halpern, Tammeka Swinson Evans, Sarah A Birken, Deborah K Mayer, Ethan Basch
Creator
Contributor
Author
Issuing body
Subject
Genre
Language
eng
Summary
BACKGROUND: The number of cancer survivors in the United States is projected to grow to 18 million by 2020. In addition to the unique post-treatment needs faced by all cancer survivors, adult cancer survivors have an increased risk for comorbidities that result in significant care coordination challenges. Few publications have described the structure, process, or outcomes of adult survivorship care models for this growing population with complex needs. The purpose of this Technical Brief is to describe existing and proposed models of survivorship care for survivors with adult-onset cancer who have completed active treatment. METHODS: The Technical Brief integrates discussions with Key Informants and targeted searches of published and gray literature on questions of background, context, research gaps, and future research directions. We also conducted a comprehensive and systematic search of the evidence to answer questions on outcomes associated with models of survivorship care. RESULTS: The literature review and Key Informant information consistently indicated considerable heterogeneity in models of survivorship care, components of models, survivor populations, and target outcomes. Models of survivorship care are highly individualized to the institution or setting where they are provided. Broad-based "usual care" for survivors does not exist. Although competing considerations and incentives may lead oncologists or oncology providers in many instances to continue seeing cancer survivors long after treatment ends, anticipated shortages in the oncology workforce may require other approaches such as the expanded use of nurse practitioners and physician assistants, shared care with primary care providers, and patient navigators. Concerns associated with these alternatives include payment considerations, adequacy of training, and the potential for fragmented care. Our systematic review of the literature for the Technical Brief identified nine empirical studies of survivorship care models, covering nurse-led models, physician-led models, models in which survivorship care plan development is a key component, and individual or group counseling models. Future research is needed to explore the optimal timing of survivorship models, tailoring of models based on patient characteristics and risk factors, and key outcomes. CONCLUSIONS: The optimal nature, timing, intensity, format, and outcome of survivorship care models continue to be uncertain. The paucity of evidence limits our ability to make conclusions about the effectiveness of survivorship care models. Further research regarding survivorship care models, focusing on issues including settings, processes and continuity of care, payments, types of health care providers involved, collaborations and communications, outcomes, and differences associated with cancer type or patient sociodemographic characteristics, is needed before recommendations and conclusions regarding model development, implementation, and evaluation can be made
Member of
Cataloging source
NLM
http://library.link/vocab/creatorName
Viswanathan, Meera
Funding information
Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850; www.ahrq.gov Contract No. 290-2012-00008-I. Prepared by: RTI-UNC Evidence-based Practice Center, Research Triangle Park, NC
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • surveys of literature
  • technical reports
NLM call number
QZ 200
http://library.link/vocab/relatedWorkOrContributorName
  • Effective Health Care Program (U.S.)
  • United States
  • RTI International-University of North Carolina Evidence-based Practice Center
Series statement
  • Technical brief
  • AHRQ publication
Series volume
  • number 14
  • no. 14-EHC011-EF
http://library.link/vocab/subjectName
  • Neoplasms
  • Survivors
  • Health Services Needs and Demand
Label
Models of cancer survivorship care, investigators, Meera Viswanathan, Michael Halpern, Tammeka Swinson Evans, Sarah A Birken, Deborah K Mayer, Ethan Basch
Instantiates
Publication
Copyright
Note
"March 2014."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
882609821
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)882609821
Label
Models of cancer survivorship care, investigators, Meera Viswanathan, Michael Halpern, Tammeka Swinson Evans, Sarah A Birken, Deborah K Mayer, Ethan Basch
Publication
Copyright
Note
"March 2014."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
882609821
Extent
1 online resource (various pagings)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)882609821

Library Locations

  • Ellis LibraryBorrow it
    1020 Lowry Street, Columbia, MO, 65201, US
    38.944491 -92.326012
  • Engineering Library & Technology CommonsBorrow it
    W2001 Lafferre Hall, Columbia, MO, 65211, US
    38.946102 -92.330125
  • Fisher Delta Research CenterBorrow it
    2-64 Agricultural Bldg, Columbia, MO, 65201, US
    38.958397 -92.303491
  • Geological Sciences LibraryBorrow it
    201 Geological Sciences, Columbia, MO, 65211, US
    38.947375 -92.329062
  • J. Otto Lottes Health Sciences LibraryBorrow it
    1 Hospital Dr, Columbia, MO, 65201, US
    38.939544 -92.328377
  • Journalism LibraryBorrow it
    102 Reynolds Jrnlism Institute, Columbia, MO, 65211, US
    38.947290 -92.328025
  • Mathematical Sciences LibraryBorrow it
    104 Ellis Library, Columbia, MO, 65201, US
    38.944377 -92.326537
  • University ArchivesBorrow it
    Columbia, MO, 65201, US
  • University Archives McAlester AnnexBorrow it
    703 Lewis Hall, Columbia, MO, 65211, US
    38.934630 -92.342290
  • University of Missouri Libraries DepositoryBorrow it
    2908 Lemone Blvd, Columbia, MO, 65211, US
    38.919360 -92.291620
  • Zalk Veterinary Medical LibraryBorrow it
    Veterinary Medicine West, Columbia, MO, 65211, US
    38.941099 -92.317911
Processing Feedback ...