Models of cancer survivorship care

Overview and summary of current evidence

Michael Halpern, Meera Viswanathan, Tammeka S. Evans, Sarah A. Birken, Ethan Basch, Deborah K. Mayer

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Introduction: This article, derived from a Technical Brief prepared for the Agency for Healthcare Research and Quality, presents an overview on current models of care for survivors of adult-onset cancer who have completed active treatment. Methods: This article integrates reviewed literature on background, context, research gaps, and future research directions for survivorship care models. We also conducted a systematic literature review of current evidence from studies of survivorship care models. Results: Our systematic review identified nine empirical studies of survivorship care models, covering multiple models types and illustrating the heterogeneity in this field. The literature review 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. "Usual care" is often uncoordinated and highly varied across cancer survivors and within cancer programs. Anticipated shortages in the oncology workforce may require the expanded use of nurse practitioners and physician assistants and shared care with primary care providers to deliver survivorship care to the growing number of survivors. Concerns associated with survivorship care models include payment considerations, adequacy of training, and the potential for lack of coordination and fragmented care. Conclusion: There is substantial variation in survivorship care models. The optimal nature, timing, intensity, format, and outcomes of survivorship care models are uncertain and require further research. Specific research questions need to be addressed by the survivorship community to better understand the advantages and limitations of survivorship models.

Original languageEnglish (US)
Pages (from-to)e19-e27
JournalJournal of Oncology Practice
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Fingerprint

Survival Rate
Neoplasms
Survivors
Research
Physician Assistants
Nurse Practitioners
Health Services Needs and Demand
Health Services Research
Ataxia
Primary Health Care

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

Models of cancer survivorship care : Overview and summary of current evidence. / Halpern, Michael; Viswanathan, Meera; Evans, Tammeka S.; Birken, Sarah A.; Basch, Ethan; Mayer, Deborah K.

In: Journal of Oncology Practice, Vol. 11, No. 1, 01.01.2015, p. e19-e27.

Research output: Contribution to journalArticle

Halpern, M, Viswanathan, M, Evans, TS, Birken, SA, Basch, E & Mayer, DK 2015, 'Models of cancer survivorship care: Overview and summary of current evidence', Journal of Oncology Practice, vol. 11, no. 1, pp. e19-e27. https://doi.org/10.1200/JOP.2014.001403
Halpern, Michael ; Viswanathan, Meera ; Evans, Tammeka S. ; Birken, Sarah A. ; Basch, Ethan ; Mayer, Deborah K. / Models of cancer survivorship care : Overview and summary of current evidence. In: Journal of Oncology Practice. 2015 ; Vol. 11, No. 1. pp. e19-e27.
@article{f4a5584d2552451cb3421316b834ba13,
title = "Models of cancer survivorship care: Overview and summary of current evidence",
abstract = "Introduction: This article, derived from a Technical Brief prepared for the Agency for Healthcare Research and Quality, presents an overview on current models of care for survivors of adult-onset cancer who have completed active treatment. Methods: This article integrates reviewed literature on background, context, research gaps, and future research directions for survivorship care models. We also conducted a systematic literature review of current evidence from studies of survivorship care models. Results: Our systematic review identified nine empirical studies of survivorship care models, covering multiple models types and illustrating the heterogeneity in this field. The literature review 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. {"}Usual care{"} is often uncoordinated and highly varied across cancer survivors and within cancer programs. Anticipated shortages in the oncology workforce may require the expanded use of nurse practitioners and physician assistants and shared care with primary care providers to deliver survivorship care to the growing number of survivors. Concerns associated with survivorship care models include payment considerations, adequacy of training, and the potential for lack of coordination and fragmented care. Conclusion: There is substantial variation in survivorship care models. The optimal nature, timing, intensity, format, and outcomes of survivorship care models are uncertain and require further research. Specific research questions need to be addressed by the survivorship community to better understand the advantages and limitations of survivorship models.",
author = "Michael Halpern and Meera Viswanathan and Evans, {Tammeka S.} and Birken, {Sarah A.} and Ethan Basch and Mayer, {Deborah K.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1200/JOP.2014.001403",
language = "English (US)",
volume = "11",
pages = "e19--e27",
journal = "Journal of Oncology Practice",
issn = "1554-7477",
publisher = "American Society of Clinical Oncology",
number = "1",

}

TY - JOUR

T1 - Models of cancer survivorship care

T2 - Overview and summary of current evidence

AU - Halpern, Michael

AU - Viswanathan, Meera

AU - Evans, Tammeka S.

AU - Birken, Sarah A.

AU - Basch, Ethan

AU - Mayer, Deborah K.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Introduction: This article, derived from a Technical Brief prepared for the Agency for Healthcare Research and Quality, presents an overview on current models of care for survivors of adult-onset cancer who have completed active treatment. Methods: This article integrates reviewed literature on background, context, research gaps, and future research directions for survivorship care models. We also conducted a systematic literature review of current evidence from studies of survivorship care models. Results: Our systematic review identified nine empirical studies of survivorship care models, covering multiple models types and illustrating the heterogeneity in this field. The literature review 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. "Usual care" is often uncoordinated and highly varied across cancer survivors and within cancer programs. Anticipated shortages in the oncology workforce may require the expanded use of nurse practitioners and physician assistants and shared care with primary care providers to deliver survivorship care to the growing number of survivors. Concerns associated with survivorship care models include payment considerations, adequacy of training, and the potential for lack of coordination and fragmented care. Conclusion: There is substantial variation in survivorship care models. The optimal nature, timing, intensity, format, and outcomes of survivorship care models are uncertain and require further research. Specific research questions need to be addressed by the survivorship community to better understand the advantages and limitations of survivorship models.

AB - Introduction: This article, derived from a Technical Brief prepared for the Agency for Healthcare Research and Quality, presents an overview on current models of care for survivors of adult-onset cancer who have completed active treatment. Methods: This article integrates reviewed literature on background, context, research gaps, and future research directions for survivorship care models. We also conducted a systematic literature review of current evidence from studies of survivorship care models. Results: Our systematic review identified nine empirical studies of survivorship care models, covering multiple models types and illustrating the heterogeneity in this field. The literature review 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. "Usual care" is often uncoordinated and highly varied across cancer survivors and within cancer programs. Anticipated shortages in the oncology workforce may require the expanded use of nurse practitioners and physician assistants and shared care with primary care providers to deliver survivorship care to the growing number of survivors. Concerns associated with survivorship care models include payment considerations, adequacy of training, and the potential for lack of coordination and fragmented care. Conclusion: There is substantial variation in survivorship care models. The optimal nature, timing, intensity, format, and outcomes of survivorship care models are uncertain and require further research. Specific research questions need to be addressed by the survivorship community to better understand the advantages and limitations of survivorship models.

UR - http://www.scopus.com/inward/record.url?scp=84921341314&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84921341314&partnerID=8YFLogxK

U2 - 10.1200/JOP.2014.001403

DO - 10.1200/JOP.2014.001403

M3 - Article

VL - 11

SP - e19-e27

JO - Journal of Oncology Practice

JF - Journal of Oncology Practice

SN - 1554-7477

IS - 1

ER -