ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe
Published 10 August 2022 – Ann Oncol
Authors: Ines Vaz-Luis, Marianna Masiero, Guido Cavaletti, Andres Cervantes, Rowan T. Chlebowski, Giuseppe Curigliano, Enriqueta Felip, Arlindo R. Ferreira, Patricia A. Ganz, Josephine Hegarty, Justin Jeon, Christoffer Johansen, Florence Joly, Karin Jordan, Bogda Koczwara, Pernilla Lagergren, Matteo Lambertini, Daniel Lenihan, Helena Linardou, Charles Loprinzi, Ann H. Partridge, Stefan Rauh, Karen Steindorf, Winette van der Graaf, Lonneke van de Poll-Franse, George Pentheroudakis, Solange Peters, Gabriella Pravettoni
We identified five main components of survivorship care: (1) physical effects of cancer and chronic medical conditions; (2) psychological effects of cancer; (3) social, work and financial effects of cancer (4) surveillance for recurrences and second cancers; and (5) cancer prevention and overall health and well-being promotion. Survivorship care can be delivered by structured care models including but not limited to shared models integrating primary care and oncology services. The choice of the care model to be implemented has to be adapted to local realities. High quality care should be expedited by the generation of: (1) focused and shared European recommendations, (2) Creation of tools to facilitate implementation of coordinated care and (3) survivorship educational programs for health care teams and patients. The research agenda should be defined with the participation of health care providers, researchers, policy makers and patients and caregivers. The following patient centered survivorship research areas were highlighted: (1) generation of a big data platform to collect long-term real-world data in survivors and healthy controls to a) understand the resources, needs and preferences of cancer patients, and b) understand biological determinants of survivorship issues, and (2) develop innovative effective interventions focused on the main components of survivorship care.