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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Survivorship services for adult cancer populations: a pan-Canadian guideline</title>
<author><name sortKey="Howell, D" sort="Howell, D" uniqKey="Howell D" first="D." last="Howell">D. Howell</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hack, T F" sort="Hack, T F" uniqKey="Hack T" first="T. F." last="Hack">T. F. Hack</name>
<affiliation><nlm:aff id="af2-conc-18-e265">Faculty of Nursing (Hack) and Manitoba Palliative Care Research Unit (Sabiston, Sinclair), University of Manitoba, Winnipeg, MB</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-conc-18-e265">Patient and Family Support Services, CancerCare Manitoba, Winnipeg, MB</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliver, T K" sort="Oliver, T K" uniqKey="Oliver T" first="T. K." last="Oliver">T. K. Oliver</name>
<affiliation><nlm:aff id="af4-conc-18-e265">Department of Oncology, McMaster University, Hamilton, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chulak, T" sort="Chulak, T" uniqKey="Chulak T" first="T." last="Chulak">T. Chulak</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mayo, S" sort="Mayo, S" uniqKey="Mayo S" first="S." last="Mayo">S. Mayo</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aubin, M" sort="Aubin, M" uniqKey="Aubin M" first="M." last="Aubin">M. Aubin</name>
<affiliation><nlm:aff id="af5-conc-18-e265">Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, QC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chasen, M" sort="Chasen, M" uniqKey="Chasen M" first="M." last="Chasen">M. Chasen</name>
<affiliation><nlm:aff id="af6-conc-18-e265">Palliative Care Program, University of Ottawa, Ottawa, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af7-conc-18-e265">Palliative Rehabilitation and Survivorship, Elisabeth Bruyere Research Institute, and Ottawa Regional Cancer Foundation, Ottawa, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Earle, C C" sort="Earle, C C" uniqKey="Earle C" first="C. C." last="Earle">C. C. Earle</name>
<affiliation><nlm:aff id="af8-conc-18-e265">Health Services Research Program, Cancer Care Ontario, and the Ontario Institute for Cancer Research, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Friedman, A J" sort="Friedman, A J" uniqKey="Friedman A" first="A. J." last="Friedman">A. J. Friedman</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af9-conc-18-e265">Cancer Care Ontario, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Green, E" sort="Green, E" uniqKey="Green E" first="E." last="Green">E. Green</name>
<affiliation><nlm:aff id="af9-conc-18-e265">Cancer Care Ontario, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jones, G W" sort="Jones, G W" uniqKey="Jones G" first="G. W." last="Jones">G. W. Jones</name>
<affiliation><nlm:aff id="af11-conc-18-e265">Department of Radiation Oncology (G.W. Jones) and Department of Psychiatry (J.M. Jones), University of Toronto, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af10-conc-18-e265">Peel Regional Oncology Programme, Credit Valley Hospital, Mississauga, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jones, J M" sort="Jones, J M" uniqKey="Jones J" first="J. M." last="Jones">J. M. Jones</name>
<affiliation><nlm:aff id="af11-conc-18-e265">Department of Radiation Oncology (G.W. Jones) and Department of Psychiatry (J.M. Jones), University of Toronto, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parkinson, M" sort="Parkinson, M" uniqKey="Parkinson M" first="M." last="Parkinson">M. Parkinson</name>
<affiliation><nlm:aff id="af12-conc-18-e265">Patient and Family Counselling Services, BC Cancer Agency, Vancouver (Parkinson) and Victoria (Payeur), BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Payeur, N" sort="Payeur, N" uniqKey="Payeur N" first="N." last="Payeur">N. Payeur</name>
<affiliation><nlm:aff id="af12-conc-18-e265">Patient and Family Counselling Services, BC Cancer Agency, Vancouver (Parkinson) and Victoria (Payeur), BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sabiston, C M" sort="Sabiston, C M" uniqKey="Sabiston C" first="C. M." last="Sabiston">C. M. Sabiston</name>
<affiliation><nlm:aff id="af13-conc-18-e265">Department of Kinesiology and Physical Education, McGill University, Montreal, QC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sinclair, S" sort="Sinclair, S" uniqKey="Sinclair S" first="S." last="Sinclair">S. Sinclair</name>
<affiliation><nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af14-conc-18-e265">Faculty of Medicine, University of Calgary, and Spiritual Care Services, Alberta Health Services, Tom Baker Cancer Centre, Calgary, AB</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22184494</idno>
<idno type="pmc">3224035</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3224035</idno>
<idno type="RBID">PMC:3224035</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">000223</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000223</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Survivorship services for adult cancer populations: a pan-Canadian guideline</title>
<author><name sortKey="Howell, D" sort="Howell, D" uniqKey="Howell D" first="D." last="Howell">D. Howell</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hack, T F" sort="Hack, T F" uniqKey="Hack T" first="T. F." last="Hack">T. F. Hack</name>
<affiliation><nlm:aff id="af2-conc-18-e265">Faculty of Nursing (Hack) and Manitoba Palliative Care Research Unit (Sabiston, Sinclair), University of Manitoba, Winnipeg, MB</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af3-conc-18-e265">Patient and Family Support Services, CancerCare Manitoba, Winnipeg, MB</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Oliver, T K" sort="Oliver, T K" uniqKey="Oliver T" first="T. K." last="Oliver">T. K. Oliver</name>
<affiliation><nlm:aff id="af4-conc-18-e265">Department of Oncology, McMaster University, Hamilton, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chulak, T" sort="Chulak, T" uniqKey="Chulak T" first="T." last="Chulak">T. Chulak</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mayo, S" sort="Mayo, S" uniqKey="Mayo S" first="S." last="Mayo">S. Mayo</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Aubin, M" sort="Aubin, M" uniqKey="Aubin M" first="M." last="Aubin">M. Aubin</name>
<affiliation><nlm:aff id="af5-conc-18-e265">Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, QC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Chasen, M" sort="Chasen, M" uniqKey="Chasen M" first="M." last="Chasen">M. Chasen</name>
<affiliation><nlm:aff id="af6-conc-18-e265">Palliative Care Program, University of Ottawa, Ottawa, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af7-conc-18-e265">Palliative Rehabilitation and Survivorship, Elisabeth Bruyere Research Institute, and Ottawa Regional Cancer Foundation, Ottawa, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Earle, C C" sort="Earle, C C" uniqKey="Earle C" first="C. C." last="Earle">C. C. Earle</name>
<affiliation><nlm:aff id="af8-conc-18-e265">Health Services Research Program, Cancer Care Ontario, and the Ontario Institute for Cancer Research, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Friedman, A J" sort="Friedman, A J" uniqKey="Friedman A" first="A. J." last="Friedman">A. J. Friedman</name>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af9-conc-18-e265">Cancer Care Ontario, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Green, E" sort="Green, E" uniqKey="Green E" first="E." last="Green">E. Green</name>
<affiliation><nlm:aff id="af9-conc-18-e265">Cancer Care Ontario, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jones, G W" sort="Jones, G W" uniqKey="Jones G" first="G. W." last="Jones">G. W. Jones</name>
<affiliation><nlm:aff id="af11-conc-18-e265">Department of Radiation Oncology (G.W. Jones) and Department of Psychiatry (J.M. Jones), University of Toronto, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af10-conc-18-e265">Peel Regional Oncology Programme, Credit Valley Hospital, Mississauga, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jones, J M" sort="Jones, J M" uniqKey="Jones J" first="J. M." last="Jones">J. M. Jones</name>
<affiliation><nlm:aff id="af11-conc-18-e265">Department of Radiation Oncology (G.W. Jones) and Department of Psychiatry (J.M. Jones), University of Toronto, Toronto, ON</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af1-conc-18-e265">Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Parkinson, M" sort="Parkinson, M" uniqKey="Parkinson M" first="M." last="Parkinson">M. Parkinson</name>
<affiliation><nlm:aff id="af12-conc-18-e265">Patient and Family Counselling Services, BC Cancer Agency, Vancouver (Parkinson) and Victoria (Payeur), BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Payeur, N" sort="Payeur, N" uniqKey="Payeur N" first="N." last="Payeur">N. Payeur</name>
<affiliation><nlm:aff id="af12-conc-18-e265">Patient and Family Counselling Services, BC Cancer Agency, Vancouver (Parkinson) and Victoria (Payeur), BC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sabiston, C M" sort="Sabiston, C M" uniqKey="Sabiston C" first="C. M." last="Sabiston">C. M. Sabiston</name>
<affiliation><nlm:aff id="af13-conc-18-e265">Department of Kinesiology and Physical Education, McGill University, Montreal, QC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sinclair, S" sort="Sinclair, S" uniqKey="Sinclair S" first="S." last="Sinclair">S. Sinclair</name>
<affiliation><nlm:aff>NONE</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af14-conc-18-e265">Faculty of Medicine, University of Calgary, and Spiritual Care Services, Alberta Health Services, Tom Baker Cancer Centre, Calgary, AB</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Current Oncology</title>
<idno type="ISSN">1198-0052</idno>
<idno type="eISSN">1718-7729</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>Our goal was to develop evidence-based recommendations for the organization and structure of cancer survivorship services, and best-care practices to optimize the health and well-being of post–primary treatment survivors. This review sought to determine the optimal organization and care delivery structure for cancer survivorship services, and the specific clinical practices and interventions that would improve or maximize the psychosocial health and overall well-being of adult cancer survivors.</p>
</sec>
<sec><title>Data Sources</title>
<p>We conducted a systematic search of the Inventory of Cancer Guidelines at the Canadian Partnership Against Cancer, the U.S. National Guideline Clearinghouse, the Canadian Medical Association InfoBase, <sc>medline</sc>
(<sc>ovid</sc>
: 1999 through November 2009), <sc>embase</sc>
(<sc>ovid</sc>
: 1999 through November 2009), Psych<sc>info</sc>
(<sc>ovid</sc>
: 1999 through November 2009), the Cochrane Library (<sc>ovid</sc>
; Issue 1, 2009), and <sc>cinahl</sc>
(<sc>ebsco</sc>
: 1999 through December 2009). Reference lists of related papers and recent review articles were scanned for additional citations.</p>
</sec>
<sec><title>Methods</title>
<p>Articles were selected for inclusion as evidence in the systematic review if they reported on organizational system components for survivors of cancer, or on psychosocial or supportive care interventions HOWELL <italic>et al.</italic>
designed for survivors of cancer. Articles were excluded from the systematic review if they focused only on pediatric cancer survivor populations or on populations that transitioned from pediatric cancer to adult services; if they addressed only pharmacologic interventions or diagnostic testing and follow-up of cancer survivors; if they were systematic reviews with inadequately described methods; if they were qualitative or descriptive studies; and if they were opinion papers, letters, or editorials.</p>
</sec>
<sec><title>Data Extraction and Synthesis</title>
<p>Evidence was selected and reviewed by three members of the Cancer Journey Survivorship Expert Panel (SM, TC, TKO). The resulting summary of the evidence was guided further and reviewed by the members of Cancer Journey Survivorship Expert Panel. Fourteen practice guidelines, eight systematic reviews, and sixty-thee randomized controlled trials form the evidence base for this guidance document. These publications demonstrate that survivors benefit from coordinated post-treatment care, including interventions to address specific psychosocial, supportive care, and rehabilitative concerns.</p>
</sec>
<sec><title>Conclusions</title>
<p>Ongoing high-quality research is essential to optimize services for cancer survivors. Interventions that promote healthy lifestyle behaviours or that address psychosocial concerns and distress appear to improve physical functioning, psychosocial well-being, and quality of life for survivors.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Curr Oncol</journal-id>
<journal-id journal-id-type="publisher-id">CO</journal-id>
<journal-title-group><journal-title>Current Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1198-0052</issn>
<issn pub-type="epub">1718-7729</issn>
<publisher><publisher-name>Multimed Inc.</publisher-name>
<publisher-loc>66 Martin St. Milton, ON, Canada L9T 2R2</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22184494</article-id>
<article-id pub-id-type="pmc">3224035</article-id>
<article-id pub-id-type="publisher-id">conc-18-e265</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Cancer Rehabilitation and Survivorship</subject>
</subj-group>
</article-categories>
<title-group><article-title>Survivorship services for adult cancer populations: a pan-Canadian guideline</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><collab>Cancer Journey Survivorship Expert Panel</collab>
</contrib>
<contrib contrib-type="author"><name><surname>Howell</surname>
<given-names>D.</given-names>
</name>
<degrees>RN PhD</degrees>
<xref ref-type="aff" rid="af1-conc-18-e265">*</xref>
<xref ref-type="corresp" rid="c1-conc-18-e265"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hack</surname>
<given-names>T.F.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af2-conc-18-e265">†</xref>
<xref ref-type="aff" rid="af3-conc-18-e265">‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Oliver</surname>
<given-names>T.K.</given-names>
</name>
<degrees>BA</degrees>
<xref ref-type="aff" rid="af4-conc-18-e265">§</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chulak</surname>
<given-names>T.</given-names>
</name>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="af1-conc-18-e265">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mayo</surname>
<given-names>S.</given-names>
</name>
<degrees>RN MN</degrees>
<xref ref-type="aff" rid="af1-conc-18-e265">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Aubin</surname>
<given-names>M.</given-names>
</name>
<degrees>MD PhD</degrees>
<xref ref-type="aff" rid="af5-conc-18-e265">||</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chasen</surname>
<given-names>M.</given-names>
</name>
<degrees>MB ChB MPhil (Pall Med)</degrees>
<xref ref-type="aff" rid="af6-conc-18-e265">#</xref>
<xref ref-type="aff" rid="af7-conc-18-e265">**</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Earle</surname>
<given-names>C.C.</given-names>
</name>
<degrees>MD MSc</degrees>
<xref ref-type="aff" rid="af8-conc-18-e265">††</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Friedman</surname>
<given-names>A.J.</given-names>
</name>
<degrees>MSW RSW</degrees>
<xref ref-type="aff" rid="af1-conc-18-e265">*</xref>
<xref ref-type="aff" rid="af9-conc-18-e265">‡‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Green</surname>
<given-names>E.</given-names>
</name>
<degrees>RN BScN MSc (T)</degrees>
<xref ref-type="aff" rid="af9-conc-18-e265">‡‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jones</surname>
<given-names>G.W.</given-names>
</name>
<degrees>MD MSc</degrees>
<xref ref-type="aff" rid="af11-conc-18-e265">||||</xref>
<xref ref-type="aff" rid="af10-conc-18-e265">§§</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jones</surname>
<given-names>J.M.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af11-conc-18-e265">||||</xref>
<xref ref-type="aff" rid="af1-conc-18-e265">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Parkinson</surname>
<given-names>M.</given-names>
</name>
<degrees>MEd</degrees>
<xref ref-type="aff" rid="af12-conc-18-e265">##</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Payeur</surname>
<given-names>N.</given-names>
</name>
<degrees>MSW RSW</degrees>
<xref ref-type="aff" rid="af12-conc-18-e265">##</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sabiston</surname>
<given-names>C.M.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af13-conc-18-e265">***</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sinclair</surname>
<given-names>S.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="af1-conc-18-e265">†</xref>
<xref ref-type="aff" rid="af14-conc-18-e265">†††</xref>
</contrib>
</contrib-group>
<aff id="af1-conc-18-e265"><label>*</label>
Faculty of Nursing (Howell, Chulak, Mayo), Cancer Patient Education and Survivorship (Friedman), and Cancer Survivorship Program (J.M. Jones), University Health Network, Toronto, ON</aff>
<aff id="af2-conc-18-e265"><label>†</label>
Faculty of Nursing (Hack) and Manitoba Palliative Care Research Unit (Sabiston, Sinclair), University of Manitoba, Winnipeg, MB</aff>
<aff id="af3-conc-18-e265"><label>‡</label>
Patient and Family Support Services, CancerCare Manitoba, Winnipeg, MB</aff>
<aff id="af4-conc-18-e265"><label>§</label>
Department of Oncology, McMaster University, Hamilton, ON</aff>
<aff id="af5-conc-18-e265"><label>||</label>
Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, QC</aff>
<aff id="af6-conc-18-e265"><label>#</label>
Palliative Care Program, University of Ottawa, Ottawa, ON</aff>
<aff id="af7-conc-18-e265"><label>**</label>
Palliative Rehabilitation and Survivorship, Elisabeth Bruyere Research Institute, and Ottawa Regional Cancer Foundation, Ottawa, ON</aff>
<aff id="af8-conc-18-e265"><label>††</label>
Health Services Research Program, Cancer Care Ontario, and the Ontario Institute for Cancer Research, Toronto, ON</aff>
<aff id="af9-conc-18-e265"><label>‡‡</label>
Cancer Care Ontario, Toronto, ON</aff>
<aff id="af10-conc-18-e265"><label>§§</label>
Peel Regional Oncology Programme, Credit Valley Hospital, Mississauga, ON</aff>
<aff id="af11-conc-18-e265"><label>||||</label>
Department of Radiation Oncology (G.W. Jones) and Department of Psychiatry (J.M. Jones), University of Toronto, Toronto, ON</aff>
<aff id="af12-conc-18-e265"><label>##</label>
Patient and Family Counselling Services, BC Cancer Agency, Vancouver (Parkinson) and Victoria (Payeur), BC</aff>
<aff id="af13-conc-18-e265"><label>***</label>
Department of Kinesiology and Physical Education, McGill University, Montreal, QC</aff>
<aff id="af14-conc-18-e265"><label>†††</label>
Faculty of Medicine, University of Calgary, and Spiritual Care Services, Alberta Health Services, Tom Baker Cancer Centre, Calgary, AB</aff>
<author-notes><corresp id="c1-conc-18-e265">Correspondence to: Doris Howell, University Health Network, Princess Margaret Hospital, 610 University Avenue, Room 15-617, Toronto, Ontario M5G 2M9. E-mail: <email>doris.howell@uhn.on.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month>
<year>2011</year>
</pub-date>
<volume>18</volume>
<issue>6</issue>
<fpage>e265</fpage>
<lpage>e281</lpage>
<permissions><copyright-statement>2011 Multimed Inc.</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><sec><title>Objective</title>
<p>Our goal was to develop evidence-based recommendations for the organization and structure of cancer survivorship services, and best-care practices to optimize the health and well-being of post–primary treatment survivors. This review sought to determine the optimal organization and care delivery structure for cancer survivorship services, and the specific clinical practices and interventions that would improve or maximize the psychosocial health and overall well-being of adult cancer survivors.</p>
</sec>
<sec><title>Data Sources</title>
<p>We conducted a systematic search of the Inventory of Cancer Guidelines at the Canadian Partnership Against Cancer, the U.S. National Guideline Clearinghouse, the Canadian Medical Association InfoBase, <sc>medline</sc>
(<sc>ovid</sc>
: 1999 through November 2009), <sc>embase</sc>
(<sc>ovid</sc>
: 1999 through November 2009), Psych<sc>info</sc>
(<sc>ovid</sc>
: 1999 through November 2009), the Cochrane Library (<sc>ovid</sc>
; Issue 1, 2009), and <sc>cinahl</sc>
(<sc>ebsco</sc>
: 1999 through December 2009). Reference lists of related papers and recent review articles were scanned for additional citations.</p>
</sec>
<sec><title>Methods</title>
<p>Articles were selected for inclusion as evidence in the systematic review if they reported on organizational system components for survivors of cancer, or on psychosocial or supportive care interventions HOWELL <italic>et al.</italic>
designed for survivors of cancer. Articles were excluded from the systematic review if they focused only on pediatric cancer survivor populations or on populations that transitioned from pediatric cancer to adult services; if they addressed only pharmacologic interventions or diagnostic testing and follow-up of cancer survivors; if they were systematic reviews with inadequately described methods; if they were qualitative or descriptive studies; and if they were opinion papers, letters, or editorials.</p>
</sec>
<sec><title>Data Extraction and Synthesis</title>
<p>Evidence was selected and reviewed by three members of the Cancer Journey Survivorship Expert Panel (SM, TC, TKO). The resulting summary of the evidence was guided further and reviewed by the members of Cancer Journey Survivorship Expert Panel. Fourteen practice guidelines, eight systematic reviews, and sixty-thee randomized controlled trials form the evidence base for this guidance document. These publications demonstrate that survivors benefit from coordinated post-treatment care, including interventions to address specific psychosocial, supportive care, and rehabilitative concerns.</p>
</sec>
<sec><title>Conclusions</title>
<p>Ongoing high-quality research is essential to optimize services for cancer survivors. Interventions that promote healthy lifestyle behaviours or that address psychosocial concerns and distress appear to improve physical functioning, psychosocial well-being, and quality of life for survivors.</p>
</sec>
</abstract>
<kwd-group><kwd>Psychosocial</kwd>
<kwd>supportive care</kwd>
<kwd>cancer survivor</kwd>
<kwd>survivorship</kwd>
<kwd>organization of care</kwd>
<kwd>care plan</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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