Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.
Identifieur interne : 003130 ( Main/Merge ); précédent : 003129; suivant : 003131Supportive care after curative treatment for breast cancer (survivorship care): resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.
Auteurs : Patricia A. Ganz [États-Unis] ; Cheng Har Yip ; Julie R. Gralow ; Sandra R. Distelhorst ; Kathy S. Albain ; Barbara L. Andersen ; Jose Luiz B. Bevilacqua ; Evandro De Azambuja ; Nagi S. El Saghir ; Ranjit Kaur ; Anne Mctiernan ; Ann H. Partridge ; Julia H. Rowland ; Savitri Singh-Carlson ; Mary M. Vargo ; Beti Thompson ; Benjamin O. AndersonSource :
- Breast (Edinburgh, Scotland) [ 1532-3080 ] ; 2013.
Descripteurs français
- KwdFr :
- Allocation des ressources, Antinéoplasiques (effets indésirables), Autosoins, Complications postopératoires (), Comportement sexuel (psychologie), Dépression (), Dépression (diagnostic), Dépression (étiologie), Fatigue (), Femelle, Gestion de la douleur, Humains, Image du corps (psychologie), Lymphoedème (), Mode de vie, Ménopause, Pays en voie de développement, Personnel de santé (enseignement et éducation), Récidive tumorale locale (diagnostic), Survivants (psychologie), Troubles de l'endormissement et du maintien du sommeil (), Tumeurs du sein (), Tumeurs du sein (diagnostic), Tumeurs du sein (psychologie), Tumeurs du sein (économie), Éducation du patient comme sujet.
- MESH :
- diagnostic : Dépression, Récidive tumorale locale, Tumeurs du sein.
- effets indésirables : Antinéoplasiques.
- enseignement et éducation : Personnel de santé.
- psychologie : Comportement sexuel, Image du corps, Survivants, Tumeurs du sein.
- économie : Tumeurs du sein.
- étiologie : Dépression.
- Allocation des ressources, Autosoins, Complications postopératoires, Dépression, Fatigue, Femelle, Gestion de la douleur, Humains, Lymphoedème, Mode de vie, Ménopause, Pays en voie de développement, Troubles de l'endormissement et du maintien du sommeil, Tumeurs du sein, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- Antineoplastic Agents (adverse effects), Body Image (psychology), Breast Neoplasms (complications), Breast Neoplasms (diagnosis), Breast Neoplasms (economics), Breast Neoplasms (psychology), Breast Neoplasms (therapy), Depression (diagnosis), Depression (etiology), Depression (therapy), Developing Countries, Fatigue (therapy), Female, Health Personnel (education), Humans, Life Style, Lymphedema (therapy), Menopause, Neoplasm Recurrence, Local (diagnosis), Pain Management, Patient Education as Topic, Postoperative Complications (therapy), Resource Allocation, Self Care, Sexual Behavior (psychology), Sleep Initiation and Maintenance Disorders (therapy), Survivors (psychology).
- MESH :
- chemical , adverse effects : Antineoplastic Agents.
- complications : Breast Neoplasms.
- diagnosis : Breast Neoplasms, Depression, Neoplasm Recurrence, Local.
- economics : Breast Neoplasms.
- education : Health Personnel.
- etiology : Depression.
- psychology : Body Image, Breast Neoplasms, Sexual Behavior, Survivors.
- therapy : Breast Neoplasms, Depression, Fatigue, Lymphedema, Postoperative Complications, Sleep Initiation and Maintenance Disorders.
- Developing Countries, Female, Humans, Life Style, Menopause, Pain Management, Patient Education as Topic, Resource Allocation, Self Care.
Abstract
Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low- and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert panel identified nine key resources recommended for appropriate survivorship care, and developed resource-stratified recommendations to illustrate how health systems can provide supportive care services for breast cancer survivors after curative treatment, using available resources. Key recommendations include health professional education that focuses on the management of physical and psychosocial long-term treatment complications. Patient education can help survivors transition from a provider-intense cancer treatment program to a post-treatment provider partnership and self-management program, and should include: education on recognizing disease recurrence or metastases; management of treatment-related sequelae, and psychosocial complications; and the importance of maintaining a healthy lifestyle. Increasing community awareness of survivorship issues was also identified as an important part of supportive care programs. Other recommendations include screening and management of psychosocial distress; management of long-term treatment-related complications including lymphedema, fatigue, insomnia, pain, and women's health issues; and monitoring survivors for recurrences or development of second primary malignancies. Where possible, breast cancer survivors should implement healthy lifestyle modifications, including physical activity, and maintain a healthy weight. Health professionals should provide well-documented patient care records that can follow a patient as they transition from active treatment to follow-up care.
DOI: 10.1016/j.breast.2013.07.049
PubMed: 24007941
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pubmed:24007941Le document en format XML
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<series><title level="j">Breast (Edinburgh, Scotland)</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antineoplastic Agents (adverse effects)</term>
<term>Body Image (psychology)</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (economics)</term>
<term>Breast Neoplasms (psychology)</term>
<term>Breast Neoplasms (therapy)</term>
<term>Depression (diagnosis)</term>
<term>Depression (etiology)</term>
<term>Depression (therapy)</term>
<term>Developing Countries</term>
<term>Fatigue (therapy)</term>
<term>Female</term>
<term>Health Personnel (education)</term>
<term>Humans</term>
<term>Life Style</term>
<term>Lymphedema (therapy)</term>
<term>Menopause</term>
<term>Neoplasm Recurrence, Local (diagnosis)</term>
<term>Pain Management</term>
<term>Patient Education as Topic</term>
<term>Postoperative Complications (therapy)</term>
<term>Resource Allocation</term>
<term>Self Care</term>
<term>Sexual Behavior (psychology)</term>
<term>Sleep Initiation and Maintenance Disorders (therapy)</term>
<term>Survivors (psychology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Allocation des ressources</term>
<term>Antinéoplasiques (effets indésirables)</term>
<term>Autosoins</term>
<term>Complications postopératoires ()</term>
<term>Comportement sexuel (psychologie)</term>
<term>Dépression ()</term>
<term>Dépression (diagnostic)</term>
<term>Dépression (étiologie)</term>
<term>Fatigue ()</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Humains</term>
<term>Image du corps (psychologie)</term>
<term>Lymphoedème ()</term>
<term>Mode de vie</term>
<term>Ménopause</term>
<term>Pays en voie de développement</term>
<term>Personnel de santé (enseignement et éducation)</term>
<term>Récidive tumorale locale (diagnostic)</term>
<term>Survivants (psychologie)</term>
<term>Troubles de l'endormissement et du maintien du sommeil ()</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (diagnostic)</term>
<term>Tumeurs du sein (psychologie)</term>
<term>Tumeurs du sein (économie)</term>
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term>
<term>Depression</term>
<term>Neoplasm Recurrence, Local</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dépression</term>
<term>Récidive tumorale locale</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Health Personnel</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Antinéoplasiques</term>
</keywords>
<keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Personnel de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement sexuel</term>
<term>Image du corps</term>
<term>Survivants</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Body Image</term>
<term>Breast Neoplasms</term>
<term>Sexual Behavior</term>
<term>Survivors</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Depression</term>
<term>Fatigue</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
<term>Sleep Initiation and Maintenance Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dépression</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Developing Countries</term>
<term>Female</term>
<term>Humans</term>
<term>Life Style</term>
<term>Menopause</term>
<term>Pain Management</term>
<term>Patient Education as Topic</term>
<term>Resource Allocation</term>
<term>Self Care</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Allocation des ressources</term>
<term>Autosoins</term>
<term>Complications postopératoires</term>
<term>Dépression</term>
<term>Fatigue</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Mode de vie</term>
<term>Ménopause</term>
<term>Pays en voie de développement</term>
<term>Troubles de l'endormissement et du maintien du sommeil</term>
<term>Tumeurs du sein</term>
<term>Éducation du patient comme sujet</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Breast cancer survivors may experience long-term treatment complications, must live with the risk of cancer recurrence, and often experience psychosocial complications that require supportive care services. In low- and middle-income settings, supportive care services are frequently limited, and program development for survivorship care and long-term follow-up has not been well addressed. As part of the 5th Breast Health Global Initiative (BHGI) Global Summit, an expert panel identified nine key resources recommended for appropriate survivorship care, and developed resource-stratified recommendations to illustrate how health systems can provide supportive care services for breast cancer survivors after curative treatment, using available resources. Key recommendations include health professional education that focuses on the management of physical and psychosocial long-term treatment complications. Patient education can help survivors transition from a provider-intense cancer treatment program to a post-treatment provider partnership and self-management program, and should include: education on recognizing disease recurrence or metastases; management of treatment-related sequelae, and psychosocial complications; and the importance of maintaining a healthy lifestyle. Increasing community awareness of survivorship issues was also identified as an important part of supportive care programs. Other recommendations include screening and management of psychosocial distress; management of long-term treatment-related complications including lymphedema, fatigue, insomnia, pain, and women's health issues; and monitoring survivors for recurrences or development of second primary malignancies. Where possible, breast cancer survivors should implement healthy lifestyle modifications, including physical activity, and maintain a healthy weight. Health professionals should provide well-documented patient care records that can follow a patient as they transition from active treatment to follow-up care.</div>
</front>
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