Breast Cancer Survivorship: A Comprehensive Review of Long-Term Medical Issues and Lifestyle Recommendations
Identifieur interne : 003133 ( Pmc/Curation ); précédent : 003132; suivant : 003134Breast Cancer Survivorship: A Comprehensive Review of Long-Term Medical Issues and Lifestyle Recommendations
Auteurs : Balazs I. BodaiSource :
- The Permanente Journal [ 1552-5767 ] ; 2015.
Abstract
As breast cancer becomes a chronic condition rather than a life-threatening illness, survivors not only have the challenge of dealing with multiple long-term side effects of treatment protocols, but may also be forced to address the preexisting comorbidities of their therapies, which often include multiple other issues. It is imperative that the information available regarding survivorship issues be accessible in an organized and useful format. This article is a modest attempt to provide a comprehensive review of the long-term medical issues.
Url:
DOI: 10.7812/TPP/14-241
PubMed: 25902343
PubMed Central: 4403581
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PMC:4403581Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>As breast cancer becomes a chronic condition rather than a life-threatening illness, survivors not only have the challenge of dealing with multiple long-term side effects of treatment protocols, but may also be forced to address the preexisting comorbidities of their therapies, which often include multiple other issues. It is imperative that the information available regarding survivorship issues be accessible in an organized and useful format. This article is a modest attempt to provide a comprehensive review of the long-term medical issues.</p>
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<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">Perm J</journal-id>
<journal-id journal-id-type="iso-abbrev">Perm J</journal-id>
<journal-id journal-id-type="publisher-id">prjl</journal-id>
<journal-title-group><journal-title>The Permanente Journal</journal-title>
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<issn pub-type="ppub">1552-5767</issn>
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<publisher><publisher-name>The Permanente Journal</publisher-name>
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<article-id pub-id-type="doi">10.7812/TPP/14-241</article-id>
<article-id pub-id-type="publisher-id">permj19_2p0048</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research & Contributions</subject>
<subj-group subj-group-type="heading"><subject>Special Report</subject>
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<title-group><article-title>Breast Cancer Survivorship: A Comprehensive Review of Long-Term Medical Issues and Lifestyle Recommendations</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Bodai</surname>
<given-names>Balazs I</given-names>
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<degrees>MD, FACS</degrees>
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<aff id="af1-permj19_2p0048">Director of The Breast Cancer Survivorship Institute in Sacramento, CA. E-mail:<email>balazs.bodai@kp.org</email>
.</aff>
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<contrib-group><contrib contrib-type="author"><name><surname>Tuso</surname>
<given-names>Phillip</given-names>
</name>
<degrees>MD, FACP, FASN</degrees>
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<aff id="af2-permj19_2p0048">Nephrologist at the Antelope Valley Medical Center in CA. E-mail:<email>phillip.j.tuso@kp.org</email>
.</aff>
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<pub-date pub-type="ppub"><season>Spring</season>
<year>2015</year>
</pub-date>
<volume>19</volume>
<issue>2</issue>
<fpage>48</fpage>
<lpage>79</lpage>
<permissions><copyright-statement>© 2015 The Permanente Journal</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract abstract-type="toc"><p>As breast cancer becomes a chronic condition rather than a life-threatening illness, survivors not only have the challenge of dealing with multiple long-term side effects of treatment protocols, but may also be forced to address the preexisting comorbidities of their therapies, which often include multiple other issues. It is imperative that the information available regarding survivorship issues be accessible in an organized and useful format. This article is a modest attempt to provide a comprehensive review of the long-term medical issues.</p>
</abstract>
<abstract><p>Long-term survival rates after a diagnosis of breast cancer are steadily rising. This is good news, but clinicians must also recognize that this brings new challenges to the medical community. As breast cancer becomes a chronic condition rather than a life-threatening illness owing to advances in early diagnosis and more effective treatments, health care practitioners must recognize and manage the long-term sequelae of the constellation of therapeutic modalities. Survivors of breast cancer represent a unique and extremely complex group of patients; not only do they have the challenge of dealing with multiple long-term side effects of treatment protocols, but many are also forced to address the preexisting comorbidities of their therapies, which often include multiple other issues. Therapies have additional and/or additive side effects that may interfere with treatments directed toward the new primary diagnosis of breast cancer. Our mandate is to establish a smooth transition from <italic>patient</italic>
with breast cancer to <italic>survivor</italic>
of breast cancer while providing ongoing and future guidance.</p>
<p>Certainly, the information and resources to accomplish this transition are readily available; however, they are scattered throughout the literature and therefore are not easily accessible or available to the primary care physician. It is imperative that the information available regarding survivorship issues be accessible in an organized and useful format. This article is a modest attempt to provide a comprehensive review of the long-term medical issues relevant to survivorship after the diagnosis and treatment of breast cancer. A predicted shortage of oncologists by 2020 is well-recognized. Therefore, the bulk of long-term care will become dependent on the primary care physician. This shift of care means that these physicians will need to be well educated in the long-term medical issues related to breast cancer treatment.</p>
</abstract>
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