Skip to main content
Top
Published in: Journal of Cancer Survivorship 3/2013

01-09-2013

Assessment of the status of A National Action Plan for Cancer Survivorship in the USA

Authors: Judith Lee Smith, Lori A. Pollack, Juan L. Rodriguez, Nikki A. Hawkins, Tenbroeck Smith, Ruth Rechis, Andy Miller, Anne Willis, Helen Miller, Ingrid J. Hall, Temeika L. Fairley, Brenda Stone-Wiggins

Published in: Journal of Cancer Survivorship | Issue 3/2013

Login to get access

Abstract

Purpose

There are currently more than 12 million cancer survivors in the USA. Survivors face many issues related to cancer and treatment that are outside the purview of the clinical care system. Therefore, understanding and providing for the evolving needs of cancer survivors offers challenges and opportunities for the public health system. In 2004, the Centers for Disease Control and Prevention and the Lance Armstrong Foundation, now the Livestrong Foundation, partnered with national cancer survivorship organizations to develop the National Action Plan for Cancer Survivorship (NAPCS). This plan outlines public health strategies to address the needs of cancer survivors. To date, no assessment of NAPCS strategies and their alignment with domestic cancer survivorship activities has been conducted.

Methods

The activities of five national organizations with organized public health agendas about cancer survivorship were assessed qualitatively during 2003–2007. Using the NAPCS as an organizing framework, interviews were conducted with key informants from all participating organizations. Interview responses were supplemented with relevant materials from informants and reviews of the organizations’ websites.

Results

Strategies associated with surveillance and applied research; communication, education, and training; and programs, policy, and infrastructure represent a large amount of the organizational efforts. However, there are gaps in research on preventive interventions, evaluation of implemented activities, and translation.

Conclusions

Numerous NAPCS strategies have been implemented. Future efforts of national cancer survivorship organizations should include rigorous evaluation of implemented activities, increased translation of research to practice, and assessment of dissemination efforts.

Implications for Cancer Survivors

The results of this descriptive assessment provide cancer survivors, cancer survivorship organizations, researchers, providers, and policy makers with initial information about cancer survivorship public health efforts in the USA. Additionally, results suggest areas in need of further attention and next steps in advancing the national cancer survivorship public health agenda.
Literature
1.
go back to reference Centers for Disease Control and Prevention and Lance Armstrong Foundation. A national action plan for cancer survivorship: advancing public health strategies. Atlanta: US Department of Health and Human Services, 2004. Centers for Disease Control and Prevention and Lance Armstrong Foundation. A national action plan for cancer survivorship: advancing public health strategies. Atlanta: US Department of Health and Human Services, 2004.
3.
go back to reference Centers for Disease Control and Prevention. Cancer survivors—United States, 2007. MMWR Morb Mortal Wkly Rep. 2011;60:269–72. Centers for Disease Control and Prevention. Cancer survivors—United States, 2007. MMWR Morb Mortal Wkly Rep. 2011;60:269–72.
4.
go back to reference Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Altekruse SF, Kosary CL, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975–2009 (Vintage 2009 Populations). Bethesda: National Cancer Institute. http://seer.cancer.gov/csr/1975_2009_pops09/, based on November 2011 SEER data submission, posted to the SEER web site, April 2012. Howlader N, Noone AM, Krapcho M, Neyman N, Aminou R, Altekruse SF, Kosary CL, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975–2009 (Vintage 2009 Populations). Bethesda: National Cancer Institute. http://​seer.​cancer.​gov/​csr/​1975_​2009_​pops09/​, based on November 2011 SEER data submission, posted to the SEER web site, April 2012.
5.
go back to reference Edwards BK, Howe HL, Ries LA, Thun ML, Rosenberg HM, Yancik R, et al. Annual report to the nation on the status of cancer, 1973–1999, featuring implications of age and aging on the U.S. cancer burden. Cancer. 2002;94:2766–92.PubMedCrossRef Edwards BK, Howe HL, Ries LA, Thun ML, Rosenberg HM, Yancik R, et al. Annual report to the nation on the status of cancer, 1973–1999, featuring implications of age and aging on the U.S. cancer burden. Cancer. 2002;94:2766–92.PubMedCrossRef
6.
go back to reference Centers for Disease Control and Prevention. Cancer survivorship—United States, 1971–2001. MMWR Morb Mortal Wkly Rep. 2004;53:526–9. Centers for Disease Control and Prevention. Cancer survivorship—United States, 1971–2001. MMWR Morb Mortal Wkly Rep. 2004;53:526–9.
7.
go back to reference Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst. 2004;96:1322–30.PubMedCrossRef Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML. Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst. 2004;96:1322–30.PubMedCrossRef
8.
go back to reference Institute of Medicine. From cancer patient to cancer survivor: lost in transition. Washington: The National Academy Press; 2006. Institute of Medicine. From cancer patient to cancer survivor: lost in transition. Washington: The National Academy Press; 2006.
9.
go back to reference Institute of Medicine. Cancer care for the whole patient: meeting psychosocial health needs. Washington: National Academy Press; 2008. Institute of Medicine. Cancer care for the whole patient: meeting psychosocial health needs. Washington: National Academy Press; 2008.
11.
go back to reference Rajotte EJ, Yi JC, Baker KS, Gregerson L, Leiserowitz A, Syriala KL. Community-based exercise program effectiveness and safety for cancer survivors. J Cancer Surviv. 2012;6:219–28.PubMedCrossRef Rajotte EJ, Yi JC, Baker KS, Gregerson L, Leiserowitz A, Syriala KL. Community-based exercise program effectiveness and safety for cancer survivors. J Cancer Surviv. 2012;6:219–28.PubMedCrossRef
12.
go back to reference Brown JC, Chu CS, Al C, Schmitz KH. The prevalence of lymphedema symptoms among survivors of long-term cancer with or at risk for lower limb lymphedema. Am J Phys Med Rehabil. 2013;92:223–31.PubMedCrossRef Brown JC, Chu CS, Al C, Schmitz KH. The prevalence of lymphedema symptoms among survivors of long-term cancer with or at risk for lower limb lymphedema. Am J Phys Med Rehabil. 2013;92:223–31.PubMedCrossRef
13.
go back to reference Levy EW, Pfalzer LA, Danoff L, Springer BA, McGarvey C, Shieh CY, et al. Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery. Breast Cancer Res Treat. 2012;134:315–24.PubMedCrossRef Levy EW, Pfalzer LA, Danoff L, Springer BA, McGarvey C, Shieh CY, et al. Predictors of functional shoulder recovery at 1 and 12 months after breast cancer surgery. Breast Cancer Res Treat. 2012;134:315–24.PubMedCrossRef
14.
go back to reference Hawkins NA, Pollack LA, Leadbetter S, Steele WR, Carroll J, Dolan JG, et al. Informational needs of patients and perceived adequacy of information available before and after treatment of cancer. J Psychosoc Oncol. 2008;26:1–16.PubMedCrossRef Hawkins NA, Pollack LA, Leadbetter S, Steele WR, Carroll J, Dolan JG, et al. Informational needs of patients and perceived adequacy of information available before and after treatment of cancer. J Psychosoc Oncol. 2008;26:1–16.PubMedCrossRef
15.
go back to reference Kent EE, Arora NK, Rowland JH, Bellizzi KM, Forsythe LP, Hamilton AS, et al. Health information need and health-related quality of life in a diverse population of long-term cancer survivors. Patient Educ Couns. 2012;89:345–52.PubMedCrossRef Kent EE, Arora NK, Rowland JH, Bellizzi KM, Forsythe LP, Hamilton AS, et al. Health information need and health-related quality of life in a diverse population of long-term cancer survivors. Patient Educ Couns. 2012;89:345–52.PubMedCrossRef
16.
go back to reference Hoffman KE, McCarthy EP, Recklitis CJ, Ng AK. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009;169:1274–81.PubMedCrossRef Hoffman KE, McCarthy EP, Recklitis CJ, Ng AK. Psychological distress in long-term survivors of adult-onset cancer: results from a national survey. Arch Intern Med. 2009;169:1274–81.PubMedCrossRef
17.
go back to reference Andrykowski MA. Physical and mental health status of survivors of multiple cancer diagnoses: findings from the National Health Interview Survey. Cancer. 2012;118:3645–53.PubMedCrossRef Andrykowski MA. Physical and mental health status of survivors of multiple cancer diagnoses: findings from the National Health Interview Survey. Cancer. 2012;118:3645–53.PubMedCrossRef
18.
go back to reference Davidoff AJ, Erten M, Shaffer T, Shoemaker JS, Zuckerman IH, Pandya N, et al. Out-of-pocket health care expenditure burden for medicare beneficiaries with cancer. Cancer. 2013;119:1257–65.PubMedCrossRef Davidoff AJ, Erten M, Shaffer T, Shoemaker JS, Zuckerman IH, Pandya N, et al. Out-of-pocket health care expenditure burden for medicare beneficiaries with cancer. Cancer. 2013;119:1257–65.PubMedCrossRef
19.
go back to reference Bellury L, Pett MA, Ellington L, Beck SL, Clark JC, Stein KD. The effect of aging and cancer on the symptom experience and physical function of elderly breast cancer survivors. Cancer. 2012;118:6171–8.PubMedCrossRef Bellury L, Pett MA, Ellington L, Beck SL, Clark JC, Stein KD. The effect of aging and cancer on the symptom experience and physical function of elderly breast cancer survivors. Cancer. 2012;118:6171–8.PubMedCrossRef
20.
go back to reference Cohen HJ, Lan L, Archer L, Kornblith AB. Impact of age, comorbidity and symptoms on physical function in long-term breast cancer survivors (CALGB 70803). J Geriatr Oncol. 2012;3:82–9.PubMedCrossRef Cohen HJ, Lan L, Archer L, Kornblith AB. Impact of age, comorbidity and symptoms on physical function in long-term breast cancer survivors (CALGB 70803). J Geriatr Oncol. 2012;3:82–9.PubMedCrossRef
21.
go back to reference Fairley TL, Pollack LA, Moore AR, Smith JL. Addressing cancer survivorship through public health: an update from the Centers for Disease Control and Prevention. J Womens Health. 2009;18:525–31.CrossRef Fairley TL, Pollack LA, Moore AR, Smith JL. Addressing cancer survivorship through public health: an update from the Centers for Disease Control and Prevention. J Womens Health. 2009;18:525–31.CrossRef
22.
go back to reference Smith T, Stein KD, Mehta CC, Kaw C, Kener JL, Buskirk T, et al. The rationale, design and implementation of the American Cancer Society’s studies of cancer survivors. Cancer. 2007;109:1–12.PubMedCrossRef Smith T, Stein KD, Mehta CC, Kaw C, Kener JL, Buskirk T, et al. The rationale, design and implementation of the American Cancer Society’s studies of cancer survivors. Cancer. 2007;109:1–12.PubMedCrossRef
23.
go back to reference Blanchard CM, Courneya KS, Stein K. American Cancer Society’s SCS-II. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II J Clin Oncol. 2008;26:2198–204. Blanchard CM, Courneya KS, Stein K. American Cancer Society’s SCS-II. Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II J Clin Oncol. 2008;26:2198–204.
24.
go back to reference Hawkins NA, Smith T, Zhao L, Rodriguez J, Berkowitz Z, Stein KD. Health-related behavior change after cancer: results from the American Cancer Society’s Studies of Cancer Survivors (SCS). J Cancer Surviv. 2010;4:20–32.PubMedCrossRef Hawkins NA, Smith T, Zhao L, Rodriguez J, Berkowitz Z, Stein KD. Health-related behavior change after cancer: results from the American Cancer Society’s Studies of Cancer Survivors (SCS). J Cancer Surviv. 2010;4:20–32.PubMedCrossRef
25.
go back to reference Shi Q, Smith T, Michonski JD, Stein KD, Kaw C, Cleeland CS. Symptom burden in cancer survivors 1 year after diagnosis: a report from the American Cancer Society’s Studies of Cancer Survivors. Cancer. 2011;17:2779–90.CrossRef Shi Q, Smith T, Michonski JD, Stein KD, Kaw C, Cleeland CS. Symptom burden in cancer survivors 1 year after diagnosis: a report from the American Cancer Society’s Studies of Cancer Survivors. Cancer. 2011;17:2779–90.CrossRef
26.
go back to reference Butler A, Owen-Smith A, DiIorio C, Goodman M, Liff J, Steenland K. Use of complementary and alternative medicine among men with prostate cancer in a rural setting. J Community Health. 2011;36:1004–10.PubMedCrossRef Butler A, Owen-Smith A, DiIorio C, Goodman M, Liff J, Steenland K. Use of complementary and alternative medicine among men with prostate cancer in a rural setting. J Community Health. 2011;36:1004–10.PubMedCrossRef
27.
go back to reference Wheeler SB, Wu Y, Meyer AM, Carpenter WR, Richardson LC, Smith JL, et al. Use and timeliness of radiation therapy after breast-conserving surgery in low-income women with early-stage breast cancer. Cancer Invest. 2012;30:258–67.PubMedCrossRef Wheeler SB, Wu Y, Meyer AM, Carpenter WR, Richardson LC, Smith JL, et al. Use and timeliness of radiation therapy after breast-conserving surgery in low-income women with early-stage breast cancer. Cancer Invest. 2012;30:258–67.PubMedCrossRef
28.
go back to reference Zeliadt SB, Moinpour CM, Blough D, Penson DF, Hall IJ, Smith JL, et al. Preliminary treatment considerations among men with newly diagnosed prostate cancer. Am J Manag Care. 2010;16:e121–30.PubMed Zeliadt SB, Moinpour CM, Blough D, Penson DF, Hall IJ, Smith JL, et al. Preliminary treatment considerations among men with newly diagnosed prostate cancer. Am J Manag Care. 2010;16:e121–30.PubMed
29.
go back to reference Zeliadt SB, Penson DF, Moinpour CM, Blough DK, Fedorenko CR, Hall IJ, et al. Provider and partner interactions in the treatment decision-making process for newly diagnosed localized prostate cancer patients. BJU Int. 2011;108:851–6.PubMed Zeliadt SB, Penson DF, Moinpour CM, Blough DK, Fedorenko CR, Hall IJ, et al. Provider and partner interactions in the treatment decision-making process for newly diagnosed localized prostate cancer patients. BJU Int. 2011;108:851–6.PubMed
30.
go back to reference Ramsey SD, Zeliadt SB, Fedorenko CR, Blough DK, Moinpour CM, Hall IJ, et al. Patient preferences and urologist recommendations among local-stage prostate cancer patients who present for initial consultation and second opinion. World J Urol. 2011;29:3–9.PubMedCrossRef Ramsey SD, Zeliadt SB, Fedorenko CR, Blough DK, Moinpour CM, Hall IJ, et al. Patient preferences and urologist recommendations among local-stage prostate cancer patients who present for initial consultation and second opinion. World J Urol. 2011;29:3–9.PubMedCrossRef
31.
go back to reference Institute of Medicine and Commission on Life Sciences. Ensuring quality cancer care. Washington: The National Academy Press; 1999. Institute of Medicine and Commission on Life Sciences. Ensuring quality cancer care. Washington: The National Academy Press; 1999.
32.
go back to reference Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. JCO. 2006;24:2917–31.CrossRef Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. JCO. 2006;24:2917–31.CrossRef
33.
go back to reference Coccia PF, Altman J, Bhatia S, Borinstein SC, Flynn J, George S, et al. Adolescent and young adult oncology. J Natl Compr Canc Netw. 2012;10:1112–50.PubMed Coccia PF, Altman J, Bhatia S, Borinstein SC, Flynn J, George S, et al. Adolescent and young adult oncology. J Natl Compr Canc Netw. 2012;10:1112–50.PubMed
34.
go back to reference Wilson KM, Fridinger F. Focusing on public health: a different look at translating research to practice. J Womens Health. 2008;17:173–9.CrossRef Wilson KM, Fridinger F. Focusing on public health: a different look at translating research to practice. J Womens Health. 2008;17:173–9.CrossRef
35.
go back to reference Pollack LA, Hawkins NA, Peaker BL, Buchanan N, Riesendal BC. Dissemination and translation: a frontier for cancer survivorship research. Cancer Epi Biomarkers Prev. 2011;20:2093–8.CrossRef Pollack LA, Hawkins NA, Peaker BL, Buchanan N, Riesendal BC. Dissemination and translation: a frontier for cancer survivorship research. Cancer Epi Biomarkers Prev. 2011;20:2093–8.CrossRef
Metadata
Title
Assessment of the status of A National Action Plan for Cancer Survivorship in the USA
Authors
Judith Lee Smith
Lori A. Pollack
Juan L. Rodriguez
Nikki A. Hawkins
Tenbroeck Smith
Ruth Rechis
Andy Miller
Anne Willis
Helen Miller
Ingrid J. Hall
Temeika L. Fairley
Brenda Stone-Wiggins
Publication date
01-09-2013
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 3/2013
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-013-0276-8

Other articles of this Issue 3/2013

Journal of Cancer Survivorship 3/2013 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine