{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T02:24:28Z","timestamp":1773887068808,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"21","license":[{"start":{"date-parts":[[2017,6,27]],"date-time":"2017-06-27T00:00:00Z","timestamp":1498521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006258","name":"Livestrong Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006258","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The survivorship needs of patients living with chronic cancer (CC) and their use of survivorship care plans (SCPs) have been overlooked and underappreciated.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A convenience sample of 39,088 SCPs completed for cancer survivors with an Internet\u2010based SCP tool was examined; it included 5847 CC survivors (15%; CC was defined as chronic leukemia and\/or recurrent\/metastatic cancer of another nature). Patient\u2010reported treatment effects and follow\u2010up care patterns were compared between CC survivors and survivors treated with curative intent (CI). Responses from a follow\u2010up survey regarding SCP satisfaction and use were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>CC survivors had greater odds of experiencing multiple treatment\u2010related effects than survivors treated with CI; these effects included fatigue, cognitive changes, dyspnea, peripheral neuropathy, lymphedema, and erectile dysfunction. Nearly half of CC survivors were managed by an oncologist alone, and they were less likely than CI patients to be comanaged by a primary care provider and an oncologist. Fewer SCPs were generated by health care providers (HCPs) for CC survivors versus CI survivors. A smaller proportion of CC users versus CI users rated their experience and satisfaction with the SCP tool as <jats:italic>very good<\/jats:italic> or <jats:italic>excellent<\/jats:italic>, and CC users were less likely to share the HCP summary with their health care team.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>A substantial number of CC survivors, often considered incurable but treatable, seek survivorship support. Tools to facilitate participation, communication, and coordination of care are valuable for these patients, and future iterations of SCPs should be designed to address the particular circumstances of living with CC. <jats:bold><jats:italic>Cancer<\/jats:italic> 2017;123:4268\u20134276.<\/jats:bold> \u00a9 <jats:italic>2017 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.30862","type":"journal-article","created":{"date-parts":[[2017,6,27]],"date-time":"2017-06-27T11:06:45Z","timestamp":1498561605000},"page":"4268-4276","source":"Crossref","is-referenced-by-count":21,"title":["Survivorship and the chronic cancer patient: Patterns in treatment\u2010related effects, follow\u2010up care, and use of survivorship care plans"],"prefix":"10.1002","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2402-2728","authenticated-orcid":false,"given":"Melissa A.","family":"Frick","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn C.","family":"Vachani","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Bach","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret K.","family":"Hampshire","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Arnold\u2010Korzeniowski","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James M.","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine E.","family":"Hill\u2010Kayser","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,27]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Cancer Institute.Definitions.https:\/\/cancercontrol.cancer.gov\/ocs\/statistics\/definitions.html. Published May 30 2014. Accessed April 10 2017."},{"key":"e_1_2_8_3_1","unstructured":"American Cancer Society.Managing cancer as a chronic illness.https:\/\/www.cancer.org\/treatment\/survivorship\u2010during\u2010and\u2010after\u2010treatment\/when\u2010cancer\u2010doesnt\u2010go\u2010away.html. Published February 12 2016. 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Accessed April 11 2017."},{"key":"e_1_2_8_19_1","unstructured":"National Cancer Institute.When someone you love has advanced cancer.https:\/\/www.cancer.gov\/publications\/patient\u2010education\/when\u2010someone\u2010you\u2010love\u2010has\u2010advanced\u2010cancer. Accessed April 11 2017."},{"key":"e_1_2_8_20_1","unstructured":"American Cancer Society.When cancer comes back.https:\/\/www.cancer.org\/content\/dam\/cancer\u2010org\/cancer\u2010control\/en\/booklets\u2010flyers\/when\u2010cancer\u2010comes\u2010back.pdf. Published September 2014. Accessed April 11 2017."},{"key":"e_1_2_8_21_1","unstructured":"National Comprehensive Cancer Network.NCCN clinical practice guidelines in oncology: survivorship.https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/survivorship.pdf. Published March 2017. 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