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Cancer survivors.

A H Herold1, R G Roetzheim

  • 1Department of Family Medicine, University of South Florida College of Medicine, Tampa.

Primary Care
|December 1, 1992
PubMed
Summary

Cancer survivorship presents unique challenges, including late physical effects and psychosocial issues. Primary care physicians play a vital role in promoting health and preventing risks for cancer survivors.

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Area of Science:

  • Oncology
  • Public Health
  • Psychology

Background:

  • Cancer survivorship is an emerging medical field.
  • Cancer therapies can lead to long-term physical and psychosocial effects.
  • Quality of life may be diminished in pediatric survivors, especially those with central nervous system (CNS) involvement.

Purpose of the Study:

  • To define the scope of cancer survivorship.
  • To identify key physical and psychosocial challenges faced by survivors.
  • To highlight the role of primary care in managing survivor health.

Main Methods:

  • Literature review of cancer survivorship issues.
  • Analysis of quality-of-life assessments in adult and pediatric survivors.
  • Examination of risks and concerns including secondary malignant neoplasia (SMN), infertility, and familial predisposition.

Main Results:

  • Survivors face significant late physical effects and psychosocial challenges, including employment discrimination and marital issues.
  • Adult survivors' quality of life is comparable to controls, but pediatric survivors with CNS treatment effects experience diminished quality of life.
  • Survivors have a 10-20 times higher risk of SMN; infertility and sexual dysfunction are common but often unexpressed concerns.

Conclusions:

  • Primary care physicians can effectively manage cancer survivors by focusing on health promotion and risk prevention.
  • Addressing psychosocial issues and late effects is crucial for improving cancer survivor outcomes.
  • Lower socioeconomic status negatively impacts cancer survival due to reduced access to screening and treatment.

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