[Presentation of PASCA, a day hospital dedicated to multidisciplinary cancer survivorship assessment]

The number of patients in long-term remission after cancer is steadily increasing. In France, 3.8 million people are living with or cured of cancer. Five years after diagnosis, 63.5% still report sequelae, including pain, fatigue, or psychosocial disorders. This article describes the implementation of PASCA (Care Pathway during Cancer), a day hospital dedicated to survivorship care. Opened at the Comprehensive Cancer Center Léon Bérard in Lyon in November 2023, the program offers a half-day multidisciplinary assessment: physical fitness evaluation, general practice consultation, and nursing intervention with paraclinical tests and educational actions. Assessments initiated the management of frequent but often neglected complications, such as cognitive disorders (53% of patients), musculoskeletal disorders (38%), mood disorders (31%), and sexual health issues (36%), among others. They resulted in at least one medical prescription in more than 99% of cases. These findings highlight the value of a dedicated survivorship pathway to support primary care. A prospective evaluation is needed to measure actual benefits in terms of quality of life, prevention and reduction of sequelae. If confirmed, the PASCA program could represent a concrete response to the objectives of the French 10-Year Cancer Control Strategy and pave the way for harmonized survivorship care at the national level.