Affordable Access

Access to the full text

A multi-disciplinary model of survivorship care following definitive chemoradiation for anal cancer

Authors
  • Savoie, Marissa B.1
  • Laffan, Angela2
  • Brickman, Cristina3
  • Daniels, Bevin4
  • Levin, Anna2, 5
  • Rowen, Tami6
  • Smith, James7
  • Van Blarigan, Erin L.2, 7, 8
  • Hope, Thomas A.2, 9
  • Berry-Lawhorn, J. Michael10
  • Anwar, Mekhail2, 11
  • Van Loon, Katherine2, 10
  • 1 School of Medicine, University of California, San Francisco, USA , San Francisco (United States)
  • 2 University of California, Helen Diller Family Comprehensive Cancer Center, San Francisco, USA , San Francisco (United States)
  • 3 University of California, Department of Medicine, Division of Infectious Diseases, San Francisco, USA , San Francisco (United States)
  • 4 University of California, Department of Physical Therapy, San Francisco, USA , San Francisco (United States)
  • 5 University of California, Department of Psycho-Oncology, San Francisco, USA , San Francisco (United States)
  • 6 University of California, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco, USA , San Francisco (United States)
  • 7 University of California, Department of Urology, San Francisco, USA , San Francisco (United States)
  • 8 University of California, Department of Epidemiology and Biostatistics, San Francisco, USA , San Francisco (United States)
  • 9 University of California, Department of Radiology and Biomedical Imaging, San Francisco, USA , San Francisco (United States)
  • 10 University of California, Department of Medicine, Division of Hematology/Oncology, San Francisco, USA , San Francisco (United States)
  • 11 University of California, Department of Radiation Oncology, San Francisco, USA , San Francisco (United States)
Type
Published Article
Journal
BMC Cancer
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Sep 11, 2019
Volume
19
Issue
1
Identifiers
DOI: 10.1186/s12885-019-6053-y
Source
Springer Nature
Keywords
License
Green

Abstract

Following definitive chemoradiation for anal squamous cell carcinoma (ASCC), patients face a variety of chronic issues including: bowel dysfunction, accelerated bone loss, sexual dysfunction, and psychosocial distress. The increasing incidence of this disease, high cure rates, and significant long-term sequelae warrant increased focus on optimal survivorship care following definitive chemoradiation. In order to establish our survivorship care model for ASCC patients, a multi-disciplinary team of experts performed a comprehensive literature review and summarized best practices for the multi-disciplinary management of this unique patient population. We reviewed principle domains of our survivorship approach: (1) management of chronic toxicities; (2) sexual health; (3) HIV management in affected patients; (4) psychosocial wellbeing; and (5) surveillance for disease recurrence and survivorship care delivery. We provide recommendations for the optimization of survivorship care for ASCC patients can through a multi-disciplinary approach that supports physical and psychological wellness.

Report this publication

Statistics

Seen <100 times