Cancer Survivors in Your Care: The ASCO Blueprint
Editors' Recommendations
Cancer: The Newest Chronic Disease
Hello. I'm Dr. Sandra Fryhofer. Welcome to Medicine Matters.
The topic: achieving high-quality cancer survivorship care and the American Society of Clinical Oncology's (ASCO®) new blueprint for improving care for cancer survivors, published in the Journal of Clinical Oncology.[1] Here's why it matters.
More and more patients are living with cancer and they're living longer. Right now, more than 13.5 million people are cancer survivors. The 3 most prevalent cancers for men are prostate, colorectal, and melanoma; for women they are breast, uterine, and colorectal cancers.[2]
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Over the next 10 years, by 2022, the number of cancer survivors is expected to increase to nearly 18 million.[2] The Centers for Disease Control and Prevention (CDC) points out that about two thirds of people with cancer are expected to live at least 5 years after diagnosis.[3] These are patients who have had cancer and they've survived it. They've completed cancer treatments and now need continued follow-up care for cancer and other chronic diseases. ASCO has issued a new set of recommendations to help improve this care and to keep cancer survivors from falling through the cracks. Achieving this goal will require enhanced communication and coordination of care.
First, ASCO wants cancer to be considered a chronic disease. This is because the Affordable Care Act calls for Accountable Care Organizations (ACOs) and patient-centered medical homes to promote coordinated care for chronic diseases. Calling cancer survival a chronic disease would promote patient-centered coordinated care based on shared care models and would enhance collaboration.
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