Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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Management of cancer survivors in Korea

암경험자의 관리

  • Shin, Dong Wook (Cancer Survivorship Clinic, Department of Family Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sunwoo, Sung (Cancer Prevention Clinic, Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jungkwon (Supportive Care Center, Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University College of Medicine)
  • 신동욱 (서울대학교 의과대학 서울대병원 가정의학교실 암건강증진센터) ;
  • 선우성 (울산대학교 의과대학 서울아산병원 가정의학교실 암예방클리닉) ;
  • 이정권 (성균관대학교 의과대학 삼성서울병원 가정의학교실 암치유센터)
  • Received : 2015.01.26
  • Accepted : 2015.02.09
  • Published : 2015.03.10
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Abstract

With the early detection of cancer and advances in cancer treatment, the number of cancer survivors is increasing dramatically and is currently over 1 million. Many cancer survivors face lifetime risks associated with their cancer therapy, with a significant proportion at risk for serious morbidity and premature mortality. The long-term physical and psychosocial effects of cancer treatment on cancer survivors and their families are increasingly being recognized as emerging problems from both clinical and public health perspectives. This article summarizes the core principles of management of cancer survivors: follow-up of primary cancer; screening and prevention of a second primary cancer; management of late effects of cancer treatment and comorbid conditions; promotion of healthy behaviors such as smoking cessation, exercise and physical activity, nutrition, and weight management; management of psychosocial problems; and support for family caregivers. Finally, we discuss the way forward for improving survivorship care: shared care between oncologists and primary care physicians; a comprehensive cancer support program; and further research to generate relevant evidence regarding these management principles.

Keywords

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