1. Survivorship Guidelines
Neil Maniar, PhD, MPH
Vice President, Health Systems

2. Overview of Survivorship
Historically, 5 years after diagnosis
From the moment of diagnosis through the balance of life
Including family and caregivers
After active treatment
Historically, a person entered the survivorship phase of the cancer continuum once they were 5 years post-diagnosis. Based on efforts of organizations like the National Coalition for Cancer Survivorship and the LIVESTRONG Foundation, the definition has evolved to define survivorship as starting from the moment of diagnosis. This definition acknowledges that cancer patients begin surviving from the time they are diagnosed. That definition has since been expanded to include family and caregivers.
In practice, the term survivorship often means the time after active treatment. The National Cancer Institute defines survivorship as: “the health and life of a person with cancer post treatment until the end of life. It covers the physical, psychosocial, and economic issues of cancer, beyond the diagnosis and treatment phases. Survivorship includes issues related to the ability to get health care and follow-up treatment, late effects of treatment, second cancers, and quality of life. Family members, friends, and caregivers are also considered part of the survivorship experience.”
It is important to recognize that not all cancer survivors like the term survivor. For some, cancer is not a defining part of their lives. For others, they do not think the term captures their experience. Some terms people may use are thrive, fighter or even diva. Each person’s survivorship experience is different.
Prevention
Detection
Diagnosis
Treatment
Survivorship

3. Focus on Survivorship
2024
2024
2014
2014
Based on the growing baby boomer population, this number is expected to be nearly 19 million by 2024.
American Cancer Society, 2014a

4. Focus on Survivorship – Males
Over 40% of male survivors were diagnosed with prostate cancer.
*Non-Hodgkin
American Cancer Society, 2014a

5. Focus on Survivorship – Females
Similarly, over 40% of female cancer survivors were diagnosed with breast cancer.
*Non-Hodgkin
American Cancer Society, 2014a

6. Survivorship by Time Since Diagnosis
In addition to the types of survivors by gender and site, it’s important to understand survivorship by time since diagnosis.
About 2/3 of all cancer survivors were diagnosed 5 or more years ago.
15% were diagnosed 20 or more years ago.
Almost half of all survivors are 70 years of age or older, while only 5% are younger than 40 years.
This means that we are looking at an older population that is at risk for multiple cancer- and non-cancer-related comorbidities.
American Cancer Society, 2014

7. Survivorship Care
Calls for Survivorship Care
Survivorship Needs

8. IOM Recommendation #3
Health care providers should use systematically developed evidence-based clinical practice guidelines, assessment tools, and screening instruments to help identify and manage late effects of cancer and its treatment. Existing guidelines should be refined and new evidence-based guidelines should be developed through public-and private-sector efforts.

9. IOM Recommendation #7
The National Cancer Institute (NCI), professional associations, and voluntary organizations should expand and coordinate their efforts to provide educational opportunities to health care providers to equip them to address the health and quality of life issues facing cancer survivors.

10. IOM Recommendation
Thus, the committee recommends that the cancer care team collaborate with their patients to develop a care plan that reflects their patients’ needs, values, and preferences, and considers palliative care needs and psychosocial support across the cancer care continuum.

11. Impacts of Cancer Treatment
Individual Effects/Risks
Surgical Side Effects
Chemotherapy Side Effects
Radiation Side Effects
Hormonal Therapy Side Effects
Non-Treatment-Specific Side Effects
There are many impacts of cancer, which can be the result of surgery, chemotherapy, radiation and hormonal treatment. They may also be non-treatment-specific.

12. Psychological Well-Being
Cancer Survivor Needs
Quality of Life
Physical Well-Being
Psychological Well-Being
Control
Anxiety
Depression
Fear of recurrence
Cognition/attention
Functional status
Fatigue and sleep
Overall physical health
Fertility
Pain
Social Well-Being
Spiritual Well-Being
Family distress
Roles and relationships
Affection/sexual function
Appearance
Isolation
Finances/employment
Meaning of illness
Religiosity
Transcendence
Hope
Uncertainty
Inner strength
These impacts affect quality of life across these 4 major domains: physical well-being, psychological well-being, social well-being and spiritual well-being. These domains are all interrelated. For example, a survivor who fears recurrence may be less likely to seek treatment for physical issues, which may impact their social and spiritual well-being.
Ferrell & Hassey Dow, 1997

13. The Need for Survivorship Care
Rapidly growing population of survivors
Survivors experience unmet physical, psychosocial, practical and spiritual needs
Inconsistent coordination of care and communication between primary care providers and oncologists
Significant long-term and late effects
Complexity of care, comorbid conditions
According to the American Cancer Society’s Cancer Treatment & Survivorship Facts and Figures, there are approximately 14.5 million cancer survivors in the U.S.
Survivors can experience a wide array of physical, psychological, social, practical and spiritual concerns that linger or show up long after treatment. There is high variability in the way health care services are delivered after cancer treatment and limited, inconsistent care coordination between primary care providers and oncologists. Often there is confusion about what each health care provider is responsible for in terms of health care for the cancer survivor. Additionally, cancer survivors are at risk for significant long-term and late effects, which can be compounded by the complexity of care and the need to deal with multiple comorbid conditions.
American Cancer Society, 2014a
Smith et al., 2008

14. Long-term and Late Effects
Long-term effects are medical problems that develop during active treatment and persist after the completion of treatment
Late effects are medical problems that develop or become apparent months or years after treatment is completed
Two terms are often used to describe effects of cancer and its treatment. Long-term effects are medical problems that develop during active treatment and persist after the completion of treatment, whereas late effects are medical problems that develop or become apparent months or years after treatment is completed.

15. Guideline Development
National Cancer Survivorship Resource Center
A collaboration between ACS and George Washington University
Established 2010 with the support of a 5 year cooperative agreement from CDC

16. Guidelines Development Process
Start with science
Staff Conduct Preliminary Literature Search
Convene Guidelines Expert Workgroup & Conduct Literature Review & Synthesis
Panel Drafts & Edits Guidelines
ACS Internal Medical Review
ACS National Board of Directors Review & Approval
Development & External Review of Manuscript
Publish guidelines in CA
Each site specific Expert Panel Workgroup is staffed by a HP staff member and co-led by a Cancer Control Science staff member and volunteer expert. Prior to convening the Expert Panel Workgroup to provide an overview of the process and deliverables, the HP staff conducts a preliminary literature search to launch the process and to provide some basic information for the workgroup members. Topic buckets are generated from this preliminary search and used to allow the workgroup members to self select into their specific topic bucket. Once workgroup members have convened and selected a topic bucket, they proceed with additional literature review and synthesis. This synthesis, combined with their expertise in practice, is used to develop draft guidelines specific to their topic bucket. Each member submits their drafts to the staff lead to be compiled into a comprehensive draft guideline for the cancer site. The draft guidelines are shared with the workgroup and discussed via conference call to draft the final guidelines that will be reviewed by the MOC, CMO and National Board. The entire process takes 9-12 months, resulting in a published guidelines manuscript in CA.
Cowens-Alvarado, R., Sharpe, K., Pratt-Chapman, M., Willis, A., Gansler, T., Ganz, P. A., Edge, S. B., McCabe, M. S. and Stein, K. (2013), Advancing survivorship care through the National Cancer Survivorship Resource Center. CA: A Cancer Journal for Clinicians, 63: 147–150

17. ACS Cancer Survivorship Care Guidelines: Development bit
ACS Cancer Survivorship Care Guidelines: Development bit.ly/SurvivorshipCenter
The ACS developed clinical follow-up care guidelines for a total of four cancer sites including breast, colorectal, head and neck, and prostate cancer. You can read this article at this direct URL to learn more about the process.
The Breast Cancer Survivorship Guidelines were jointly release with ASCO. 17

18. Survivorship Guidelines
There are several survivorship guidelines available that have different areas of focus.

19. ACS Cancer Survivorship Care Guidelines: Key Areas
Key areas of the ACS cancer survivorship care guidelines address:
monitoring for cancer recurrence,
screening and early detection of new cancers,
assessment and management of physical and psychosocial long-term and late effects of cancer and its treatment,
health promotion strategies for nutrition, physical activity and tobacco cessation,
and care coordination among the cancer care team including survivorship care plans, communication with providers, and inclusion of caregivers.
In addition to some survivorship information in its disease-specific guidelines, The National Comprehensive Cancer Control Network (or NCCN) has a survivorship guideline that provides guidance to providers on the assessment and management of common long-term/late effects stemming from cancer and its treatment (ie, anxiety and depression; cognitive function; exercise; fatigue; immunizations and infections; pain; sexual function; and sleep disorder).
Also, the American Society of Clinical Oncology (or ASCO) has disease-specific as well as topic-based guidelines covering neuropathy, fatigue, anxiety and depression and fertility preservation, or symptom-related guidelines, to provide resources for the assessment and management of long-term and late effects.
While the ACS guidelines leverage these resources, the ACS guidelines address survivorship for a specific cancer site, thus allowing the primary care provider to view follow-up care holistically.

20. Cancer Survivorship Clinical Practice Guidelines
National Comprehensive Cancer Network
By Topic:
Anxiety and depression
Cognitive function
Exercise
Fatigue
Immunizations and infections
Pain
Sexual function (female/male)
Sleep disorders
American Society of Clinical Oncology
Neuropathy
Fertility preservation
Breast cancer survivorship care guideline (ACS/ASCO)
American Cancer Society Survivorship Care Guidelines for Primary Care Providers
Holistic:
Surveillance
Screening
Long-term and late effects
Health promotion
Breast (ACS/ASCO), colorectal, head and neck and prostate currently available
In addition to some survivorship information in its disease-specific guidelines, the National Comprehensive Cancer Network has topic-based guidelines for survivors that cover anxiety and depression, cognitive function, exercise, fatigue, immunizations and infections, pain, sexual function (female/male) and sleep disorders. Similarly, ASCO has limited disease-specific guidelines as well as topic-based guidelines covering neuropathy, fatigue, anxiety and depression and fertility preservation. The American Cancer Society released disease-specific guidelines including colorectal, head and neck and prostate, and breast cancer guidelines in partnership with ASCO. These guidelines are holistic and cover multiple domains, including surveillance and screening, health promotion and care coordination.

21. ACS Cancer Survivorship Care Guidelines: CA articles bit
ACS Cancer Survivorship Care Guidelines: CA articles bit.ly/ACSPrCa; bit.ly/acscolorc; bit.ly/BrCaCare; bit.ly/acsheadneck
The first in the new ACS series of cancer survivorship care guidelines, the ACS Prostate Cancer Survivorship Care Guidelines, were published online in CA: A Cancer Journal for Clinicians (or CA) in June 2014 and was selected to be the cover feature of the Jul/Aug print issue. In February 2015, ASCO endorsed the guidelines.
The second guideline in the series, the ACS Colorectal Cancer Survivorship Care Guideline, was published online in CA in September 2015.
The third guideline, the ACS/ASCO Breast Cancer Survivorship Care Guideline, a co-release as the result of a new collaboration with ASCO, was published in the ACS Journal, CA, and in the ASCO Journal of Clinical Oncology (or JCO) in December This guideline received considerable press and was a featured segment on Good Morning America.
The last guideline in the series, the ACS Head and Neck Cancer Survivorship Care Guideline, was published online in CA in March 2016, and was selected to be the cover feature of the May/June print issue.
Visit these direct URLs to access the free CA articles and free CE activities for physicians and nurses to assist with education and training of health care professionals.
The first in the new ACS series of cancer survivorship care guidelines, the ACS Prostate Cancer Survivorship Care Guidelines was published online in CA: A Cancer Journal for Clinicians in June 2014 and was selected to be the cover feature of the Jul/Aug print issue. In February 2014, The ASCO endorsed the guidelines. Since publication in June 2014, the free prostate CA article has almost 4000 (3777) views, almost (15866) downloads, and little over 200 (202) completed CE activities.
The second guideline in the series, the ACS Colorectal Cancer Survivorship Care Guideline, was published online in CA A Cancer J Clin in September Since publication in September 2015, the free colorectal CA article has almost 3000 (2675) views, little over 7000 (7018) downloads, and little over 100 (121) CE activities completed.
The third guideline, the ACS/ASCO Breast Cancer Survivorship Care Guideline, a result of a new collaboration with the ASCO, was published in the ACS Journal and the Journal of Clinical Oncology in December The guideline received considerable press and was a featured segment on the Today Show. Since publication in December 2015, the free breast CA article has almost 4000 (3833) views, almost 6000 (5528) downloads, and almost 200 (161) CE activities completed.
The last guideline in this series, the ACS Head and Neck Cancer Survivorship Care guideline was published online in CA A Cancer J Clin just last week, and was selected to be the cover feature of the May/June print issue. Analytics for the free head and neck CA article will not be available until early April, but already 12 CE activities have been completed.
Visit these URLs to access the free CA articles and free CE activities to assist with education and training of health care professionals.

22. ACS Cancer Survivorship Care Guidelines: ACS website cancer
ACS Cancer Survivorship Care Guidelines: ACS website cancer.org/professionals
The ACS has cancer survivorship care guidelines pages on cancer.org. The pages offer a one-stop shop access point for the ACS cancer survivorship care guidelines, the ACS cancer screening guidelines, and the ACS nutrition and physical activity guidelines for cancer survivors that were leveraged in the cancer survivorship care guidelines.
On this slide is the landing page for cancer.org/professionals using the breast guideline as an example of the content found on those pages. Theses pages feature content on the ACS cancer survivorship care guidelines and tools and resources to support dissemination and implementation, including:
a brief description of the cancer survivorship care guideline development process,
links to the free full-text CA article for providers, and CA Patient Page for patients,
links to jump to the guideline recommendations tables in the CA articles,
link to The Survivorship Center guideline dissemination and implementation Toolkit for primary care and oncology providers, patients and caregivers/family members, and public health professionals,
link to The E-Learning Series for providers,
links to the prescription for cancer information tool for providers, and life after treatment guide for cancer survivors,
link to survivorship care plan templates on cancer.org,
and will feature links to the new ACS Survivorship Care Guidelines mobile app on the Apple and Android app stores when it becomes available.

23. ACS Cancer Survivorship Care Guidelines: CA Patient Pages bit
ACS Cancer Survivorship Care Guidelines: CA Patient Pages bit.ly/CAPatientPages
The Survivorship Center also developed a series of free CA Patient Pages, companion pieces to the free CA articles, to help cancer survivors talk to their doctors about the guidelines. Visit this URL to access the free CA Patient Pages for cancer survivors.

24. 5 Survivorship facts to know
There are 14 million cancer survivors in the United States today, by 2024 there will be 19 million.
ACS has developed evidence-based guidelines, drawn from the most recent, rigorous research to develop specific survivorship guidelines in 4 areas: Breast, Colon, Head/Neck, Prostate cancers.
The evidence in these four areas has helped us develop a general set of guidelines for all quality cancer survivorship.
Meeting the Commission on Cancer (CoC) standards for Survivorship Care Plans and Psychosocial Distress Screening has been challenging for cancer centers.
Incorporating these guidelines goes beyond “checking the box” for accreditation standards. Your systems can use these to build and deliver high quality survivorship care.

25. ACS Cancer Survivorship Care Guidelines: CoC Standards https://www
Psychosocial Distress Screening
The cancer committee develops and implements a process to integrate and monitor on-site psychosocial distress screening and referral for the provision of psychosocial care.
Standard 3.3
Survivorship Care Plan
The cancer committee develops and
implements a process to disseminate
a comprehensive care summary and
follow-up plan to patients with cancer
who are completing cancer treatment.
The process is monitored, evaluated, and presented at least annually to the cancer committee and documented in minutes.
cancer.org/survivorshipcareplans
Of note, although the routine provision of survivorship care plans was identified as a gap in survivorship care, activities around survivorship care plans were not included in The Survivorship Center work plan. Instead work focused on developing cancer survivorship care guidelines to address clinical and psychosocial needs as a necessary first step, work which could help inform key elements of survivorship care plans, and the education and training of health care professionals. Also, the guidelines support survivorship care plan implementation with recommendations to encourage primary care providers to consult with the cancer treatment team and to obtain a treatment summary and survivorship care plan.
As shared earlier, survivorship care plan templates are available on the ACS website at cancer.org/survivorshipcareplans. This direct URL was highlighted in the most recent guideline article under the survivorship care plan guideline recommendation.
In addition, The Survivorship Center was invited to participate on and engage our volunteers on ACS & CoC webinars designed to help support SCP implementation.
In September 2014, the ACS hosted the first webinar on Psychosocial Distress Screening in CoC Hospitals, featuring speakers from the ACS National Cancer Information Center (or ACS NCIC), Commission on Cancer (or CoC), and the Cancer Support Community, who shared perspectives on the value of psychosocial distress screening in the delivery of patient-centered cancer care, and practical recommendations for integrating distress screening within CoC-accredited cancer programs.
In November 2014, the ACS hosted a second webinar featuring speakers from the CoC, clinicians from CoC-accredited hospitals both large and small, and The Survivorship Center, who shared perspectives on the value of survivorship care plans as well as recommendations for implementing survivorship care plans in CoC-accredited programs, and sharing ACS and The Survivorship Center resources to support survivorship care plan implementation and survivorship programs.

26. Application in Hospital Settings
CoC Standards
Survivorship Facts
Audience

27. Conceptualization of Guideline Use in Hospital Systems
Content
Use guidelines to include in survivorship care plans to meet standards requirement of inclusion of follow-up care plans.
Clinic Visits and Pathways
Use the guidelines and visit checklist to design and plan clinical survivorship visits and clinical pathways.
Strategic Planning
Use the guidelines in strategic planning to design comprehensive survivorship care across the cancer center and related clinical and patient services settings.

28. Survivorship Guidelines Use
Content
Strategic
Clinical

29. Content CoC Standard 3.3 Survivorship Care Plan
Survivorship Guidelines
The cancer committee develops and
implements a process to disseminate
a comprehensive care summary and
follow-up plan to patients with cancer
who are completing cancer treatment.
The process is monitored, evaluated, and presented at least annually to the cancer committee and documented in minutes.
cancer.org/survivorshipcareplans
Compliance with the standard can include the following information as a component of a survivorship care plan:
Recommendations for surveillance and recurrence (e.g., timelines) based on staging and treatment
Assessment of physical and psychosocial late and chronic effects
Health promotion information
Contact information for specialists and new concerns (e.g., care coordination)

30. What Oncologists Should Know
New Commission on Cancer Accreditation Standards require (1) Survivorship Care Plans (treatment summary + follow-up care plan) be given to and discussed with patients treated with curative intent who are finishing active treatment, and (2) patients to be screened for distress and psychosocial health needs. As a result, these practices are becoming part of the standard of care.
American Cancer Society Cancer Survivorship Care Guidelines are available to guide the content of Survivorship Care Plans for colorectal, head and neck and prostate cancer survivors. A joint American Cancer Society/American Society of Clinical Oncology Cancer Survivorship Care Guideline is available to guide the content of Survivorship Care Plans for breast cancer survivors. View them at:
NCRSC Toolkit pg.9/81

31. Clinical Applications
Clinic Visits
Clinical Pathways
For follow-up visits focused on survivorship and surveillance, provider checklists are available for:
Breast, Colorectal, Head/Neck and Prostate cancers
General components of cancer survivorship care for other cancers
Designing clinical processes to manage assessment and quality processes related to components of survivorship care.
These provider checklists fall under the four domains of Screening/Surveillance, assessment and management of long-term and late physical and psychosocial effects, health promotion (or rehab), care coordination.

32. Clinical Pathways Example
Standard 3.2 Psychosocial Distress Screening
Example:
As part of care for colorectal cancer survivors, a screening process utilizing recommended tools could be designed to assess, manage, and monitor:
Psychosocial long-term and late effects
Physical long-term and late effects
Need for cancer rehabilitation
The cancer committee develops and implements a process to integrate and monitor on-site psychosocial distress screening and referral for the provision of psychosocial care.

33. Strategic Planning
What would comprehensive survivorship care look like in our system?
How can our system build survivorship care utilizing direct clinic services, non-clinical care (e.g., educational programming), and ACS and community resources?
What components of guideline supported care does our system provide?
Where are the needs?
Who can provide the care? Who will pay for it?

34. The guidelines and toolkit provide cancer centers evidence-based recommendations and resources for systems to develop comprehensive survivorship care strategies to address the needs of this growing population of patients.
Elevator speech

35. Tools and Resources Email and Social Media Slide Deck App
Dissemination Toolkit

36. Tools and Resources – Email and Social Media
Tailored text for hospital systems - 3 s with messaging from the dissemination toolkit, containing information about the release of the guidelines, relevance to CoC accounts and provider resources
Sample s – Dissemination Toolkit (pg )
Social Media – Dissemination Toolkit (pg )
Strategies and best practices
Messages with links/hashtags for Twitter, Facebook, LinkedIn, Google+
Messaging tailored to specific groups (i.e., oncology and primary care providers, public health, patients, caregivers)
There is no reason for you to create something from scratch. If you have a need we aren’t meeting, go to the toolkit to use the resources there.
In addition, these messages can be used by your hospital partners – talk to marketing…

37. Tools and Resources – Slide Deck Presentations
Overview of Survivorship (choose 1-2 slides)
Need for Survivorship care
Slides 14, 15 provide nice overview
CoC standards slide
Guidelines development (1-2 slides)
Emphasize scientific rigor/evidence-base and access
Guidelines content (1-2 slides)
Three levels of implementation (content, clinical and strategic) (insert slide numbers when complete (required)
Provider tools and resources (app, toolkit, e-learning series)

38. Tools and Resources – Provider Tools
App – released on iTunes, soon to be released on Android
Places all the guidelines information at clinician finger tips
Download the app on your phone or a friend’s phone, play with it
E-learning series
It’s not just for primary care; anyone delivering survivorship clinical care can use it

39. ACS Cancer Survivorship Care Guidelines: Clinician Mobile App #oncology and Android Google Play
The Survivorship Center developed a smartphone mobile application for both Apple and Android to support guideline implementation. This is an early mock-up to give you an idea of screens in the app.
Provider user scenarios could include:
information seeking on surveillance and screening recommendations to prep for a survivorship visit, or
reviewing symptom management recommendations, and sharing healthy lifestyle strategies with a survivor during a visit, or
sharing survivor resources following a visit.
We anticipate the app store applications to be approved for app release to the Apple App Store and Google Play in May and June.

40. Cancer Survivorship E-Learning Series
bit.ly/PCPE-Learning
The Cancer Survivorship E-Learning Series was developed for Primary Care Providers but has been completed by many oncology clinicians as well. The no-cost program offers CME and CNE. Each 1-hour module is self-paced and can be completed in any order. Modules include presentations by national experts as well as patient perspectives that highlight key concepts.

41. E-Learning Series: Module Topics
The Current State of Survivorship Care and the Role of Primary Care Providers
Module 1
Late Effects of Cancer and its Treatments: Managing Comorbidities and Coordinating with Specialty Providers
Module 2
Late Effects of Cancer and its Treatment: Meeting the Psychosocial Health Care Needs of Survivors
Module 3
The first three modules include:
Module 1: The Current State of Survivorship Care and the Role of Primary Care Providers
The first module discusses models of cancer survivorship follow-up care, primary care provider’s role in providing care to survivors and an overview national efforts related to survivorship care. Larissa Nekhlyudov from Harvard and Anne Willis from the GW Cancer Institute present.
Module 2: Late Effects of Cancer and its Treatments: Managing Comorbidities and Coordinating with Specialty Providers
This module covers common late effects after treatment as well as how cancer treatment late effects may interact with non-caner comorbidities. Presenters include Terese Mulvey of the Southcoast Centers for Cancer care and Carrie Tilley from the GW Medical Faculty Associates.
Module 3: Late Effects of Cancer and its Treatment: Meeting the Psychosocial Health Care Needs of Survivors
The third module of the series identifies various psychosocial issues as well as the primary care provider’s role in follow-up psychosocial care. Lynne Padgett from the National Cancer Institute and Lorenzo Norris of the GW Medical Center present.

42. E-Learning Series: Module Topics
The Importance of Prevention in Cancer Survivorship: Empowering Survivors to Live Well
Module 4
A Team Approach: Survivorship Care Coordination
Module 5
Cancer Recovery and Rehabilitation
Module 6
Modules 4-6 focus on :
Module 4: The Importance of Prevention in Cancer Survivorship: Empowering Survivors to Live Well
The fourth module discusses prevention and wellness strategies and features presentations from Kimberly Peairs from Johns Hopkins internal medicine and Colleen Doyle from ACS who helped write the NUPA guidelines.
Module 5: A Team Approach: Survivorship Care Coordination
The fifth module focuses on care coordination, with presentations from Mary McCabe at Memorial Sloan Kettering and Ken Miller from Sinai Hospital of Baltimore.
Module 6: Cancer Rehabilitation and Recovery
Module 6 covers rehabilitation for cancer survivors as well as spirituality. The presenters are Julie Silver from Harvard and Christina Puchalski from the GW Institute for Spirituality and Health.

43. E-Learning Series: Module Topics
Spotlight on Prostate Cancer Survivorship
Module 7
Spotlight on Colorectal Cancer Survivorship
Module 8
Spotlight on Breast Cancer Survivorship
Module 9
Spotlight on Head and Neck Cancer Survivorship
Module 10
Modules 7-10 focus on clinical follow-up care guidelines for primary care providers.
Module 7: Spotlight on Prostate Cancer Survivorship: Clinical Follow-Up Care Guideline for Primary Care Providers
This module covers long-term and late effects of prostate cancer and its treatment. Presenters include Ted Skolarus from the University of Michigan and Andrew Wolf from the University of Virginia School of Medicine, both authors of the ACS prostate cancer survivorship care guideline.
Module 8: Spotlight on Colorectal Cancer Survivorship: Clinical Follow-Up Care Guideline for Primary Care Providers
Module 8 discusses long-term and late effects of colorectal cancer and its treatment. Khaled El-Shami from the GW School of Medicine and Durado Brooks from ACS, both co-authors on the ACS guideline, present.
Module 9: Spotlight on Breast Cancer Survivorship: Clinical Follow-Up Care Guideline for Primary Care Providers
This module goes over the long-term and late effects of breast cancer and its treatment. Presenters include Patricia Ganz from UCLA (co-author of the ACS guideline) and Louise Chang of ACS.
Module 10: Spotlight on Head and Neck Cancer Survivorship: Clinical Follow-Up Care Guideline for Primary Care Providers
This final module covers long-term and late effects of head and neck cancer and their treatments. Presenters include lead author on the guideline, Ezra Cohen of UC San Diego, and Penelope Fisher from University of Miami, also a co-author on the guideline.

44. ACS Cancer Survivorship Care Guidelines: Dissemination Toolkit bit
ACS Cancer Survivorship Care Guidelines: Dissemination Toolkit bit.ly/NCSRCToolkit
To help address gaps in cancer survivorship care through education and training of health care professionals, The GW Cancer Institute developed a dissemination and implementation toolkit which provides various resources to help with implementing survivorship care.
The toolkit was created to be used by:
oncology and primary care providers,
Comprehensive Cancer Control professionals,
patient navigators,
advocates/patients/survivors/caregivers.
The goals of the toolkit are to:
Educate primary and oncology care providers about the clinical follow-up care needs of cancer survivors,
Provide tools primary and oncology care providers can implement to improve care for cancer survivors,
Equip patients with tools to discuss their long-term health with providers,
Highlight free continuing education resources for improving survivorship care.
The information and free resources provided in the toolkit can be used to enhance practice and to help ensure cancer survivors receive evidence-based follow-up care. Components of the toolkit are available for free download as individual files.
Resources include:
content from the ACS cancer survivorship care guidelines that provide clear recommendations on what care should be delivered to survivors after treatment for breast, colorectal, prostate, and head and neck cancers and their treatments.
provider and patient visit checklists,
dissemination strategies and social media messages,
sample message and press release,
as well as training opportunities.
Cover

45. Thank You To learn more about The Survivorship Center,
Visit: cancer.org/survivorshipcenter
Questions about The Survivorship Center?
Questions about the Toolkit or E-Learning Series?
This presentation is supported by Cooperative Agreement #5U55DP from The Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention.
Be sure to visit The Survivorship Center page on cancer.org to learn more about all The Survivorship Center activities. For questions or comments you can reach out to me directly, or to The Survivorship Center project staff through these s.
The tools and resources shared here today can support your survivorship activities with cancer survivors and caregivers and health systems. We encourage you to share them with your systems and networks, especially those in primary care.
Thank you for your time and attention.

46. Questions from you and for you?
Do we need more training on the content?
Questions from you and for you?