One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea.

Ji Eun Lee, Dong Wook Shin, Hyejin Lee, Ki Young Son, Warrick Junsuk Kim, Yun-Suhk Suh, Seong-Ho Kong, Hyuk Joon Lee, Belong Cho, Han-Kwang Yang
Author Information
  1. Ji Eun Lee: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  2. Dong Wook Shin: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  3. Hyejin Lee: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  4. Ki Young Son: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  5. Warrick Junsuk Kim: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  6. Yun-Suhk Suh: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea . ORCID
  7. Seong-Ho Kong: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea . ORCID
  8. Hyuk Joon Lee: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea . ORCID
  9. Belong Cho: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea . ORCID
  10. Han-Kwang Yang: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea . ORCID

Abstract

Given the rapid growth of the population of cancer survivors, increased attention has been paid to their health problems. Although gastric cancer is one of the most common cancers, empirical evidence of survivorship care is limited. The objectives of this study were to describe the health care status of gastric cancer survivors and to report the experience of using the shared-care model during a one-year experience at the cancer survivorship clinic in Seoul National University Hospital. This is a descriptive, single-center study of 250 long-term gastric cancer survivors who were referred to the survivorship clinic. The status of their health behaviors, comorbid conditions, secondary cancer screenings, and survivorship care status were investigated through questionnaires and examining the medical records. Among the survivors, 7.2% were current smokers, 8.8% were at-risk drinkers, and 32.4% were physically inactive. Among the patients who did not know their bone density status, the majority were in the osteopenic (37.1%) or osteoporotic range (24.1%). Screening among the eligible population within the recommended time intervals were 76.3% for colorectal cancer, but only 13.6% for lung cancer. All of the survivors were provided with counseling and medical management at the survivorship clinic, as appropriate. In conclusion, Long-term gastric cancer survivors have various unmet needs. Shared-care through survivorship clinics can be an effective solution for providing comprehensive care to cancer survivors.

Keywords

References

  1. Int J Cancer. 2015 Mar 1;136(5):E359-86 [PMID: 25220842]
  2. J Clin Oncol. 2003 Apr 15;21(8):1447-51 [PMID: 12697865]
  3. Cancer Res Treat. 2014 Apr;46(2):109-23 [PMID: 24851102]
  4. Am J Prev Med. 2010 Jan;38(1):61-9 [PMID: 20117558]
  5. Cancer Sci. 2012 Jun;103(6):1111-20 [PMID: 22364479]
  6. Qual Saf Health Care. 2003 Aug;12(4):263-72 [PMID: 12897359]
  7. Support Care Cancer. 2007 Jun;15(6):621-30 [PMID: 17205274]
  8. Circulation. 2002 Dec 17;106(25):3143-421 [PMID: 12485966]
  9. Diabetes Metab J. 2011 Aug;35(4):303-8 [PMID: 21977448]
  10. Cancer. 2014 Dec 1;120(23):3752-3 [PMID: 25060805]
  11. Ann Surg Oncol. 2013 Apr;20(4):1250-7 [PMID: 23076556]
  12. J Gastric Cancer. 2011 Mar;11(1):7-15 [PMID: 22076196]
  13. J Surg Res. 2010 Nov;164(1):e67-71 [PMID: 20863527]
  14. J Korean Med Sci. 2013 May;28(5):651-7 [PMID: 23678254]
  15. Patient Educ Couns. 2011 Oct;85(1):74-8 [PMID: 21036507]
  16. Diabetes Metab J. 2012 Feb;36(1):43-55 [PMID: 22363921]
  17. Diabetes Care. 2013 Jan;36 Suppl 1:S67-74 [PMID: 23264425]
  18. Asian Pac J Cancer Prev. 2012;13(2):671-6 [PMID: 22524843]
  19. Cancer Epidemiol Biomarkers Prev. 2007 Mar;16(3):566-71 [PMID: 17372253]
  20. J Clin Oncol. 2006 Nov 10;24(32):5117-24 [PMID: 17093273]

MeSH Term

Adult
Aged
Aged, 80 and over
Bone Diseases, Metabolic
Counseling
Delivery of Health Care
Health Behavior
Health Status
Humans
Influenza, Human
Middle Aged
Osteoporosis
Pneumonia
Republic of Korea
Stomach Neoplasms
Surveys and Questionnaires
Survivors
Vaccination

Word Cloud

Created with Highcharts 10.0.0cancersurvivorssurvivorshipCancergastriccarestatushealthclinicpopulationstudyexperiencemedicalAmong1%SurvivorshipShared-CareModelGastricKoreaGivenrapidgrowthincreasedattentionpaidproblemsAlthoughonecommoncancersempiricalevidencelimitedobjectivesdescribereportusingshared-caremodelone-yearSeoulNationalUniversityHospitaldescriptivesingle-center250long-termreferredbehaviorscomorbidconditionssecondaryscreeningsinvestigatedquestionnairesexaminingrecords72%currentsmokers88%at-riskdrinkers324%physicallyinactivepatientsknowbonedensitymajorityosteopenic37osteoporoticrange24Screeningamongeligiblewithinrecommendedtimeintervals763%colorectal136%lungprovidedcounselingmanagementappropriateconclusionLong-termvariousunmetneedsShared-careclinicscaneffectivesolutionprovidingcomprehensiveOne-YearExperienceManagingClinicUsingSurvivorsCare

Similar Articles

Cited By