Defining Survivorship Trajectories Across Patients With Solid Tumors: An Evidence-Based Approach.

ABSTRACT:

Importance

Survivorship involves a multidisciplinary approach to surveillance and management of comorbidities and secondary cancers, overseen by oncologists, surgeons, and primary care physicians. Optimal timing and coordination of care, however, is unclear and often based on arbitrary 5-year cutoffs.

Objective

To determine high- and low-risk periods for all tumor types that could define when survivorship care might best be overseen by oncologists and when to transition to primary care physicians.

Design, setting, and participants

In this pan-cancer, longitudinal, observational study, excess mortality hazard, calculated as an annualized mortality risk above a baseline population, was plotted over time. The time this hazard took to stabilize defined a high-risk period.

SUBMITTER: Dood RL 

PROVIDER: S-EPMC6248088 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature