Psychosocial/survivorship issues in breast cancer: are we doing better?

Fallowfield, L and Jenkins, V (2014) Psychosocial/survivorship issues in breast cancer: are we doing better? Journal of the National Cancer Institute, 107 (1). pp. 1-5. ISSN 0027-8874

[img]
Preview
PDF - Accepted Version
Download (294kB) | Preview

Abstract

Modern breast cancer treatment offers many women greater prospects of cure or lengthier, good quality survival than was possible in the past. Advances include improved diagnostic and staging procedures, sophisticated onco-plastic surgery, enhanced radiotherapy techniques, and targeted systemic therapies. Much more attention has also been paid to cancer care delivery and access to specialist nurses, counsellors, support groups, and services provided by breast cancer charities. However, there are some concerns that these considerable improvements in treatment delivery and clinical outcomes have not led to similar benefits in the psychosocial, functional, and sexual well-being of women. The impact that non-life threatening, long-term iatrogenic harms of otherwise efficacious anticancer treatments has on patients is often overlooked; this is in part because of the emphasis given to physician-reported safety data in trials and the general exclusion of patient-reported outcomes (PROs). A failure to utilise reliable PRO measures has meant that some problems are underreported, which consequently has hampered much-needed research into ameliorative interventions. Systematic monitoring of quality of life-threatening side effects would permit early implementation of effective interventions and enhance long-term survivorship. Some examples of the pervasive difficulties that continue to affect survivors and evidence that certain interventions might help are provided in this commentary.

Item Type: Article
Additional Information: Fallowfield, Lesley Jenkins, Valerie United States Journal of the National Cancer Institute J Natl Cancer Inst. 2014 Nov 27;107(1). pii: dju335. doi: 10.1093/jnci/dju335. Print 2015 Jan.
Keywords: breast cancer, survivorship, psychological morbidity, iatrogenic harms, psychosocial care
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Subjects: R Medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology Including cancer and carcinogens
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology Including cancer and carcinogens > RC0280 By region, system, or organ of the body, or type of tumor, A-Z > RC0280.B8 Breast. Mammary glands
Depositing User: Kathryn Monson
Date Deposited: 03 Dec 2014 08:59
Last Modified: 15 Mar 2017 03:21
URI: http://sro.sussex.ac.uk/id/eprint/51564

View download statistics for this item

📧 Request an update