As cancer detection and treatment improve, the number of long-term survivors will continue to grow, as will the need to improve their survivorship experience and health outcomes. We need to better understand cancer and its treatment’s short- and long-term adverse consequences, and to prevent, detect, and treat these consequences effectively. Delivering care through a collaborative care model, standardizing information offered to and collected from patients, standardizing approaches to documenting, treating, and reducing adverse effects, and creating a data infrastructure to make population-based information widely available are all actions that can improve survivors’ outcomes. National policies that address gaps in insurance coverage, the cost and value of treatment and survivorship care, and worker benefits such as paid sick leave can also concurrently reduce cancer burden. The National Cancer Policy Forum and the Forum on Aging, Disability, and Independence at the National Academies of Sciences, Engineering, and Medicine sponsored a virtual workshop on Addressing the Adverse Consequences of Cancer Treatment, November 9-10, 2020, to examine long-term adverse consequences of cancer treatment and to identify practices and policies to reduce treatment’s negative impact on survivors. This commentary discusses high-priority issues raised during the workshop and offers a path forward.

中文翻译：

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解决癌症长期不良后果的政策和实践


随着癌症检测和治疗的改进，长期幸存者的数量将继续增长，改善他们的生存体验和健康结果的需求也将继续增长。我们需要更好地了解癌症及其治疗的短期和长期不良后果，并有效预防、发现和治疗这些后果。通过协作护理模式提供护理，标准化向患者提供和收集的信息，标准化记录、治疗和减少不良影响的方法，以及创建数据基础设施以广泛提供基于人群的信息，这些都是可以改善幸存者的行动。结果。解决保险覆盖范围、治疗和幸存者护理的成本和价值以及带薪病假等工人福利方面的差距的国家政策也可以同时减轻癌症负担。国家癌症政策论坛和国家科学、工程和医学院的老龄化、残疾和独立论坛于 2020 年 11 月 9 日至 10 日主办了一场关于解决癌症治疗的不良后果的虚拟研讨会，以审查长期术语癌症治疗的不良后果，并确定减少治疗对幸存者的负面影响的做法和政策。本评论讨论了研讨会期间提出的高度优先的问题并提供了前进的道路。