publication date: Dec. 11, 2015

ACS and ASCO Jointly Publish Breast Cancer Survivorship Guideline for Primary Physicians 


The American Society for Clinical Oncology and the American Cancer Society published a joint guideline for primary care physicians on managing the long-term care of breast cancer survivors, recommending regular surveillance for recurrence, but not performing laboratory or imaging tests in patients not displaying symptoms.

The guideline includes recommendations on screening for second primary cancers, management of long-term and late effects, health promotion, care coordination and practice implications. The guideline was published Dec. 7 by both CA: A Cancer Journal for Clinicians and the Journal of Clinical Oncology.

“Patients should undergo regular surveillance for breast cancer recurrence, including evaluation with a cancer-related history and physical examination, and should be screened for new primary breast cancer,” according to the guideline’s abstract.

“Data do not support performing routine laboratory tests or imaging tests in asymptomatic patients to evaluate for breast cancer recurrence.

“Primary care clinicians should counsel patients about the importance of maintaining a healthy lifestyle, monitor for post-treatment symptoms that can adversely affect quality of life, and monitor for adherence to endocrine therapy.” The guideline also contains proposals for managing pain, distress, depression, anxiety and fatigue in breast cancer survivors.

The guideline’s recommendations are based on 237 reviewed articles from available from PubMed through April 2015, and was drafted by a working group with members in primary care, gynecology, surgical oncology, medical oncology, radiation oncology and nursing.

A table summarizing the guideline’s recommendations is available … Continue reading 41-45 ACS and ASCO Jointly Publish Breast Cancer Survivorship Guideline for Primary Physicians

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