CancerSurvivorshipinPrimaryCarePsychooncology…癌症幸存者在初级保健心理肿瘤学…学习教案

1、会计学1CancerSurvivorshipinPrimaryCarePsychooncology癌症幸存者在初级保健心理肿癌症幸存者在初级保健心理肿瘤学瘤学1971-3 million2012-13.7 million2020-18 million Approximately 15% of the 13.7 million estimated cancer survivors were diagnosed 20 or more years ago67% of patients treated now will be alive in 5 years75% of childhood cance

2、r survivors will be alive in 10 yearsMost common cancer sites-female breast-22%, prostate-20%, colorectal-9%, gynecologic-8%第1页/共53页第2页/共53页“An individual is considered to be a cancer survivor from the time of diagnosis through the balance of his or her life. Family members, friends and caregivers a

3、re also affected by the survivorship experience and therefore are included in this definition. NCCS,IOM 2005第3页/共53页第4页/共53页第5页/共53页第6页/共53页第7页/共53页第8页/共53页第9页/共53页第10页/共53页第11页/共53页第12页/共53页第13页/共53页第14页/共53页第15页/共53页第16页/共53页第17页/共53页nControl of treatment第18页/共53页第19页/共53页第20页/共53页第21页/共53页第22页/共5

4、3页第23页/共53页第24页/共53页第25页/共53页第26页/共53页第27页/共53页第28页/共53页第29页/共53页第30页/共53页第31页/共53页n第32页/共53页第33页/共53页第34页/共53页第35页/共53页Cancer Survivors have a 14% higher risk of secondary malignancies第36页/共53页第37页/共53页Pre-treatment risk factors-pre-existing mental health diagnosisnumber of life stress eventsPost t

5、reatment risk factors-Decreased physical functionDecreased cognitive function40% of oncologists and 50% 0f PCPs feel confident to manage psychosocial distress第38页/共53页第39页/共53页第40页/共53页第41页/共53页第42页/共53页第43页/共53页第44页/共53页 Co-morbidities/Chronic illness 60% of cancer survivors have at least 1 co-morb

6、id condition vs 45% without cancerWorse oncologic outcomes with poorly managed co-morbidities1PCP per 10,000 decreases mortality rate in a community by 5.3%85% o f cancer care is provided in community settingsHigher rate of screening and vaccinations in cancer survivors with PCP careMore Primary Care Providers =Bett