Versorgungslandschaft national und international für Langzeitkrebsüberlebende
摘要
Cancer survivors require long-term follow-up to adequately diagnose and treat late effects. However, the current healthcare landscape in Germany is fragmented and, for many patient groups, still under development. Clear standards are often lacking.
ObjectiveWhich models of care and activities related to structured and optimized long-term follow-up exist in Germany and internationally? Which national and international care and research concepts contribute to further development in this field?
Materials and methodsA descriptive analysis of the current healthcare landscape and research activities in Germany and internationally was conducted, including keyword searches and critical appraisal.
ResultsWell-established networks and an Association of the Scientific Medical Societies in Germany (AWMF) S2k guideline already exist for survivors of childhood cancer in Germany. For the larger group of individuals diagnosed with cancer in adulthood, some site-specific services (e.g., survivorship clinics) as well as various study activities can be found. However, structured care for all affected individuals and corresponding guideline recommendations are lacking. Internationally, alternative care models exist that, among other things, aim to strengthen the care provided by general practitioners and nursing professionals.
ConclusionCurrent national and international research activities and structural initiatives will make a significant contribution to establishing comprehensive and structured care for cancer survivors. The topic should be clearly defined and addressed within the various professional communities and at the level of health policy.