Survivorship Care for People Affected by Advanced or Metastatic Cancer: MASCC-ASCO Standards and Practice Recommendations
- Author(s)
- Hart, NH; Nekhlyudov, L; Smith, TJ; Yee, J; Fitch, MI; Crawford, GB; Koczwara, B; Ashbury, FD; Lustberg, MB; Mollica, M; Smith, AL; Jefford, M; Chino, F; Zon, R; Agar, MR; Chan, RJ;
- Details
- Publication Year 2024-09,Volume 20,Issue #9,Page 1160-1172
- Journal Title
- JCO Oncology Practice
- Publication Type
- Guideline
- Abstract
- PURPOSE: People with advanced or metastatic cancer and their caregivers may have different care goals and face unique challenges compared with those with early-stage disease or those nearing the end of life. These Multinational Association for Supportive Care in Cancer (MASCC)-ASCO standards and practice recommendations seek to establish consistent provision of quality survivorship care for people affected by advanced or metastatic cancer. METHODS: A MASCC-ASCO expert panel was formed. Standards and recommendations relevant to the provision of quality survivorship care for people affected by advanced or metastatic cancer were developed through conducting (1) a systematic review of unmet supportive care needs; (2) a scoping review of cancer survivorship, supportive care, and palliative care frameworks and guidelines; and (3) an international modified Delphi consensus process. RESULTS: A systematic review involving 81 studies and a scoping review of 17 guidelines and frameworks informed the initial standards and recommendations. Subsequently, 77 experts (including eight people with lived experience) across 33 countries (33% were low- to middle-resource countries) participated in the Delphi study and achieved ≥94.8% agreement for seven standards, (1) Person-Centered Care; (2) Coordinated and Integrated Care; (3) Evidence-Based and Comprehensive Care; (4) Evaluated and Communicated Care; (5) Accessible and Equitable Care; (6) Sustainable and Resourced Care; and (7) Research and Data-Driven Care, and ≥84.2% agreement across 45 practice recommendations. CONCLUSION: Standards of survivorship care for people affected by advanced or metastatic cancer are provided. These MASCC-ASCO standards support optimization of health outcomes and care experiences by providing guidance to stakeholders (health care professionals, leaders, and administrators; governments and health ministries; policymakers; advocacy agencies; cancer survivors and caregivers). Practice recommendations may be used to facilitate future research, practice, policy, and advocacy efforts.Additional information is available at www.mascc.org, www.asco.org/standards and www.asco.org/survivorship-guidelines.
- Publisher
- Wiley
- Keywords
- Humans; Cancer Survivors/psychology; Neoplasm Metastasis/therapy; *Neoplasms/diagnosis/pathology/psychology/therapy; Palliative Care/standards/methods; *Survivorship
- Department(s)
- Australian Cancer Survivorship Centre
- Publisher's Version
- https://doi.org/10.1200/op.23.00716
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2024-10-23 03:11:51
Last Modified: 2024-10-23 03:12:06