Submission To Be Reviewed
Title: Reflections on Cancer Rehabilitation and Survivorship in Canada: Observing ten years of evidence informed practice
Given the relative novelty of cancer survivorship in Canada, much of the seminal work in the area has revolved around establishing the basic characteristics and program implementation groundwork. Despite commendable efforts and investments more work is needed to understand needs and characteristics of unique or vulnerable populations.
There is wide variation in the follow-up care provided to cancer survivors across Canada. A flurry of initiatives to formally establish survivorship practice and research in Canada was undertaken with a group of clinicians, clinician scientists, survivorship researchers, and survivors collaborating on the development of practice guidelines on survivorship services for adult populations under the stewardship of the Cancer Journey Advisory Group of CPAC and CAPO. As the focus of cancer rehabilitation aligns very closely with the philosophy of survivorship care, this suggests the need to more formally integrate rehabilitation specialists in cancer survivorship care programs and models of care.
Early national initiatives were underway, cancer control organizations and those in cancer research across Canada began to develop strategic policies in an effort to improve and standardize care. There have been some innovative and unique regional programs eg Wellness Beyond Cancer, prescription for physical activity, multidisciplinary rehabilitation for palliative care, and screening for distress. Such initiatives are developed in an effort to improve cancer survivorship services and support for cancer survivors anywhere in Canada. Person-centered care as a concept and a measure is central to current research funded from the Canadian Institutes of Health Research and the Canadian Cancer Society Research Institute.
Canada also has the advantage of large population-based databases and deterministic and probabilistic linkage capability across cancer registries, physician and hospital payment systems, and large population based surveysthat can investigate inequalities among vulnerable and unique population as well as monitor cancer survivors’ health care utilization and outcomes over time.
Psychosocial supportive care, quality of life, multidisciplinary research, national/provincial collaboration, unique/vulnerable, populations, population databases
Editor's request 25-11-2018
REVIEW FORM RESPONSE