Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations
Publication Details
Hart, N. H.,
Nekhlyudov, L.,
Smith, T.,
Yee, J.,
Fitch, M.,
Crawford, G.,
Koczwara, B.,
Ashbury, F.,
Lustberg, M.,
Mollica, M.,
Smith, A.,
Jefford, M.,
Chino, F.,
Zon, R.,
Agar, M.,
&
Raymond, C.
(2024).
Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations.
Supportive Care in Cancer, 32.
Abstract
Purpose: People with advanced or metastatic cancer and their caregivers may have diferent care goals and face unique challenges compared to those with early-stage disease or those nearing the end-of-life. These MASCC-ASCO standards and practice recommendations seek to establish consistent provision of quality survivorship care for people afected by advanced or metastatic cancer.
Methods: An expert panel comprising MASCC and ASCO members was formed. Standards and recommendations relevant to the provision of quality survivorship care for people afected 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 modifed 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 8 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-Centred 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; 7. Research and Data-Driven Care) and≥84.2% agreement across 45 practice recommendations.
Conclusion: Standards of survivorship care for people afected by advanced or metastatic cancer are provided. These MASCCASCO standards will support optimization of health outcomes and care experiences by providing guidance to stakeholders in cancer care (healthcare 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 eforts.
Keywords
survivorship, supportive care, elements of care, cancer survivors, caregivers
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