The number of cancer survivors is increasing in Colombia, and health policy changes are necessary to meet their unmet needs and improve their health outcomes. Similar trends have been identified in developed countries, and positive changes have been made.
Methods:
We conducted a narrative review to provide an overview of Colombia’s social structure, health care system, and health care delivery in relation to cancer, with recommendations for improving cancer survivorship in Colombia based on the model of survivorship care in the United States.
Results:
We proposed general recommendations for improving cancer survivors’ care including (1) recognizing cancer survivorship as a distinct phase of cancer, (2) strengthening methods and metrics for tracking cancer survivorship, (3) assessing and monitoring cancer symptoms and quality of life of cancer survivors, (4) publishing evidence-based guidelines considering the social, economic, and cultural characteristics of Colombian population and cancer survivors’ specific needs.
Conclusion:
These recommendations could be used to inform and prioritize health policy development in Colombia related to cancer survivorship outcomes.
AllemaniC.MatsudaT.Di CarloV.HarewoodR.MatzM.NikšićM.BonaventureA.ValkovM.JohnsonC. J.EstèveJ.OgunbiyiO. J.Azevedo e SilvaG.ChenW.-Q.EserS.EngholmG.StillerC. A.MonnereauA.WoodsR. R.VisserO.,…CONCORD Working Group. (2018). Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): Analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. The Lancet, 391(10125), 1023–1075. https://doi.org/10.1016/S0140-6736(17)33326-3
2.
AllemaniC.WeirH. K.CarreiraH.HarewoodR.SpikaD.WangX.BannonF.AhnJ. VJohnsonC. J.SoebergM. J.YouH.MatsudaT.Bielska-lasotaM.StormH.TuckerT. C.ColemanM. P. (2015). Global surveillance of cancer survival 1995—2009: Analysis of individual data for 25 676 887 patients from 279 population-based registries in 67 countries (CONCORD-2). The Lancet, 385(9972), 977–1010. https://doi.org/10.1016/S0140-6736(14)62038-9
Arias-OrtizN. E.de VriesE. (2018). Health inequities and cancer survival in Manizales, Colombia: A population-based study. Colombia Medica, 49(1), 63–72. https://doi.org/10.25100/cm.v49i1.3629
6.
BrayF.FerlayJ.SoerjomataramI.SiegelR. L.TorreL. A.JemalA. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492
Carmona-MezaZ.Parra-PadillaD. (2015). Determinantes sociales de la salud: Un análisis desde el contexto colombiano [Social determinants of health: An analysis from the Colombian context]. Salud Uninorte, 31(3), 608–620. https://doi.org/10.14482/sun.31.3.7685
10.
DemirisG.OliverD. P.WashingtonK. T. (2019). Defining and analyzing the problem. In Behavioral intervention research in hospice and palliative care (27–39). https://doi.org/10.1016/b978-0-12-814449-7.00003-x
de VriesE.PardoC.AriasN.BravoL. E.NavarroE.UribeC.YepezM. C.JuradoD.GarciL. S.PiñerosM.EdwardsP.BeebeM. C.TangkaF.SubramanianS. (2016). Estimating the cost of operating cancer registries: Experience in Colombia. Cancer Epidemiology, 45, 513–519. https://doi.org/10.1016/j.canep.2016.09.014
14.
de VriesE.UribeC.PardoC.LemmensV.Van de PoelE.FormanD. (2015). Gastric cancer survival and affiliation to health insurance in a middle-income setting. Cancer Epidemiology, 39(1), 91–96. https://doi.org/10.1016/j.canep.2014.10.012
15.
FerlayJ.SoerjomataramI.DikshitR.EserS.MathersC.RebeloM.ParkinD. M.FormanD.BrayF. (2015). Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 136(5), E359–E386. https://doi.org/10.1002/ijc.29210
16.
GilF.De VriesE.WiesnerC. (2019). Importancia del acceso de los registros de cáncer de base poblacional a las estadísticas vitales: Barreras identificadas en Colombia [Importance of access of population-based cancer registries to vital statistics: barriers identified in Colombia]. Revista Colombiana de Cancerología, 23(2), 18–23. https://doi.org/https://doi.org/10.35509/01239015.60
17.
GrunfeldE.EarleC. C.StovallE. (2011). A framework for cancer survivorship research and translation to policy. Cancer Epidemiology Biomarkers and Prevention, 20(10), 2099–2104. https://doi.org/10.1158/1055-9965.EPI-11-0622
18.
HewittM.GreenfieldS.StovallE. (Eds.). (2006). From cancer patient to cancer survivor. National Academies Press. https://doi.org/10.17226/11468
Luctkar-fludeM.AikenA.AnnM.TranmerJ. (2015). A comprehensive framework and key guideline recommendations for the provision of evidence-based breast cancer survivorship care within the primary care setting. Family Practice, 32(2), 129–140. https://doi.org/10.1093/fampra/cmu082
23.
MaoJ. J.ArmstrongK.BowmanM. A.XieS. X.KadakiaR.FarrarJ. T. (2007). Symptom burden among cancer survivors: Impact of age and comorbidity. Journal of the American Board of Family Medicine, 20(5), 434–443. https://doi.org/10.3122/jabfm.2007.05.060225
Ministerio de Salud y Protección Social de Colombia. (2016a). Política de Atención Integral en Salud “Un sistema de salud al servicio de la gente.” [Comprehensive Policy for Healthcare Delivery “A healthcare system at the service of people.”]. Repositorio Institucional Digital Minsalud (RID). https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/modelo-pais-2016.pdf
NavarroC.MolinaJ. A.BarriosE.IzarzugazaI.LoriaD.CuevaP.SánchezM. J.DoloresM.FernándezL. (2013). Evaluación externa de registros de cáncer de base poblacional: La Guía REDEPICAN para América Latina [External evaluation of population-based cancer registries: the REDEPICAN Guide for Latin America]. Revista Panamericana de Salud Pública, 34(5), 336–342. https://iris.paho.org/handle/10665.2/8855
34.
NekhlyudovL.GanzP. A.AroraN. K.RowlandJ. H. (2017). Going beyond being lost in transition: A decade of progress in cancer survivorship. Journal of Clinical Oncology, 35(18), 1978–1981. https://doi.org/10.1200/JCO.2016.72.1373
35.
NevidjonB.RiegerP.Miller MurphyC.Quinn RosenzweigM.McCorkleM.BaileysK. (2010). Filling the gap: Development of the oncology nurse. American Society of Clinical Oncology Journal, 6(1), 2–6. https://doi.org/10.1200/JOP.091072
PardoC.CendalesR. (2018). Cancer incidence estimates and mortality for the top five cancer in Colombia, 2007-2011. Colombia Medica, 49(1), 16–22. https://doi.org/10.25100/cm.v49i1.3596
38.
PardoC.de VriesE. (2018). Breast and cervical cancer survival at Instituto Nacional de cancerología, Colombia. Colombia Medica, 49(1), 102–108. https://doi.org/10.25100/cm.v49i1.2840
RunowiczC. D.LeachC. R.HenryN. L.HenryK. S.MackeyH. T.Cowens-AlvaradoR. L.CannadyR. S.Pratt-ChapmanM. L.EdgeS. B.JacobsL. A.HurriaA.MarksL. B.LaMonteS. J.WarnerE.LymanG. H.GanzP. A. (2016). American Cancer Society/American Society of Clinical Oncology breast cancer survivorship care guideline. CA: A Cancer Journal for Clinicians, 66(1), 43–73. https://doi.org/10.3322/caac.21319
48.
ShiQ.SmithT. G.MichonskiJ. D.SteinK. D.KawC.CleelandC. S. (2011). Symptom burden in cancer survivors 1 year after diagnosis. Cancer, 117(12), 2779–2790. https://doi.org/10.1002/cncr.26146
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