Received 3 March 2011; Accepted 18 June 2011. Available online 3 November 2011.
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Quality-of-Life issues
Coordination of Care in Breast Cancer Survivors: An Overview
11/03/11
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The Journal of Supportive Oncology
Volume 9, Issue 6, November-December 2011, Pages 210-215
doi:10.1016/j.suponc.2011.06.008 | How to Cite or Link Using DOI |
How We Do It
Coordination of Care in Breast Cancer Survivors: An Overview
Kimberly S. Peairs MD 
, 
, Antonio C. Wolff MD, FACP, Sharon J. Olsen PhD, Elissa T. Bantug MHS, Lillie Shockney RN, BS, MAS, Melinda E. Kantsiper MD, Elisabeth Carrino-Tamasi MSW, LGSW, Claire F. Snyder PhD
[Author vitae]
Abstract
The number of breast cancer survivors in the United States is increasing. With longer survival, there has been an increase in the complexity and duration of posttreatment care. Multidisciplinary care teams are needed to participate across the broad spectrum of issues that breast cancer survivors face. In this setting, the need for well-established patterns of communication between care providers is increasingly apparent. We have created a multidisciplinary approach to the management of breast cancer survivors to improve communication and education between providers and patients. This approach could be extended to the care and management of survivors of other types of cancer.
Case
A 65-year-old woman with stage II breast cancer, mild hypertension, and obesity recently completed treatment for her estrogen/progesterone receptor–positive, HER 2–negative breast cancer. She was treated with lumpectomy, radiation therapy, and adjuvant chemotherapy with doxorubicin and cyclophosphamide followed by paclitaxel. She remains on an aromatase inhibitor and is experiencing arthralgias, numbness in her extremities, fatigue, and apprehension about cancer recurrence. She has not seen her primary care physician since the start of her cancer treatment but is concerned that her “heart” and bones may be affected by her therapy.
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