J Korean Med Sci.  2016 Jun;31(6):859-865. 10.3346/jkms.2016.31.6.859.

One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea

• Lee JE
• Shin DW
• Lee H
• Son KY
• Kim WJ
• Suh YS
• Kong SH
• Lee HJ
• Cho B
• Yang HK

• KMID: 2373693
• DOI: http://doi.org/10.3346/jkms.2016.31.6.859

Abstract

Given the rapid growth of the population of cancer survivors, increased attention has been paid to their health problems. Although gastric cancer is one of the most common cancers, empirical evidence of survivorship care is limited. The objectives of this study were to describe the health care status of gastric cancer survivors and to report the experience of using the shared-care model during a one-year experience at the cancer survivorship clinic in Seoul National University Hospital. This is a descriptive, single-center study of 250 long-term gastric cancer survivors who were referred to the survivorship clinic. The status of their health behaviors, comorbid conditions, secondary cancer screenings, and survivorship care status were investigated through questionnaires and examining the medical records. Among the survivors, 7.2% were current smokers, 8.8% were at-risk drinkers, and 32.4% were physically inactive. Among the patients who did not know their bone density status, the majority were in the osteopenic (37.1%) or osteoporotic range (24.1%). Screening among the eligible population within the recommended time intervals were 76.3% for colorectal cancer, but only 13.6% for lung cancer. All of the survivors were provided with counseling and medical management at the survivorship clinic, as appropriate. In conclusion, Long-term gastric cancer survivors have various unmet needs. Shared-care through survivorship clinics can be an effective solution for providing comprehensive care to cancer survivors.

Keyword

Cancer; Gastric Cancer; Cancer Survivorship Care; Shared-Care Model; Korea

MeSH Terms

Adult
Aged
Aged, 80 and over
Bone Diseases, Metabolic/diagnosis
Counseling
Delivery of Health Care
Health Behavior
Health Status
Humans
Influenza, Human/prevention & control
Middle Aged
Osteoporosis/diagnosis
Pneumonia/prevention & control
Republic of Korea
Stomach Neoplasms/*prevention & control
Surveys and Questionnaires
Survivors/*psychology
Vaccination

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