Care Pathway for Cancer Survivorship in Korea: Trend of Breast Cancer Pathway from 2003 to 2010
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Objectives: The survival rate of cancer patients has exceeded 60%. Although cancer survivors may die of other diseases except cancer, the health management system including chronic disease prevention-management for cancer survivors, has not been established in the diverse aspects. Therefore, services according to care pathway of cancer patients need to be provided through a support system based on a platform concept that can be used to meet patient needs in various ways. Methods: A sample cohort database (2002–2010) of approximately 1 million persons—2% of the whole nation (50 million)—was used to estimate cancer survivors through a principal care pathway for cancer management. The sample cohort database was built to estimate the number of breast cancer survivors in the five stage: ‘Diagnosis and treatment,’ ‘Supportive care,’ ‘Monitoring,’ ‘Progress illness,’ and ‘Hospice care’. In this way, the scale of breast cancer survivors was estimated. Results: There were 330 (9.8%) cases of the incidence of cancer in 2010 in the ‘Diagnosis and treatment.’ Among the cases of the incidence of cancer in the previous year, the number of one-year survivors was 328 (9.7%); these were included in the category ‘Supportive care.’ In the ‘Monitoring’ category, 2,593 (76.9%) who maintained health lives were included. A total of 84 (2.5%) survivors were checked to identify an ongoing disease; these were included in the category ‘Progress illness.’ In the category ‘Hospice care,’ 36 (1.1%) end-stage cancer patients requiring hospice care were included. Conclusions: We established a care pathway by survival stage in order to fulfill prevention and health management services post-treatment management steps.
Abstract
Objectives: The survival rate of cancer patients has exceeded 60%. Although cancer survivors may die of other diseases except cancer, the health management system including chronic disease prevention-management for cancer survivors, has not been established in the diverse aspects. Therefore, services according to care pathway of cancer patients need to be provided through a support system based on a platform concept that can be used to meet patient needs in various ways. Methods: A sample cohort database (2002–2010) of approximately 1 million persons—2% of the whole nation (50 million)—was used to estimate cancer survivors through a principal care pathway for cancer management. The sample cohort database was built to estimate the number of breast cancer survivors in the five stage: ‘Diagnosis and treatment,’ ‘Supportive care,’ ‘Monitoring,’ ‘Progress illness,’ and ‘Hospice care’. In this way, the scale of breast cancer survivors was estimated. Results: There were 330 (9.8%) cases of the incidence of cancer in 2010 in the ‘Diagnosis and treatment.’ Among the cases of the incidence of cancer in the previous year, the number of one-year survivors was 328 (9.7%); these were included in the category ‘Supportive care.’ In the ‘Monitoring’ category, 2,593 (76.9%) who maintained health lives were included. A total of 84 (2.5%) survivors were checked to identify an ongoing disease; these were included in the category ‘Progress illness.’ In the category ‘Hospice care,’ 36 (1.1%) end-stage cancer patients requiring hospice care were included. Conclusions: We established a care pathway by survival stage in order to fulfill prevention and health management services post-treatment management steps.
참고문헌 (17)
- Mullan F, "Seasons of survival : reflections of a physician with cancer", N Engl J Med, 313(4), pp.270~273 (1985)
- 민선영, "The Basic Facts of Korean Breast Cancer in 2013: Results of a Nationwide Survey and Breast Cancer Registry Database", Journal of Breast Cancer, 19(1), pp.1~7 (2016), 한국유방암학회
- 오창모, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2013", Cancer Research and Treatment, 48(2), pp.436~450 (2016), 대한암학회
- Maddams J, "Cancer prevalence in the United Kingdom : estimates for 2008", Br J Cancer, 101(3), pp.541~547 (2009)
- "Life after cancer" (2016)[URL]
- Living with and beyond cancer: taking action to improve outcomes, "National Cancer Survivorship Initiative", Department of Health, ~ (2013)
- "Annual report of cancer statistics in Korea in 2013" (2016)[URL]
- "Cancer statistics" (2016)[URL]
- Rothman KJ, "Modern epidemiology" (2012), Lippincott Williams &Wilkins
- Maher J, "New pathways of care for cancer survivors: adding the numbers", Br J Cancer, 105(Suppl 1), pp.S5~S10 (2011)
- Ward SE, "Patients' reactions to completion of adjuvant breast cancer therapy", Nurs Res, 41(6), pp.362~366 (1992)
- 이윤수, "유방완전절제술을 받은 여성의 심리사회적 경험:자조집단 참여자 중심으로", 한국사회복지학, 59(3), pp.99~124 (2007), 한국사회복지학회
- "Korean Breast Cancer Society" (2009)[URL]
- Burnham TR, "Effects of exercise on physiological and psychological variables in cancer survivors", Med Sci Sports Exerc, 34(12), pp.1863~1867 (2002)
- Kim HJ, "A study on health promoting behavior in post-mastectomy patients", J Korean Acad Soc Adult Nurs, 13(1), pp.82~95 (2001)
- Harding M, "Health-promotion behaviors and psychological distress in cancer survivors", Oncol Nurs Forum, 39(2), pp.E132~E140 (2012)
- 이연규, "Utilization and Content Evaluation of Mobile Applications for Pregnancy, Birth, and Child Care", Healthcare Informatics Research, 22(2), pp.73~80 (2016), 대한의료정보학회[DOI]