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- Title
Fear of Cancer Recurrence: A Practical Guide for Clinicians.
- Authors
Butow, Phyllis; Sharpe, Louise; Thewes, Belinda; Turner, Jane; Gilchrist, Jemma; Beith, Jane
- Abstract
With increasing cancer survival, fear of cancer recurrence (FCR) is becoming a prominent clinical issue. FCR is prevalent, distressing, and long-lasting, and can negatively impact patients' quality of life, use of health services, and adherence to follow-up recommendations. Novel targeted therapies may increase risk of FCR because of longer treatment duration and follow-up, increased prognostic precision, and omission of treatment based on genomic status. Oncologists can assess and screen for FCR using validated measures; provide adequate information about prognosis, signs and symptoms of recurrence, and behavioral strategies for risk reduction and follow-up; and warn patients and families that FCR may be an issue in survivorship. It is important to normalize FCR and encourage patients to discuss it if it is a concern. Patients with severe FCR should be referred to psycho-oncology staff, who can apply some of the novel psychotherapeutic interventions that have emerged to address this condition.
- Subjects
CANCER patient psychology; CANCER relapse; COUNSELING; FEAR; MEDICAL care; ONCOLOGISTS; PATIENT compliance; PATIENT education; PSYCHOTHERAPY; QUALITY of life; GENOMICS; SOCIAL support; TREATMENT duration; SYMPTOMS
- Publication
Oncology (08909091), 2018, Vol 32, Issue 1, p32
- ISSN
0890-9091
- Publication type
Article