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Cancer Survivorship
Cancer Survivorship > National Action Plan Overview
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Overview

A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies

You may also download a PDF version of the National Action Plan Overview (155K) for Adobe Acrobat Reader.

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About the National Action Plan

The Centers for Disease Control and Prevention (CDC) and the Lance Armstrong Foundation (LAF) are leading a public health effort to address the issues faced by the growing number of cancer survivors living with, through, and beyond cancer. Through their collaboration A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies was developed.

The National Action Plan represents the combined effort of almost 100 experts in cancer survivorship and public health. The National Action Plan identifies and prioritizes cancer survivorship needs and proposes strategies for addressing those needs within four core public health components:

  • Surveillance and applied research.
  • Communication, education, and training.
  • Programs, policies, and infrastructure.
  • Access to quality care and services.

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The Problem

Cancer is the second leading cause of death among adults in the United States and affects an estimated 1 in 3 individuals, either through their own diagnosis or that of a loved one (ACS, 2003). Recent innovations in medical technology have led to earlier diagnoses and better treatment of most cancers. As a result, more people diagnosed with cancer are living and surviving each year.

Although many public health initiatives address early detection, prevention, and control of cancer, public health efforts to address cancer survivorship are relatively new. Survivors face numerous physical, psychological, social, spiritual, and financial issues at diagnosis, during treatment, and for the remaining years of their lives. Many of these issues could be successfully addressed through coordinated public health initiatives.

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Definition of Cancer Survivor

The term "cancer survivors" refers to those people who have been diagnosed with cancer and the people in their lives who are affected by the diagnosis, including family members, friends, and caregivers.

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Purpose of the National Action Plan

The National Action Plan charts a course for how the public health community can more effectively and comprehensively address cancer survivorship and focus on improving the quality of life for survivors. This plan includes the following goals:

  • Preventing secondary cancers and recurrence of cancer whenever possible.

  • Promoting appropriate disease management following diagnosis and treatment to ensure the maximum number of years of healthy life for cancer survivors.

  • Minimizing preventable pain, disability, and psychosocial distress for those living with, through, and beyond cancer.

  • Assisting cancer survivors in accessing family, peer, community support, and other resources they need for coping with their disease.

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National Action Plan Recommended Strategies

The following are examples of proposed strategies for addressing survivorship needs:

  • Develop an infrastructure for a comprehensive database on cancer survivorship.

  • Develop and maintain patient navigation systems that can facilitate optimum care for cancer survivors.

  • Establish and disseminate clinical practice guidelines for each stage of cancer survivorship.

  • Develop and disseminate public education programs that empower cancer survivors to make informed decisions.

  • Conduct ongoing evaluation of all activities to determine their impacts and outcomes and ensure continuous quality improvement of services.

  • Conduct research on preventive interventions to evaluate their impact on cancer survivorship issues.

  • Educate policy- and decision-makers about the role and value of providing long-term follow-up care, addressing quality-of-life issues and legal needs, and ensuring access to clinical trials and ancillary services for cancer survivors.

  • Empower survivors with advocacy skills.

  • Educate decision-makers about economic and insurance barriers related to health care for cancer survivors.

  • Establish and disseminate guidelines that support quality and timely service provision to cancer survivors.

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Outcomes of the National Action Plan

The primary outcomes of this National Action Plan are expected to be greater awareness among the general public, policy makers, researchers, advocates, and survivors of the role public health can play in advancing cancer survivorship issues, and realizing the need to take action among organizations. Implementing proposed strategies can ultimately improve the overall experience and quality of life of the millions of Americans who are living with, through, and beyond cancer.

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A Public Health Approach

The National Action Plan takes a comprehensive approach, focusing on the impact of cancer on the entire population and emphasizing collaborative, community-based activities. A public health approach includes influencing the health care system, providers, and policy makers that support and can make a difference in reducing the burden of cancer on survivors.

With the release of the National Action Plan, CDC, LAF, and their partners are making a commitment to adopt a public health approach to cancer survivorship. This approach may address the numerous physical, psychological, social, spiritual, and financial issues that survivors face throughout their diagnosis, during treatment, and for the remaining years of their lives.

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Next Steps

This comprehensive approach is not easy. CDC, LAF, and their partners cannot possibly meet the challenges of cancer survivorship alone. The ambitious approaches outlined in this National Action Plan will be more easily implemented if public health organizations and individuals pursue coordinated strategies that are most applicable to their missions. Cancer survivors will greatly benefit from our collective and ongoing commitment of time, energy, and resources dedicated to preventing secondary diseases and improving quality of life. Given the importance of this health issue, its prevalence, its impact on quality of life, and the resulting costs to survivors and others in their lives, the time for action is now.

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To Learn and Do More

First, we encourage you to review the National Action Plan.

Then you or your organization can use the National Action Plan to select and develop activities to address survivorship needs. Visit the Cancer Publications Center to order a copy of A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies.

For more information, please contact

Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Cancer Prevention and Control
Mail Stop K-64, 4770 Buford Highway, NE
Atlanta, GA 30341-3717

Telephone: (770) 488-4751
Fax: (770) 488-4760
Voice Information System: 1 (888) 842-6355
E-mail: cancerinfo@cdc.gov

Lance Armstrong Foundation*
P.O. Box 161150
Austin, TX 78716-1150

Telephone: (512) 236-8820
Fax: (512) 236-8482

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*Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at these links.


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Page last reviewed: Friday, July 23, 2004

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Centers for Disease Control and Prevention
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