title: Living post treatment: definitions of those with history and no history of cancer.
abstract: BACKGROUND
  Breast cancer is the leading cause of cancer, and the second leading cause of cancer death in women. Due to advances in medicine, the 10 year survival rate is 80%, resulting in a large and growing number of breast cancer survivors. Definitions of cancer survivorship from a number of professional organizations and researchers vary, but the research is scant on the meaning of cancer survivorship to people with and without a prior cancer history.
  
  
  METHODS
  Two studies were conducted (1) to compare individuals with and without a prior personal cancer diagnosis in terms of those who identified as survivors vs. those who did not identify as survivors and (2) to explore explanations of those with and without a prior personal cancer for the term cancer survivor. In Study 1, individuals were surveyed at cancer-themed community health fairs. In Study 2, women were surveyed at a breast oncology clinic.
  
  
  RESULTS
  In Study 1 comparing those with and without a prior cancer diagnosis, prior cancer history was the best predictor of survivorship identity, and only three individuals without a prior cancer history included family and friends as survivors. In Study 2 of those with a personal history, longer time since diagnosis, type of cancer (ductal), and comparative risk (higher) were associated with survivor identity.
  
  
  CONCLUSIONS
  Completion of treatment was seen as a 'rite of passage', and thus, may be seen as a shift from the patient identity, which may have negative connotations, to the positive identity of survivor.
  
  
  CONCLUSIONS
  Definitions of survivorship vary considerably, and caution should be used when applying the term to those who have no prior personal cancer diagnosis and to those who have had a more recent cancer diagnosis with a more severe disease course.
authors.affiliation: Pharmaceutical Systems and Policy, West Virginia University School of Pharmacy, Morgantown, WV, 26501, USA. kmkelly@hsc.wvu.edu
authors.forename: Kimberly M
authors.initials: KM
authors.lastname: Kelly
authors.forename: Neel
authors.initials: N
authors.lastname: Shah
authors.forename: Randi
authors.initials: R
authors.lastname: Shedlosky-Shoemaker
authors.forename: Kyle
authors.initials: K
authors.lastname: Porter
authors.forename: Doreen
authors.initials: D
authors.lastname: Agnese
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality* / Q000523:psychology / Q000628:therapy; D017741:Survivors