title: Management of cancer survivors in clinical and public health perspectives: current status and future challenges in Korea.
abstract: The number of cancer survivors is increasing dramatically. Many cancer survivors face lifetime risks associated with their cancer therapy, with a significant proportion at risk for serious morbidity and premature mortality. Concerns regarding the long-term physical, psychosocial, and economic effects of cancer treatment on cancer survivors and their families are increasingly being recognized and addressed by public and private sector. This article summarizes economic burden of cancer survivors, main post-treatment health problems including secondary primary cancer and comorbidities, health behaviors such as smoking, exercise and physical activity, nutrition, and psychosocial problems. Faced with various health and psychosocial problems specific to this population, several healthcare and policy models are being suggested to address these issues, including 'shared care model' and 'integrative supportive care service delivery system for cancer survivors'. More effort is needed to make the cancer survivorship agenda a reality, attended by a wide variety of stakeholders including researchers, patients, providers, and policy makers.
authors.affiliation: Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, Korea.
authors.forename: Dong Wook
authors.initials: DW
authors.lastname: Shin
authors.forename: BeLong
authors.initials: B
authors.lastname: Cho
authors.forename: So Young
authors.initials: SY
authors.lastname: Kim
authors.forename: Je Hyuck
authors.initials: JH
authors.lastname: Jung
authors.forename: Jong Hyock
authors.initials: JH
authors.lastname: Park
mesh_terms: D003695:Delivery of Health Care; D015438:Health Behavior; D006301:Health Services Needs and Demand; D006801:Humans; D008603:Mental Health; D009369:Neoplasms / Q000191:economics / Q000473:pathology / Q000628:therapy*; D016609:Neoplasms, Second Primary / Q000453:epidemiology / Q000401:mortality / Q000473:pathology; D011634:Public Health; D056910:Republic of Korea
keywords: Cancer; Korea; Second Primary Neoplasm; Survivors