title: One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea.
abstract: Given the rapid growth of the population of cancer survivors, increased attention has been paid to their health problems. Although gastric cancer is one of the most common cancers, empirical evidence of survivorship care is limited. The objectives of this study were to describe the health care status of gastric cancer survivors and to report the experience of using the shared-care model during a one-year experience at the cancer survivorship clinic in Seoul National University Hospital. This is a descriptive, single-center study of 250 long-term gastric cancer survivors who were referred to the survivorship clinic. The status of their health behaviors, comorbid conditions, secondary cancer screenings, and survivorship care status were investigated through questionnaires and examining the medical records. Among the survivors, 7.2% were current smokers, 8.8% were at-risk drinkers, and 32.4% were physically inactive. Among the patients who did not know their bone density status, the majority were in the osteopenic (37.1%) or osteoporotic range (24.1%). Screening among the eligible population within the recommended time intervals were 76.3% for colorectal cancer, but only 13.6% for lung cancer. All of the survivors were provided with counseling and medical management at the survivorship clinic, as appropriate. In conclusion, Long-term gastric cancer survivors have various unmet needs. Shared-care through survivorship clinics can be an effective solution for providing comprehensive care to cancer survivors.
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Ji Eun
authors.identifier: 0000-0003-3171-1713
authors.initials: JE
authors.lastname: Lee
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Dong Wook
authors.identifier: 0000-0001-8128-8920
authors.initials: DW
authors.lastname: Shin
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Hyejin
authors.identifier: 0000-0001-5279-340X
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Ki Young
authors.identifier: 0000-0003-1262-100X
authors.initials: KY
authors.lastname: Son
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Warrick Junsuk
authors.identifier: 0000-0002-9874-3325
authors.initials: WJ
authors.lastname: Kim
authors.affiliation: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea .
authors.forename: Yun-Suhk
authors.identifier: 0000-0003-3319-8482
authors.initials: YS
authors.lastname: Suh
authors.affiliation: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea .
authors.forename: Seong-Ho
authors.identifier: 0000-0002-3929-796X
authors.initials: SH
authors.lastname: Kong
authors.affiliation: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea .
authors.forename: Hyuk Joon
authors.identifier: 0000-0001-7624-2020
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Department of Family Medicine, Cancer Survivorship Clinic, Seoul National University Hospital, Seoul, Korea .
authors.forename: Belong
authors.identifier: 0000-0001-9558-689X
authors.initials: B
authors.lastname: Cho
authors.affiliation: Department of Surgery, Gastric Cancer Center, Seoul National University Hospital, Seoul, Korea .
authors.forename: Han-Kwang
authors.identifier: 0000-0003-3495-3048
authors.initials: HK
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001851:Bone Diseases, Metabolic / Q000175:diagnosis; D003376:Counseling; D003695:Delivery of Health Care; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis; D011014:Pneumonia / Q000517:prevention & control; D056910:Republic of Korea; D013274:Stomach Neoplasms / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D014611:Vaccination
keywords: Cancer; Cancer Survivorship Care; Gastric Cancer; Korea; Shared-Care Model