title: Defining Health Across the Cancer Continuum.
abstract: Health is not defined by the absence of disease or suffering, but by response to a series of life events that can markedly alter the quality and quantity of life. Patients with cancer experience significant but dynamic physical, psychosocial, and financial challenges. With the increasing number of patients with early stage cancers transitioning to survivorship, there is a critical need to address health promotion and overall well-being. For those with advanced cancer, discussion about prognosis and early integration of palliative care can have a profound impact on the quality of life. Effective communication between healthcare providers and patients is important in aligning treatment recommendations with patient goals and preferences throughout cancer therapy. This review provides a dynamic definition of health and proposes actionable guidelines for health promotion at any point along the cancer continuum: survivorship after early cancer or when goals of care transition to improve quality at the end of life.
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Caleb
authors.initials: C
authors.lastname: Dulaney
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Audrey S
authors.initials: AS
authors.lastname: Wallace
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Ashlyn S
authors.initials: AS
authors.lastname: Everett
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Laura
authors.initials: L
authors.lastname: Dover
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Andrew
authors.initials: A
authors.lastname: McDonald
authors.affiliation: Department of Radiation Oncology, University of Alabama at Birmingham.
authors.forename: Lauren
authors.initials: L
authors.lastname: Kropp
keywords: cancer; end-of-life care; health; survivorship