Cancer survivorship:Advancing the concept in the context of colorectal cancer

Drury, Amanda and Payne, Sheila and Brady, Anne-Marie (2017) Cancer survivorship:Advancing the concept in the context of colorectal cancer. European Journal of Oncology Nursing, 29. pp. 135-147. ISSN 1462-3889

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Purpose Previous conceptualizations of cancer survivorship have focused on heterogeneous cancer survivors, with little consideration of the validity of conclusions for homogeneous tumour groups. This paper aims to examine the concept of cancer survivorship in the context of colorectal cancer (CRC). Method Rodgers’ (1989) Evolutionary Method of Concept Analysis guided this study. A systematic search of PUBMED, CINAHL, PsycINFO and The Cochrane Library was conducted in November 2016 to identify studies of CRC survivorship. The Braun and Clarke (2006) framework guided the analysis and interpretation of data extracted from eighty-five publications. Results Similar to general populations of cancer survivors, CRC survivors experience survivorship as an individual, life-changing process, punctuated by uncertainty and a duality of positive and negative outcomes affecting quality of life. However, CRC survivors experience specific concerns arising from the management of their disease. The concept of cancer survivorship has evolved over the past decade as the importance of navigating the healthcare system and its resources, and the constellation of met and unmet needs of cancer survivors are realised. Conclusions The results highlight core similarities between survivorship in the context of CRC and other tumour groups, but underlines issues specific to CRC survivorship. Communication and support are key issues in survivorship care which may detrimentally affect CRC survivors' well-being if they are inadequately addressed. Healthcare professionals (HCP’s) therefore have a duty to ensure cancer survivors’ health, information and supportive care needs are met in the aftermath of treatment.

Item Type:
Journal Article
Journal or Publication Title:
European Journal of Oncology Nursing
Additional Information:
This is the author’s version of a work that was accepted for publication in European Journal of Oncology Nursing. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in European Journal of Oncology Nursing, 29, 2017 DOI: 10.1016/j.ejon.2017.06.006
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13 Jul 2017 09:02
Last Modified:
15 Sep 2023 04:20