Management of Unexplained Symptoms in Survivors of Cancer — JOP

* Copyright © 2010 by American Society of Clinical Oncology

Management of Unexplained Symptoms in Survivors of Cancer

1. Michael Feuerstein, PhD, MPH,
2. Gina L. Bruns, MA,
3. Courtney Pollman, BA and
4. Briana L. Todd, MA

+ Author Affiliations

1. Uniformed Services University of the Health Sciences, Bethesda, MD; Georgetown University Medical Center; American University, Washington, DC; and Regent University, Virginia Beach, VA

1. Corresponding author: Michael Feuerstein, PhD, MPH, Department of Medical and Clinical Psychology and Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814; e-mail: mfeuerstein@usuhs.mil.

Abstract

Quality health care for survivors of cancer must evaluate and manage symptoms that are reported at the surveillance visit but are not linked to a cancer recurrence or a new cancer. At present, this does not always occur. This article analyzes quality of health care for survivors of cancer, taking empirical evidence and clinical expertise into consideration. Although emotional distress on the part of the survivor of cancer may exacerbate or even explain the presence of experienced symptoms, there are other potential explanations as well. When survivors present with persistent symptoms (even if unexplained) after cancer diagnosis and treatment, the symptoms can impact the survivor's function and well-being. Oncologists and other providers need to assess and directly target these symptoms for appropriate triage to those who can best help these survivors reduce the symptoms and their impact.

* Accepted August 24, 2010.

Management of Unexplained Symptoms in Survivors of Cancer — JOP