Moving Cancer Survivorship Into Routine Care—Why Are We Still Not Ready for Change? - Scorecard - MDSpire
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Integrating Cancer Survivorship into Standard Care: What Hurdles Remain?

  • By

  • Larissa Nekhlyudov

  • Michelle A. Mollica

  • August 19, 2026

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Clinical Scorecard: Integrating Cancer Survivorship into Standard Care: What Hurdles Remain?

At a Glance

CategoryDetail
ConditionCancer Survivorship
Key MechanismsComprehensive care addressing risk reduction, recurrence vigilance, symptom management, and chronic disease management.
Target PopulationCancer survivors requiring ongoing care and support.
Care SettingHealth systems implementing survivorship care programs.

Key Highlights

  • Quality of survivorship care remains inadequate despite increased acknowledgment.
  • Barriers include workforce constraints, lack of standardized workflows, and technological limitations.
  • New national standards for cancer survivorship care introduced by the NCI in 2024.
  • Need for executive-level leadership in survivorship care to ensure compliance and integration.
  • Survivorship care is underfunded and disconnected from revenue-generating activities.

Guideline-Based Recommendations

Diagnosis

    Management

    • Implement comprehensive survivorship care plans.
    • Establish quantifiable quality indicators for survivorship care.

    Monitoring & Follow-up

    • Evaluate health system alignment with national survivorship standards.

    Risks

    • Fragmentation and siloed care delivery in survivorship.

    Patient & Prescribing Data

    Individuals who have completed cancer treatment and require ongoing survivorship care.

    Integration of clinical and research initiatives is necessary for effective survivorship care.

    Clinical Best Practices

    • Appoint an executive-level lead for survivorship care.
    • Facilitate connections among oncology, specialty care, primary care, and supportive services.

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