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CME/CE

Cancer Survivorship: A Primer for Primary Care

  • Authors: Susan Buriak, MS, MPH; Jennifer Potter, MD; Puneet Sindhwani, MD
  • CME/CE Released: 5/16/2012
  • THIS ACTIVITY HAS EXPIRED FOR CREDIT
  • Valid for credit through: 5/16/2013
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Target Audience and Goal Statement

This activity is intended for primary care physicians, nurse practitioners, physician assistants, and other healthcare professionals, including nurses, who provide care to cancer survivors.

The goal of this activity is to increase awareness of Institute of Medicine (IOM) recommendations for cancer survivorship planning and survivor care and provide relevant clinical content for primary care clinicians.

Upon completion of this activity, participants will be able to:

  1. Evaluate late effects of cancer treatment for survivors of breast, colorectal, and prostate cancer and non-Hodgkin lymphoma
  2. Identify psychosocial stressors and late effects faced by cancer survivors
  3. Identify available sources for surveillance and prevention guidelines applicable to survivors of breast, colorectal, and prostate cancer and non-Hodgkin lymphoma


Disclosures

As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


Author(s)

  • Susan E. Buriak, MS, MPH

    Doctoral Candidate, A.T. Still University of Health Sciences, School of Health Management, Kirksville, Missouri

    Disclosures

    Disclosure: Susan E. Buriak, MS, MPH, has disclosed no relevant financial relationships.

    Ms. Buriak does not intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics approved by the FDA for use in the United States.

    Ms. Buriak does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.

  • Jennifer Potter, MD

    Associate Professor of Medicine, Harvard Medical School, Director, Women’s Health Center, Beth Israel Deaconess Medical Center, Boston, Massachusetts

    Disclosures

    Disclosure: Jennifer Potter, MD, has disclosed no relevant financial relationships.

    Dr. Potter does not intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics approved by the FDA for use in the United States.

    Dr. Potter does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.

  • Puneet Sindhwani, MD

    Director, Section of Renal Transplantation, Chief of Andrology and Male Infertility, Associate Professor and Chief of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

    Disclosures

    Disclosure: Puneet Sindhwani, MD, has disclosed no relevant financial relationships.

    Dr. Sindhwani does not intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics approved by the FDA for use in the United States.

    Dr. Sindhwani does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.

Editor

  • Laurie Scudder, DNP, NP

    Clinical Editor, Medscape from WebMD

    Disclosures

    Disclosure: Laurie Scudder, DNP. NP, has disclosed no relevant financial relationships

CME Reviewer

  • Nafeez Zawahir, MD

    CME Clinical Director, Medscape, LLC

    Disclosures

    Disclosure: Nafeez Zawahir, MD, has disclosed no relevant financial relationships.

Nurse Planner

  • Laurie Scudder, DNP, NP

    Nurse Planner, Medscape LLC

    Disclosures

    Disclosure: Laurie Scudder, DNP, NP, has disclosed no relevant financial relationships.


Accreditation Statements

    For Physicians

  • Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Medscape, LLC designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

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    For Nurses

  • Medscape, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

    Awarded 1.25 contact hour(s) of continuing nursing education for RNs and APNs; none of these credits is in the area of pharmacology.

    Accreditation of this program does not imply endorsement by either Medscape, LLC or ANCC.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. Medscape Education encourages you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates by accessing "Edit Your Profile" at the top of your Medscape homepage.

*The credit that you receive is based on your user profile.

CME/CE

Cancer Survivorship: A Primer for Primary Care: Survivorship With Different Cancer Types

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Survivorship With Different Cancer Types

Breast Cancer

Lifetime risk. For women born today, the lifetime risk for a diagnosis of breast cancer is 1 in 8.[5]

Mortality. The age-adjusted mortality rate for both sexes is 14.3 per 100,000 (95% CI, 14.2-14.3). The age adjusted mortality rate for males is 0.3 per 100,000 (95% CI, 0.3-0.3).[12]

Incidence. All races, age-adjusted incidence rate for both genders is 68.0 per 100,000 (95% CI, 67.9-68.1). The age-adjusted incidence rate for males is 1.4 per 100,000 (95% CI, 1.3-1.4).[10] The leveling of breast cancer incidence since 2003 is attributable to reduced usage of combined estrogen and progestin therapies. However, as the NCI has noted, in situ breast cancer incidence has risen in black women 1.6% since 1998.[5]

Prevalence. According to the National Cancer Institute, there were approximately 2,632,005 breast cancer survivors alive on January 1, 2008.[5]

Prostate Cancer

Lifetime risk. The lifetime risk for prostate cancer is 1 in 6 (16.22%) for a man born today.[5]

Mortality. The 5-year survival rate for prostate cancer (all ages) is 99.4%.[13] Prostate cancer is the second leading cause of cancer death in American men. About 1 in 36 men will die of prostate cancer or about 33, 720 in 2011 out of 240,890 newly diagnosed cases.[14]

Incidence. The estimated age-adjusted incidence rate is 159.6 per 100,000 (95% CI, 159.4-159.9).[10] Incidence rates are disproportionate for race, with the rate for black men (233.8 per 100,000) much higher than that of white men (149.5 per 100,000). The lowest incidence is found in American Indians and Alaskan natives (75.3 per 100,000 men).[5]

Prevalence. On January 1, 2008, in the United States there were approximately 2,355,464 men alive who had a history of cancer of the prostate.[5]

Colorectal Cancer

Lifetime risk. One in 20 men and women (5.12%) will be diagnosed with cancer of the colon and rectum during their lifetime.[5]

Mortality. The American Cancer Society estimates 49,380 deaths from colorectal cancer in 2011, 25,250 men and 24,130 women.[9]

Incidence. The age-adjusted incidence rate for all races and both genders for colon and rectum cancer is 50.9 per 100,000 (95% CI, 50.8-51.0). This rate does not include in situ.[10]

Prevalence. According to the NCI, there were approximately 1,110,077 colorectal cancer survivors alive on January 1, 2008, including 542,127 men and 567,950 women.[14]

Non Hodgkin Lymphoma

Lifetime risk. Lymphomas are the most common hematologic malignancy in the United States. NHL comprises 85% of all lymphomas.[15] NHL is the 8th most frequently diagnosed cancer type in the United States.[4] The lifetime risk for a NHL diagnosis is 1 in 48 persons.[5]

Mortality. The age-adjusted mortality rate for NHL is 7.5 per 100,000 (95% CI: 7.4-7.5).[10] Mortality from the disease has decreased significantly for men and women ( 3.0% and 3.755 per year, respectively).[10] While 5-year relative survival for 2001-2007 is estimated at 67.3%, the rate varies by gender and race (66.7% for white men; 69.3% for white women; 55.8% for black men; and 64.8% for black women).[5] The differences for African Americans are attributable to access to care and tumor.[9]

Incidence. It is estimated that 66,360 new cases (36,060 males/30,300 females) will be diagnosed in 2011, representing 4% of all cancer diagnoses.[9] Age-adjusted incidence rates for the United States is 19.4 per 100,000 (95% CI: 19.3-19.4).[10]

Prevalence. On January 1, 2008, there were approximately 454,378 people alive who had a history of NHL (235,433 men and 218,945 women).[5]

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