Survivorship is now recognized as a critical and separate phase of the cancer care continuum. The Institute of Medicine (IOM) report, Lost in Transition, increased awareness that coordinated follow-up care can enhance the overall health and quality of life for cancer survivors. Since the IOM report, notable advances have been made in the care of survivors who have completed curative treatment, including development of clinical algorithms and guidelines, emergence of survivorship care plans, progress in health policy initiatives, and increase in clinical education for healthcare professionals caring for cancer survivors. The IOM report identified four domains as core concepts in providing comprehensive care to survivors. They included surveillance for new/recurrent cancers, management of late or long-term effects, risk reduction/ prevention, and monitoring psychosocial functioning.
To address the growing needs of cancer survivors, in 2008 the Cancer Survivorship Program at MD Anderson Cancer Center launched a robust clinical program that provided tailored care designed for long-term cancer survivors. In response to the various advances and changes in survivorship care and the desire to provide highquality survivorship care, the Cancer Survivorship Program added educational and research components. In 2018, there are 12 different disease-specific survivorship clinics delivering care to adult survivors of the most common cancers such as breast, prostate, colorectal, and gynecological cancers. However, clinics have been added for other cancers, including thyroid, head and neck, lymphoma, and our most unique stem cell transplants. The clinics were and continue to be based on a multidisciplinary model of survivorship care, which includes the principles set forth in the seminal IOM report. These core elements are embedded in our institutional clinical care program, practice algorithms, and survivorship care plans. These domains serve as the foundation for the delivery of multidisciplinary care for survivors.