1、Take free quizzes online at CONTINUING EDUCATION ACTIVITYAfter reading the article “American Cancer Society Colorectal Cancer Survivorship Care Guidelines,” the learner should be able to:1. Describe potential long-term and late effects of colorectal cancer and its treatment.2. Discuss ACS recommenda
2、tions for follow-up care of colorectal cancer survivors by primary care clinicians.ARTICLE TITLE: American Cancer Society Colorectal Cancer Survivorship Care GuidelinesCONTINUING MEDICAL EDUCATION ACCREDITATION AND DESIGNATION STATEMENT:Blackwell Futura Media Services is accredited by the Accreditat
3、ion Council for Continuing Medical Education to provide continuing medical education (CME)for physicians.Blackwell Futura Media Services designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credit. Physicians should only claim creditcommensurate with the extent of their partici
4、pation in the activity.CONTINUING NURSING EDUCATION ACCREDITATION AND DESIGNATION STATEMENT:The American Cancer Society (ACS) is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Centers Commission onAccreditation.Accredited status does not imply end
5、orsement by the ACS or the American Nurses Credentialing Center of any commercial products displayed or discussed inconjunction with an educational activity. The ACS gratefully acknowledges the sponsorship provided by Wiley for hosting these CNE activities.EDUCATIONAL OBJECTIVES: ACTIVITY DISCLOSURE
6、S:This journal article was supported, in part, by Cooperative Agreement #5U55DP003054 from the Centers for Disease Control and Prevention. Its contents are solelythe responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. N
7、o industry funding was usedto support this work.ACS CONTINUING PROFESSIONAL EDUCATION COMMITTEE DISCLOSURES:Editor, Director of Continuing Professional Education, and ACS Director of Medical Content:Ted Gansler, MD, MBA, MPH, has no financial relationships or interests to disclose.Deputy Editor and
8、ACS Director of Cancer Control Intervention:Durado D. Brooks, MD, MPH, has no financial relationships or interests to disclose.Lead Nurse Planner and Associate Editor:Marcia Grant, RN, PhD, FAAN, has no financial relationships or interests to disclose.Associate Editor and Chief Cancer Control Office
9、r:Richard C. Wender, MD, has no financial relationships or interests to disclose.AUTHOR DISCLOSURES: Nicole L. Erb, BA, reports cooperative agreement funding from the American Cancer Society/Centers for Disease Control and Prevention (ACS/CDC) for the NationalCancer Survivorship Resource Center proj
10、ect. Anne Willis, MA, reports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship ResourceCenter project as well as a grant from Genentech and event sponsorships from Amgen Oncology, Takeda Oncology, and Genentech outside the submitted work. Jennifer K.Bretsch, MS, re
11、ports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Research Center project. Mandi L. Pratt-Chapman, MA, reportscooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Resource Center project as well as a grant from Genentech; a consu
12、lting feefrom Pfizer; and event sponsorships from Amgen Oncology, Genentech, and Takeda Oncology outside the submitted work. Rachel S. Cannady, BS, reports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Resource Center project. Sandra L. Wong, MD, MS reports gran
13、ts from the American Cancer Society (Research Scholar Grant RSG-12-269-01-CPHPS) and the Agency for Healthcare Research and Quality (K08HS020937-01) outside the submitted work. Johnie Rose, MD,PhD, reports grants from Genomic Health, Inc, outside the submitted work. Rebecca L. Cowens-Alvarado, MPH,
14、reports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Resource Center project. April L. Barbour, MD, MPH, FACP, Durado D. Brooks, MD, MPH, Khaled El-Shami, MD PhD, Kevin C. Oeffinger, MD, Katherine B. Sharpe, MTS CPH, and Kevin D. Stein, PhD, have no financial r
15、elationships or interests to disclose.CNECMESCORINGA score of 70% or better is needed to pass a quiz containing 10 questions (7 correct answers) or 80% or better for 5 questions (4 correct answers).INSTRUCTIONS ON RECEIVING CME CREDITThis activity is intended for physicians. For information concerni
16、ng the applicability and acceptance of CME credit for this activity, please consult your professionallicensing board.This activity is designed to be completed within 1.75 hours; physicians should claim only those credits that reflect the time actually spent in the activity. To successfullyearn credi
17、t, participants must complete the activity during the valid credit period, which is up to 2 years from the time of initial publication.CMEINSTRUCTIONS ON RECEIVING CNE CREDITThis activity is intended for nurses. For information concerning the applicability and acceptance of CNE credit for this activ
18、ity, please consult your professionallicensing board.This activity is designed to be completed within 1.75 hours; nurses should claim only those credits that reflect the time actually spent in the activity. To successfullyearn credit, participants must complete the activity during the valid credit p
19、eriod, which is up to 2 years from the time of initial publication.FOLLOW THESE STEPS TO EARN CREDIT Log on to Read the target audience, educational objectives, and activity disclosures. Read the activity contents in print or online format. Reflect on the activity contents. Access the examination, a
20、nd choose the best answer to each question. Complete the required evaluation component of the activity. Claim your certificate.This activity will be available for CME/CNE credit for 1 year following its launch date. At that time, it will be reviewed and potentially updated andextended for an additio
21、nal 12 months. All CME/CNE quizzes are offered online FREE OF CHARGE. Please log in at New users can register for a FREE account. Registration will allowyou to track your past and ongoing activities. After successfully completing each quiz, you may instantly print a certificate, and your online reco
22、rd of completedcourses will be updated automatically. CNE000SPONSORED BY THE AMERICAN CANCER SOCIETY, INC.VOLUME 00 | NUMBER 0 | JULY/AUGUST 2015NURSING ADVISORY BOARD DISCLOSURES:Maureen Berg, RN, has no financial relationships or interests to disclose. Susan Jackson, RN, MPH, has no financial rela
23、tionships or interests to disclose. Barbara Lesser,BSN, MSN, has no financial relationships or interests to American Cancer Society Colorectal CancerSurvivorship Care GuidelinesKhaled El-Shami, MD, PhD1; Kevin C. Oeffinger, MD2; Nicole L. Erb, BA3*; Anne Willis, MA4; Jennifer K. Bretsch, MS, CPHQ5;M
24、andi L. Pratt-Chapman, MA6; Rachel S. Cannady, BS7; Sandra L. Wong, MD, MS8; Johnie Rose, MD, PhD9;April L. Barbour, MD, MPH, FACP10; Kevin D. Stein, PhD11; Katherine B. Sharpe, MTS12; Durado D. Brooks, MD, MPH13;Rebecca L. Cowens-Alvarado, MPH14Colorectal cancer (CRC) is the third most commoncancer
25、and third leading causeofcancerdeath in bothmen and womenand second lead-ing cause of cancer death when men and women are combined in the United States (US). Almost two-thirds of CRC survivors are living 5years after diagnosis. Considering the recent decline inbothincidence and mortality,the prevale
26、nce of CRC survivors is likely toincreasedra-matically over the coming decades with the increase in rates of CRC screening, further advances in early detection and treatment and theaging and growth of the US population. Survivors are at risk for a CRC recurrence, a new primary CRC, other cancers, as
27、 well as both short-term and long-term adverse effects of the CRC and the modalities used to treat it. CRC survivors may also have psychological, reproductive,genetic, social, and employment concerns after treatment. Communication and coordination of care between the treating oncologist and theprima
28、ry care clinician is critical to effectively and efficiently manage the long-term care of CRC survivors. The guidelines in this article areintended to assist primary care clinicians in delivering risk-based health care for CRC survivors who have completed active therapy.CA Cancer J Clin 2015;000:000
29、000.VC2015 American Cancer Society.Keywords: colorectal cancer, survivorship, clinical care, follow-up, guidelines, primary care, quality of life, survivorship careplan, long-term effects, late effects, care coordinationTo earn free CME credit or nursing contact hours for successfully completing the
30、 online quiz based on this article, go supporting information may be found in the online version of this article.1Assistant Professor of Medicine, The George Washington University, School of Medicine and Health Sciences, Washington, DC;2Director, Cancer Survivorship Center, MemorialSloan Kettering C
31、ancer Center, New York, NY;3Program Manager, National Cancer Survivorship Resource Center, American Cancer Society, Atlanta, GA;4Director, Patient-Cen-tered Programs,TheGeorgeWashingtonUniversityCancerInstitute,Washington,DC;5Director,PerformanceImprovement, AmericanSocietyofClinicalOncology,Alexand
32、ria,VA;6Director, The George Washington University Cancer Institute, Washington, DC;7Behavioral Scientist, Behavioral Research Center/National Cancer Survivorship Resource Center,American Cancer Society, Atlanta, GA;8Associate Professor of Surgery, Department of Surgery, University of Michigan, Ann
33、Arbor, MI;9Assistant Professor, Department of FamilyMedicine and Community Health, Case Western Reserve University School of Medicine/Case Comprehensive Cancer Center, Cleveland, OH;10Associate Professor of Medicine,TheGeorgeWashington UniversitySchoolof Medicineand HealthSciences,Washington,DC;11Vi
34、ce President, Behavioral Research, Director, Behavioral Research Center,American Cancer Society, Atlanta, GA;12Senior Vice President, Patient and Caregiver Support, American Cancer Society, Atlanta, GA;13Director, Cancer ControlIntervention, American Cancer Society, Atlanta, GA;14Vice President, Beh
35、avioral Research, South Atlantic Health Systems, American Cancer Society, Atlanta, GACorresponding author: Nicole L. Erb, BA, Program Manager, National Cancer Survivorship Resource Center, American Cancer Society, 250 Williams Street, NW,Suite 600, Atlanta, GA 30303; nicole.erbcancer.orgDISCLOSURES:
36、 This journal article was supported in part by Cooperative Agreement #5U55DP003054 from the Centers for Disease Control and Prevention. Its con-tents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. No
37、 industry fund-ing was used to support this work. Nicole L. Erb reports cooperative agreement funding from the American Cancer Society/Centers for Disease Control and Prevention(ACS/CDC) for the National Cancer Survivorship Resource Center project. Anne Willis reports cooperative agreement funding f
38、rom the ACS/CDC for the National Can-cer Survivorship Resource Center project as well as a grant from Genentech and event sponsorships from Amgen Oncology, Takeda Oncology, and Genentech outsidethe submitted work. Jennifer K. Bretsch reports cooperative agreement funding from the ACS/CDC for the Nat
39、ional Cancer Survivorship Research Center project.Mandi L. Pratt-Chapman reports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Resource Center project as well as a grantfrom Genentech; a consulting fee from Pfizer; and event sponsorships from Amgen Oncology, Gen
40、entech, and Takeda Oncology outside the submitted work. Rachel S.Cannady reports cooperative agreement funding from the ACS/CDC for the National Cancer Survivorship Resource Center project. Sandra L. Wong reports grantsfrom the American Cancer Society (Research Scholar Grant RSG-12-269-01-CPHPS) and
41、 the Agency for Healthcare Research and Quality (K08HS020937-01) outsidethe submitted work. Johnie Rose reports grants from Genomic Health, Inc, outside the submitted work. Rebecca L. Cowens-Alvarado reports cooperative agreementfunding from the ACS/CDC for the National Cancer Survivorship Resource
42、Center project. The remaining authors have no financial disclosures to declare.In addition to the authors of the current article, the American Cancer Society thanks the following members of the Colorectal Cancer Survivorship Care Guidelines Expert Work-group for their contribution to the development
43、 of the Colorectal Cancer Survivorship Care Guidelines: Corry Chapman, MD (Family Medicine Physician, Catholic Charities, Wash-ington, DC); Zana Correa, NP, BC (Nurse Practitioner, Colorectal Survivorship Clinic, Memorial Sloan Kettering Cancer Center, New York, NY); Sarah Huff, RN, BSN, OCN(Colorec
44、tal Cancer Patient Navigator, David Lee Cancer Center, Charleston Area Medical Center, Charleston, WV); Paul J. Limburg, MD, MPH (Professor of Medicine, Gastroen-terology and Hepatology, Preventive, Occupational and Aerospace Medicine, Mayo Clinic, Rochester, MN); Jeffrey A. Meyerhardt, MD, MPH (Cli
45、nical Director, GastrointestinalCancer Center, Senior Physician, Dana-Farber Cancer Institute; Associate Professor, Department of Medicine, Harvard Medical School, Boston, MA); Fran Zandstra, RN, MBA,OCN (Former Executive Director, Office of Cancer Survivorship (retired), The University of Texas MD
46、Anderson Cancer Center, Houston, TX); and Robert A. Smith, PhD (Vice Pres-ident, Cancer Screening, American Cancer Society, Atlanta, GA). The American Cancer Society Colorectal Cancer Survivorship Care Guidelines Expert Workgroup thanks the fol-lowing individuals for their helpful review and comment
47、s on this article: Catherine M. Alfano, PhD (Vice President, Survivorship, American Cancer Society, Atlanta, GA); OtisBrawley, MD, FACP (Chief Medical Officer, American Cancer Society, Atlanta, GA); Lewis E. Foxhall, MD (Vice President, Health Policy, Ofc of the EVP, Cancer Network, The Uni-versity
48、of Texas MD Anderson Cancer Center, Houston, TX); Ted Gansler, MD, MPH, MBA (Director, Medical Content, American Cancer Society, Atlanta, GA); Michael Jefford,MD, PhD, MPH (Deputy Head, Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia); Thomas K. Oliver (Director,
49、Guidelines, Quality andGuidelines, American Society of Clinical Oncology, Alexandria, VA); Steven R. Patierno, PhD (Deputy Director, Duke Cancer Institute; Professor of Medicine; Professor of Pharma-cology and Cancer Biology; and Professor in Community and Family Medicine, Department of Medicine, Duke University School of Medicine, Durham, NC); Marcus Plescia, MD,MPH (Public Health Director, Mecklenburg County Health Department; Adjunct Professor PH Leadership Program, UNC Gillings School of Public Health, Charlotte, NC); and Rich-ard Wender, MD (Chief Cancer Control Officer, American Canc
