Developing a cancer survivorship research agenda - Prof Patricia Ganz

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A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013. Developing a cancer survivorship research agenda: challenges & opportunities - Prof Patricia Ganz, UCLA Fielding School of Public Health

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<ul><li>1.DEVELOPING A CANCER SURVIVORSHIP RESEARCH AGENDA: CHALLENGES &amp; OPPORTUNITIES Patricia A. Ganz, MD UCLA Schools of Medicine &amp; Public Health Jonsson Comprehensive Cancer Center Survivorship Research Day Dublin, September 19, 2013 </li></ul> <p>2. Three More Months by Sharon Gough RN and Paul Roseingrave CCA Treatments are over, healing established. Physically easy, mentally challenging. A fresh beginning; a new normal begins. Unusual aches and painssame worries and concerns. Blood work and scans along with doctor appointments. Life continues with no evidence of disease. Goal achieved for another three months. Oncology Times, Poetry by Cancer Caregivers, July 25, 2013; authors are also cancer survivors 3. Overview The changing face of cancer: the challenge of an aging population Limited resources for delivery of health care; increased fragmentation of care how do we respond? What are the research opportunities? Where to start? 4. Pal &amp; Hurria, JCO, 2010----US data Aging &amp; the Cancer Epidemic 5. From 2010-30, total cancer incidence will increase from 1.6 to 2.3 million Increase is driven by the aging of the population (67% increase from older adults vs. 11% in younger adults) A 99% increase is anticipated for minorities, compared with 33% for whites Percentage of all cancers diagnosed in minorities will increase from 21% to 28% Smith et al, JCO, 2009 6. Who are the Cancer Survivors? More than 1 in 3 Americans will be diagnosed with cancer in their lifetime Almost 14 million Americans have a personal history of cancer; 4% of US population More than 25 million people are survivors world wide The number of cancer survivors will increase sharply during the next 25 yrs with aging of the population 7. 18 Million U.S. Cancer Survivors Projected in 2022 8. U.S. Cancer Survivor Facts 60% of survivors are currently over the age 65 years. Breast, Prostate, and Colorectal, are the 3 most prevalent cancer sites. Approximately 14% of the 13.7 million estimated cancer survivors were diagnosed over 20 years ago. The current average age of male and female cancer survivors is 69 and 64 respectively. 9. Trends in Five-year Relative Cancer Survival Rates (%), 1975-2008 10. Irish Cancer Statistics- courtesy A. OConnor 30,000 new cases every year, with &gt;40,000 expected in 2020 1in 3 men and 1 in 4 women (U.S. 1 in 2 men, 1 in 3 women) 5 yr cancer survival: 60% of men, 62% of women 280,000 people diagnosed between 1995-2009 have survived their cancer 11. Comparison of cancer survivors and age-matched individuals from the National Health Interview Survey (NHIS) in 2000 Multiple measures of burden embedded within the survey JNCI 96:1322, 2004 12. Health Status is Significantly Poorer in Cancer Survivors Excellent Very Good Good Fair Poor Excellent Very Good Good Fair Poor Yabroff, JNCI 2004 Cancer Survivors (N=1817) Noncancer Controls (N=5465) P = 3 Ca Surv Noncancer P</p>

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