Self-Management: Enabling and empowering patients living with cancer as a chronic illness

By R. McCorkle, Elizabeth Ercolano, M. Lazenby, Dena J. Schulman-Green, L. Schilling, K. Lorig, Edward H. Wagner. Ca, 2011

927 citations recorded by the source corpus.

With recent improvements in the early detection, diagnosis, and treatment of cancer, people with cancer are living longer, and their cancer may be managed as a chronic illness. Cancer as a chronic illness places new demands on patients and families to manage their own care, and it challenges old paradigms that oncology's work is done after treatment. As a chronic illness, however, cancer care occurs on a continuum that stretches from prevention to the end of life, with early detection, diagnosis, treatment, and survivorship in between. In this article, self‐management interventions that enable patients and families to participate in managing their care along this continuum are reviewed. Randomized controlled trials of self‐management interventions with cancer patients and families in the treatment, survivorship, and end‐of‐life phases of the cancer care continuum are reviewed, and the Chronic Care Model is presented as a model of care that oncology practices can use to enable and empower patients and families to engage in self‐management. It is concluded that the need for a common language with which to speak about self‐management and a common set of self‐management actions for cancer care notwithstanding, oncology practices can now build strong relationships with their patients and formulate mutually agreed upon care plans that enable and empower patients to care for themselves in the way they prefer. CA Cancer J Clin 2011. © 2011 American Cancer Society.

Subfields: Endocrinology, Diabetes and Metabolism, Epidemiology, Oncology

View Paper: https://www.semanticscholar.org/paper/deab4e44ad96caf2a337cc1bae05befe8fbafd71

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

1. D. Sarfati
2. E. Balogh
3. B. Koczwara
4. Laura A. Levit
5. C. Niedzwiedz
6. C. Jackson
7. Dena J. Schulman-Green
8. L. Knifton

Citations in the corpus

• Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis (2014, background): “Patients with cancer and their families are often required to manage greater portions of their cancer care due to advances in cancer treatment, as well as changes in the practice of health care, such as earlier discharge from the hospital (CFAH, 2010; McCorkle et al., 2011).”
• The impact of comorbidity on cancer and its treatment (2016, background): “ship phase of cancer care but less focus on whether they might also be helpful during the active treatment phase.(180)”
• Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority (2019, background): “Studies on self-management, cancer and psychological distress have focused on the treatment phase, with fewer investigating interventions following treatment or at the end of life [48].”
• Processes of Self-Management in Chronic Illness (2012, background): “While the processes of self-management are described as discrete tasks and skills in this analysis, the actual experience of self-management is ongoing and dynamic, with overlapping processes, tasks, and skills (Barlow et al., 2002; McCorkle et al., 2011).”