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Challenges in Implementation of Survivorship Care Plans Patricia A. Ganz, M.D. Jonsson Comprehensive Cancer Center UCLA Schools of Medicine & Public Health

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Who are the Cancer Survivors? More than 1 in 3 Americans will be diagnosed with cancer in their lifetime More than 14 million Americans have a personal history of cancer; >4% of US population The number of cancer survivors will increase sharply during the next 25 yrs with aging of the population

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Estimated and projected number of cancer survivors in the United States from 1977 to 2022 by years since diagnosis. de Moor J S et al. Cancer Epidemiol Biomarkers Prev 2013;22:561-570 2013 by American Association for Cancer Research

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Estimated number of cancer survivors in the United States as of January 1, 2012 by cancer site. de Moor J S et al. Cancer Epidemiol Biomarkers Prev 2013;22:561-570 2013 by American Association for Cancer Research

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Esimated number of cancer survivors in the United States as of January 1, 2012 by time since diagnosis and sex. de Moor J S et al. Cancer Epidemiol Biomarkers Prev 2013;22:561-570 2013 by American Association for Cancer Research

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Estimated number of cancer survivors in the United States as of January 1, 2012 by cancer site and years from diagnosis. de Moor J S et al. Cancer Epidemiol Biomarkers Prev 2013;22:561-570 2013 by American Association for Cancer Research

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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

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Health Status is Significantly Poorer in Cancer Survivors Yabroff, JNCI 2004 Cancer Survivors (N=1817) Noncancer Controls ( N=5465) P