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<p>The number of cancer survivors, including long-term survivors of ovarian cancer, is rising continuously. The classical 5‑year follow-up with a&#xa0;focus on detecting recurrences no longer does justice to patients. Both cancer-free patients and those in a&#xa0;chronic cancer situation frequently suffer from (long-term) side effects. The most common physical complaints after ovarian cancer include fatigue, lymphedema, digestive disorders, and polyneuropathy. The most common psychological symptom is fear of recurrence. There is also the risk of secondary cancer, which is most commonly breast cancer after ovarian cancer. A&#xa0;mammogram is therefore recommended every 2&#xa0;years after ovarian cancer. Cardiovascular risk after cancer increases with the years following the initial diagnosis, so this should also be addressed in follow-up care. Lifestyle counseling, including motivating patients to be physically active, is not only useful in terms of cardiovascular health, but there is also a&#xa0;high level of evidence that regular exercise can improve not only quality of life, but also long-term side effects such as fatigue and mental health. In summary, survivorship care should include the topics of long-term side effects and prevention in addition to classic tumor aftercare. The study Survivorship Clinic funded by the Innovation Fund and led by the Charité&#xa0;– Universitätsmedizin Berlin is investigating the extent to which a&#xa0;specialized survivorship consultation can improve patients’ quality of life and whether this model could represent a&#xa0;new form of care for the German healthcare system to close this healthcare gap.</p>

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Cancer Survivorship

  • 期刊论文

  • 发表日期：

    2025年5月30日

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  • H. Woopen,
  • M. Frick,
  • A. Pirmorady,
  • J. Sehouli

摘要

The number of cancer survivors, including long-term survivors of ovarian cancer, is rising continuously. The classical 5‑year follow-up with a focus on detecting recurrences no longer does justice to patients. Both cancer-free patients and those in a chronic cancer situation frequently suffer from (long-term) side effects. The most common physical complaints after ovarian cancer include fatigue, lymphedema, digestive disorders, and polyneuropathy. The most common psychological symptom is fear of recurrence. There is also the risk of secondary cancer, which is most commonly breast cancer after ovarian cancer. A mammogram is therefore recommended every 2 years after ovarian cancer. Cardiovascular risk after cancer increases with the years following the initial diagnosis, so this should also be addressed in follow-up care. Lifestyle counseling, including motivating patients to be physically active, is not only useful in terms of cardiovascular health, but there is also a high level of evidence that regular exercise can improve not only quality of life, but also long-term side effects such as fatigue and mental health. In summary, survivorship care should include the topics of long-term side effects and prevention in addition to classic tumor aftercare. The study Survivorship Clinic funded by the Innovation Fund and led by the Charité – Universitätsmedizin Berlin is investigating the extent to which a specialized survivorship consultation can improve patients’ quality of life and whether this model could represent a new form of care for the German healthcare system to close this healthcare gap.