Cancer Survivorship for People Affected by Advanced or Metastatic Cancer

Publication Date: April 29, 2024

Key Points

Key Points

  • People with advanced or metastatic cancer and their caregivers may have different care goals and face unique challenges compared to those with early-stage disease or those nearing the end-of-life.
  • These MASCC-ASCO standards and practice recommendations seek to establish consistent provision of quality survivorship care for people affected by advanced or metastatic cancer.

Treatment and Care Provision

...and Care Provision

...Person-Centered Care

...o recognize people affected by advanced or me...

...affected by advanced or metastatic cancer (i.e.,...

....1are screened and routinely evaluate...

...ive survivorship care planning responsive to thei...

....3receive survivorship care with con...

...4are offered self-management strategies,...

...their goals of care, life goals, and pers...

...have their financial needs evaluat...


...ordinated and Integrated Care...

...ovide people affected by advanced or...

...le affected by advanced or metastatic cancer (i....

...provided with patient navigation suppo...

...rly referrals to multidisciplinary and interprof...

....3are provided with a team-care approach betw...

...receive timely referral to specialist palliati...

...d models of care that best suit the...

...ered a care plan to facilitate transitio...

...d models of peer support through support groups (o...


...idence-Based and Comprehensive Care

...provide up-to-date evidence-based clinical best...

...ffected by advanced or metastatic cancer...

3.1receive care practices, innovations, and i...

...2receive information on evidenced-based support...

...ctively encouraged and supported in decision-mak...

...ive multidisciplinary and interprofessional ca...

...e treated by healthcare professionals (...

...treated as active contributors to the content...


...Evaluated and Communicate...

...ver routine and systematic evaluation and monitori...

...e affected by advanced or metastatic cancer (i.e...

...atically assessed and routinely re-asse...

...ted with clear and timely communicatio...

...jective and subjective evaluations...

4.4have secure medical records (electronic...

...in healthcare settings that engage in s...


...essible and Equitable Care...

...of cancer survivorship care are accessibl...

...ople affected by advanced or metastatic cance...

...red, and provided, with consistent and high-qualit...

...ultural needs acknowledged and respected...

...3have their spiritual needs acknowled...

5.4are offered care modalities and models that...

...eceive supportive care options that are...

...d information about, and facilitated to conn...

...ted by specified personnel within cancer centers a...


...Sustainable and Resourced Care...

To ensure models of cancer survivor...

...e affected by advanced or metastatic cancer (i....

...e-based supportive care incorporating a ste...

...e in settings that are properly resourced to...

...e supportive care from services that und...

...dded in healthcare settings with leadership th...

...5receive appropriate quality supportive care u...

...o care interventions and models that a...


...esearch and Data-Driven...

...lity and efficiency in cancer survivors...

...cted by advanced or metastatic cancer (i.e., c...

....1are included in the co-design of clinic...

...ed as participants of research trials foc...

...re informed of, and supported to access, all elig...

7.4are supported back to clinical and commun...

...d using standardized cross-cultural tools (where...

...r experience, treatment, and outcome data ro...

...from appropriate and equitable levels o...

...e informed consent for, and facilitate having,...