The number of cancer survivors in the United States has more than tripled in the past 30 years due to advances in detection and treatment.  The National Cancer Institute reports that 67% of adults diagnosed with cancer today will be alive in five years and over 75% of childhood cancer survivors will be alive after 10 years. As of January 2008 there were estimated to be 11.9 million cancer survivors, 60% 65 years of age or older, the fastest growing segment of the population.  The complex and unmet needs of this group are increasingly recognized.

Nurse Practitioners play a large role in cancer survivorship whatever the practice setting given the increasing numbers of survivors in the health care system. Oncology NP’s must know the risks of the various cancer treatments, the probabilities of cancer recurrence and second cancers, the effectiveness of surveillance, interventions for late effects, the need to address psychosocial concerns, the benefits to patients of prevention and lifestyle change, and the complexities of integrating survivorship concerns with care for other chronic conditions. The Oncology NP participates in multidisciplinary approaches to integrate and coordinated care for psychosocial support, use of community-based resources and effective transitions for primary care needs and long-term follow-up. The oncology NP improves survivorship care by coordinating and educating other health care providers on cancer survivorship issues.  The following resources can assist the NP in developing survivorship treatment summaries and care plans.