**7. Strategies to improve breast cancer survivorship symptom care**

#### **7.1. Survivorship care plan**

There has undoubtedly been a call from all over the globe to stress on the importance of largely on cancer survivorship and care. In recent past, first cancer survivorship symposium was held by ASCO, and highlights the crucial issues faced by cancer survivors and patients with numerous cancers following treatment. Survivorship care strategies are recommended as crucial tool to assist communication and distribution of responsibility during the course of transition from active therapeutics to survivorship care. This care plan directs recommendations for the type and timing of follow-up imaging, laboratory tests, and other office visits. In addition cancer survival plan should incorporate necessary information regarding the deleterious effects of chemotherapy and what to watch for specifically based on the type of cancer and treatment received. Ideally, the oncology team should also work with the patient to develop an individualized cancer survivorship care plan for breast cancer survivors. A brief outline of a patient's diagnosis and treatment received should be presented by the oncologist team when a patient with breast cancer transitions care to other providers; a treatment outline should explain the type and stage/side of the cancer, type of surgery, the name of the chemotherapy/hormones/biologics and collective doses of chemotherapy, and the types and collective doses of radiation therapy, together with the fields and extent of the radiation. However, the field of oncology in context with cancer survivorship and care plan is mostly struggling with how to excellently meet this recommendation and in categorize the specific benefits of such care plans. Various tools and strategies to assist the creation and distribution of these care plans are being actively considered for all tumor sites, including breast cancer. Currently, challenges in workflow and tools make this difficult, but the field is working toward a sustainable solution. Patients can start the building of a cancer survivorship care plan course on the ASCO website (cancer.net/survivorship/follow-care-after-cancer-treatment/asco-cancertreatment-and-survivorship-care-plans; at journeyforward.org/or livestrongcareplan.org/).
