The population of survivors living long-term with incurable breast cancer has grown rapidly, and clinicians may not be aware of how to manage the many unique issues and needs faced by this population.

Clinician education on current vaccine recommendations can help providers encourage optimal immunizations to avoid the morbidity and mortality associated with vaccine-preventable infections.

Breast cancer survivors are at increased risk of cardiovascular disease (CVD) and death from cardiovascular complications. Therefore, CVD risk assessment and counseling on CVD risk factor management are recommended for all cancer survivors throughout the survivorship continuum.

Addressing sexual health is an essential step during the treatment of breast cancer. Healthcare providers should discuss with patients the potential changes in sexual function and sexuality related to cancer treatment as well as the measures that are available to overcome these challenges.

These NCCN Guidelines Insights summarize the panel’s current recommendations regarding sexual health and fertility.
Sleep, fatigue and cognitive function are important in improving quality of life in cancer survivors. These issues are often not addressed appropriately and further education and awareness can promote increased quality of life in cancer survivors.
Many cancer survivors of all gender identities and sexual orientations experience survivorship challenges, including challenges regarding sexual function. These concerns are often not addressed appropriately, especially in those who identify as sexual and gender minorities. Healthcare providers should be aware of the challenges experienced by all cancer survivors to better assist them in their survivorship journey.
Few survivors meet all health behavior recommendations, and clinicians often report a lack of expertise, time, and resources to address healthy lifestyles with cancer survivors. Education on this topic can help clinicians encourage and support survivors to maintain and enhance their wellness.
These NCCN Guidelines Insights summarize recent guideline updates and panel discussions pertaining to sleep disorders, fatigue, and cognitive function in cancer survivors.

Many health care professionals have had limited education on supportive care topics and have learned on the job. The guidelines and literature continue to advance supportive oncology care.

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