cancer supportive care, supponc

Make Cancer Less Shitty

The dignity and quality of life of cancer patients is paramount. We acknowledge the rigors of both short-term and perpetual treatment and do not believe any cancer therapy-related side effect, whether it is extreme fatigue, debilitating diarrhea, hair loss, chronic pain, or others, should ever be viewed as ‘acceptable' or ‘tolerable.' Together, we want to Make Cancer Less Shitty.

We want to hear from you!

We are interested in highlighting the reality of cancer treatment and supportive care, and plan to ask a question about these topics each month. Click here to view and respond to this month’s question.

What is Supportive Care in Cancer?

In the US, there are more than 18 million people living with a diagnosis or history of cancer, according to data from the American Cancer Society, and it’s estimated that another 2 million will be diagnosed with cancer in 2024.

The term ‘supportive care’ refers to managing the toxicities of cancer treatment but embraces all symptom management through treatment and survivorship. In the words of The Multinational Association of Supportive Care in Cancer (MASCC), supportive care makes excellent cancer care possible.

Unfortunately, the prevalence of supportive care delivery continues to remain low.† A recent study found that up to 81% of cancer survivors had unmet supportive care needs and reported dissatisfaction with current supportive care services.§

Common Side Effects of Cancer Treatment

According to the National Cancer Institute, side effects are problems that occur when treatment affects healthy tissues or organs, and include:

-Anemia
-Appetite Loss
-Bleeding and Bruising
-Constipation
-Delirium
-Diarrhea
-Edema (Swelling)
-Fatigue
-Fertility Issues
-Flu-Like Symptoms
-Hair Loss (Alopecia)
-Infection and Neutropenia
-Lymphedema
-Memory or Concentration Problems
-Mouth and Throat Problems (Mucositis)
-Nausea and Vomiting
-Nerve Problems (Peripheral Neuropathy)
-Organ-Related Inflammation and Immunotherapy
-Pain
-Sexual Health
-Skin and Nail Changes
-Sleep Problems
-Urinary and Bladder Problems

† Catt S, Matthews L, May S, Payne H, Mason M, Jenkins V. Patients’ and partners’ views of care and treatment provided for metastatic castrate-resistant prostate cancer in the UK. Eur J Cancer Care (Engl). 2019;28:e13140.

† Yannitsos D, Murphy RA, Pollock P, Di Sebastiano KM. Facilitators and barriers to participation in lifestyle modification for men with prostate cancer: a scoping review. Eur J Cancer Care (Engl). 2019;29:e13193.

† Fitch, MI. Supportive care needs framework. Can Oncol Nurs J. 2008;18(1): 6–14.

§ Moore TH, King AJ, Evans M, SharpD, Persad R,Huntley AL. Supportive care for men with prostate cancer: why are the trials not working? A systematic review and recommendations for future trials. Cancer Med. 2015;4(8):1240–1251.