American Cancer Society Guidelines for Cancer Survivors

The ACS cancer survivorship care guidelines address surveillance for recurrence in specific cancers, screening for second primary cancers, assessment and management of physical and psychosocial long-term and late effects of cancer and its treatment, health promotion, and care coordination and practice implications. The cancer survivorship care guidelines development process aligns closely with the ACS cancer screening guidelines process. 

The ACS nutrition and physical activity guideline for cancer survivors is intended for people with cancer during and after treatment, whether they are disease free or have stable disease. Recommendations address anthropometric parameters, physical activity, diet, and alcohol intake for reducing cancer recurrence and mortality. 

The guidelines are developed by multidisciplinary expert workgroups specializing in the care and management of people with cancer before, during, and after treatment. The guidelines build upon available evidence from the current literature on cancer, its treatments and effects; diet and physical activity; existing surveillance, screening, and symptom management guidelines;  and standard clinical practice.

People with cancer face potential physical, psychosocial, practical, spiritual, or information challenges that can begin at diagnosis and persist through treatment and beyond. Due to early detection through screening and the availability of improved treatments, more people are surviving cancer, and many experience long-term or late effects of cancer and its treatment. The various guidelines developed to address the needs of people with cancer address nutrition and physical activity, surveillance for recurrence, screening for second primary cancers, assessment and management of physical and psychosocial long-term and late effects of cancer and its treatment, health promotion, and care coordination and practice implications.