Whilst the number of cancer survivors patients are increasing, services are failing to keep up with their growing needs and long-term impact of cancer treatment on body composition, psychological health and emotional wellbeing. One cohort of particular concern are early-stage hormone-receptor positive breast cancer survivors who are prescribed an endocrine therapy up to 10 years following the completion of systemic anticancer treatment. Their unmet needs have been well documented in the literature, yet our healthcare pathways continue to fail them. They often lack adequate symptom and nutritional management, describing this part of their cancer journey like “being pushed out to sea on a boat with no oars”.1
We must ask ourselves – why does the supportive care stop if the treatment continues?
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