{"entity":{"id":"idea-acc-auto-generated-survivorship-plans","kind":"idea","name":"Survivorship care plans generated automatically from the treatment record","aka":[],"tldr":"Every patient finishing treatment should get a clear document listing what they had, what to watch for, and when to be checked. Software can write it from the record so it actually happens.","summary":"Survivorship care plans are recommended by every oncology guideline body but are produced for a minority of patients because writing them by hand takes an hour. Structured treatment data (regimens, cumulative doses, radiation fields, surgery) can be mapped by rules to late-effect risks and evidence-based surveillance schedules (for example, the Children's Oncology Group long-term follow-up guidelines) and rendered for patient and family doctor automatically, with clinician review.","asOf":"2026-09-08","links":[{"label":"Children's Oncology Group long-term follow-up guidelines","url":"http://www.survivorshipguidelines.org/"}],"tags":[],"related":["idea-acc-portable-treatment-summary"],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-survivorship","b-care-fragmentation"],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Automated generation will raise survivorship plan delivery from under 30% to above 90% of eligible patients and increase adherence to recommended surveillance (echocardiography after anthracyclines, breast MRI after chest radiotherapy) by at least 25 percentage points.","rationale":"The knowledge is codified in guidelines; the failure is purely one of labour, which software removes.","test":"Implement in three centres and measure plan delivery, surveillance adherence at two years, and primary care physician awareness of late-effect risks.","maturity":"early-clinical","actor":"data","cost":"small","horizonYears":2},"route":"/ideas/idea-acc-auto-generated-survivorship-plans/","neighbours":{"idea":[{"id":"idea-acc-portable-treatment-summary","kind":"idea","name":"A machine-readable treatment summary handed to every patient and readable by any hospital","route":"/ideas/idea-acc-portable-treatment-summary/"},{"id":"idea-rejuv-exposure-record-a-machine-can-read","kind":"idea","name":"Make the treatment exposure record machine-readable, so surveillance can be computed","route":"/ideas/idea-rejuv-exposure-record-a-machine-can-read/"}],"bottleneck":[{"id":"b-care-fragmentation","kind":"bottleneck","name":"Fragmented care and guideline gaps","route":"/bottlenecks/b-care-fragmentation/"},{"id":"rejuv-agenda-nobody-owns-the-follow-up","kind":"bottleneck","name":"Nobody owns the follow-up once the oncology clinic lets go","route":"/bottlenecks/rejuv-agenda-nobody-owns-the-follow-up/"},{"id":"b-survivorship","kind":"bottleneck","name":"Survivorship and late effects are neglected","route":"/bottlenecks/b-survivorship/"}],"technology":[{"id":"rejuv-mind-access-to-psychological-care","kind":"technology","name":"Getting psychological help after cancer: the stepped-care model, and what is actually commissioned","route":"/technologies/rejuv-mind-access-to-psychological-care/"},{"id":"rejuv-paed-cog-ltfu-guidelines","kind":"technology","name":"The Children's Oncology Group Long-Term Follow-Up Guidelines","route":"/technologies/rejuv-paed-cog-ltfu-guidelines/"},{"id":"rejuv-paed-transition-to-adult-care","kind":"technology","name":"The handover from children's to adult services, where follow-up falls away","route":"/technologies/rejuv-paed-transition-to-adult-care/"}],"roadmap":[{"id":"rejuvenation-roadmap","kind":"roadmap","name":"Recovery and rejuvenation roadmap: cure is not enough → survivorship gets a name → the cohorts that measured the cost → exercise proven as treatment → biological ageing measured and sold → repair, if anyone funds it","route":"/roadmaps/rejuvenation-roadmap/"},{"id":"survivorship-roadmap","kind":"roadmap","name":"Supportive care and survivorship roadmap: making treatment bearable → proving it extends life → caring for tens of millions afterwards","route":"/roadmaps/survivorship-roadmap/"}]}}