From Assessment to Action: Integrating Patient-Reported Concerns Into Routine Breast Cancer Survivorship Care

Purpose Breast cancer survivorship care requires systematic approaches to identify and address patient-identified needs after completion of treatment. Methods Breast cancer survivors completing curative-intent treatment were referred to a risk-adapted survivorship program incorporating a structured previsit patient-reported concerns assessment. Descriptive analyses characterized the prevalence and longitudinal consistency of survivor-reported concerns. Aggregated concerns data supported real-time clinical decision making during survivorship visits and informed program-level planning, including alignment of consultative services and survivorship education embedded within routine oncology care. Results Two thousand five hundred fifty-eight breast cancer survivors completed the previsit patient-reported concerns assessment during survivorship visits from 2019 through 2025. Survivors reported a consistent set of physical, psychosocial, and lifestyle-related concerns across the study period. These survivor-identified concerns informed referral to established consultative services and guided development of survivorship education aligned with survivor-identified needs. Concern patterns were reviewed longitudinally to support alignment of survivorship services and education with evolving survivor priorities. Conclusion Integration of structured patient-reported concerns into routine survivorship care is feasible and supports responsive, patient-centered care delivery. This pragmatic approach may inform scalable, real-world implementation of survivorship program models without disrupting existing clinical workflows.