[Survivorship care plans for cancer patients: the importance of risk stratification, self-management and health literacy in the age of digital care].

Due to an ageing population and improved early cancer detection, medical diagnostics and oncological treatment, the number of patients who are cured or live with the disease for a long time (cancer survivors) is increasing rapidly in Germany, as in all other industrialised countries worldwide. For many patients, living with and after cancer means living with physical and psychosocial disease and treatment-related long-term and late effects. In view of demographic change, rising cancer prevalence and medical progress, one of the urgent questions is how to ensure high-quality individualised and at the same time affordable cancer care for ageing patients with multimorbidity.In addition to strengthening cancer prevention, these developments require research and implementation of individualised aftercare within the framework of survivorship care plans (SCPs). The overarching goal of SCPs is to prevent or minimise the physical and psychosocial long-term and late effects, reduce mortality and improve the patients' quality of life. The evidence on the effectiveness of SCPs in improving patient-reported endpoints is so far not clear. The provision of tailored information as well as risk-modifying and demand-orientated offers based on risk stratification are seen as central components in the implementation of SCPs. In this context, the promotion of self-management and health literacy of patients also take on a high priority against the background of the increase in digital health applications.