Priority 11 from the Living With and Beyond Cancer PSP

UNCERTAINTY: What are the most effective ways to stop cancer coming back (combining treatments and life-style changes)? (JLA PSP Priority 11)
Overall ranking	11
JLA question ID	0073/11
Explanatory note	Not available for this PSP
Evidence	Very large topic and some known answers – not smoking, keeping a healthy BMI etc. European Code against cancer 2016 – overall summary of their guidelines and specifically PA guidelines.
Health Research Classification System category	Cancer

Extra information provided by this PSP
Original uncertainty examples	What diet is best for those recovering from primary BC to try to avoid it recurring and avoid weight gain not helped by anti cancer long term medication eg tamoxifen. ~ Is there any proof of high quality nutrition improving prognosis/survival/ recurrence rates? ~ Does exercise help with recovery and guard against recurrence? ~ What can I do to mitigate against its return or the development of another cancer? ~ What foods should patients eat that are most likely to prevent cancer reoccurring?
Submitted by	Individual survey submissions categorised by Healthcare professional, Patient, Relative/Carer, Other, and Unknown. For full details of the type of submitter for each individual question, please see the spreadsheet of data held on the JLA website.

Extra information provided by this PSP

Original uncertainty examples

What diet is best for those recovering from primary BC to try to avoid it recurring and avoid weight gain not helped by anti cancer long term medication eg tamoxifen. ~ Is there any proof of high quality nutrition improving prognosis/survival/ recurrence rates? ~ Does exercise help with recovery and guard against recurrence? ~ What can I do to mitigate against its return or the development of another cancer? ~ What foods should patients eat that are most likely to prevent cancer reoccurring?

Submitted by

Individual survey submissions categorised by Healthcare professional, Patient, Relative/Carer, Other, and Unknown. For full details of the type of submitter for each individual question, please see the spreadsheet of data held on the JLA website.

PSP information
PSP unique ID	0073
PSP name	Living With and Beyond Cancer
Total number of uncertainties identified by this PSP.	54 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	11 June 2018