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These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.

1. Screen cancer survivors for distress ideally at every visit. At a minimum, screen for distress at the initial visit, at appropriate intervals, and as clinically indicated, particularly with changes in disease status.
Evidence Rating: SORT C
Source: National Comprehensive Cancer Network (NCCN), reference 4
Website: https://www.nccn.org/professionals/physician_gls/pdf/distress.pdf

2. Screen cancer survivors for symptoms of depression and anxiety using validated screening tools (eg, Generalized Anxiety Disorder [GAD-7] scale, Patient Health Questionnaire-9 [PHQ-9]) periodically across the trajectory of care.
Evidence Rating: SORT C
Source: American Society of Clinical Oncology (ASCO), reference 21
Website: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4090422/

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