Survivorship & Prevention

Over 14 million people living in the United States have a history of cancer and more than 3 million of them (41% of the women) have "survived" an invasive breast cancer. Health care providers don't always know if a cancer has been completely eradicated or if it will recur and treatment often causes physical and pyschological side effects, including fear of recurrence. Given this burden, a key focus area for us is prevention of breast cancer recurrence and promoting the best possible quality of life following active treatment.

Breast Cancer Survivorship Navigation

ZBC is honored to bring together many agencies partnering to better meet the needs of people who have finished active breast cancer treatment. Beginning in 2015, we convened a diverse group of survivors, advocates, community service providers, patient navigators and clinical care providers from around the San Francisco Bay Area and Mendocino (see list below) for the Breast Cancer Survivorship Navigation Project (BCSNP).

Together, we are seeking ways to improve the quality of life of under-served breast cancer survivors and reduce the risk of cancer recurrence. We call our group the Breast Cancer Survivorship Navigation Collaborative (BCSNC). Our group chose to focus on racial/ethnic minorities, gender/sexual minorities and people who have lower incomes. In order to understand the unmet needs experienced by these survivors, in 2017, member organizations developed a survey in English, Spanish and Chinese to ask about their experiences and ideas for improvement.

In 2018, participating organizations asked patients and survivors to answer our questions. We compiled and analyzed the 62 responses, then presented a draft report to respondents and patient navigators. Their input was incorporated into the final patient engagement report, which you can read here. Mental health and cognitive effects of treatment were two of the largest needs identified by the diverse women who participated. Many also reported that the physical side effects of treatment needed more attention and some wanted more information about healthy living (nutrition, stress management, exercise, etc.).

The priorities and suggestions volunteered by respondents are being used by ZBC as a starting point to inform our work on an educational campaign to support the well-being those completing breast cancer treatment in the future and empower them with information about recurrence risks. If you would like to join more than half of the surveyed survivors to keep informed about future BCSNC activities and to provide input into the development of ZBC’s survivorship campaign, email us at This email address is being protected from spambots. You need JavaScript enabled to view it. and include “Survivorship” in the Subject Line.

Check out our Survivorship Resources for links to specific information and some great sites for those who have ever been diagnosed with breast cancer and those who love them. 

Read more: Breast Cancer Survivorship Navigation

Pathways: A Study of Breast Cancer Survivorship


ZBC has partnered with Dr. Larry Kushi at the Kaiser Permanente Northern California Division of Research for more than a decade. The Pathways Study seeks "to provide more objective information to help guide women as they make decisions following a breast cancer diagnosis by collecting and analyzing data about a woman's genetic background, tumor characteristics and lifestyle choices immediately after diagnosis. It also studies various genetic factors and their role in treatment and survival as well as whether certain molecular changes in the tumor may be markers for prognosis.

Check out ZBC's Survivorship Factsheets, created in collaboration with Pathways scientists and breast cancer survivors. 

Read more: Pathways: A Study of Breast Cancer Survivorship