(UroToday.com) While more patients are surviving their pelvic cancers, unfortunately, the ability to prevent long-term sequelae of pelvic radiation lags behind this improvement in survival. Later side effects from pelvic radiation can manifest months to years after therapy to reduce quality of life and cause psychological morbidity. How best to optimize cancer survivorship care in the context of radiotherapy is an area of ongoing investigation. At Dr. Sarah Hoffe’s institution, providers pursue a framework of onco-wellness, which aims to individualize care plans for survivors and optimize lifestyle medicine for patients at higher risk of toxicity. Quantifying the true incidence of late effects is difficult, as at least in one study of cervical cancer patients, 44% of symptoms were not caught by Common Terminology Criteria for Adverse Events (CTCAE) questions. Patient-reported outcome data are important to illustrate the potential toxicity of treatment more accurately.