Challenges after curative treatment for childhood cancer and long-term follow up of survivors.
Published
Journal Article (Review)
Childhood cancer survivors are at increased risk of serious morbidity, premature mortality, and diminished health status. Proactive and anticipatory risk-based health care of survivors and healthy lifestyles can reduce these risks. In this article, the authors first briefly discuss four common problems of survivors: neurocognitive dysfunction, cardiovascular disease, infertility and gonadal dysfunction, and psychosocial problems. Second, the authors discuss the concept of risk-based care, promote the use of recently developed evidence-based guidelines, describe current care in the United States, Canada, and the Netherlands, and articulate a model for shared survivor care that aims to optimize life long health of survivors and improve two-way communication between the cancer center and the primary care physician.
Full Text
Duke Authors
Cited Authors
- Oeffinger, KC; Nathan, PC; Kremer, LCM
Published Date
- February 2008
Published In
Volume / Issue
- 55 / 1
Start / End Page
- 251 - xiii
PubMed ID
- 18242324
Pubmed Central ID
- 18242324
International Standard Serial Number (ISSN)
- 0031-3955
Digital Object Identifier (DOI)
- 10.1016/j.pcl.2007.10.009
Language
- eng
Conference Location
- United States