Challenges after curative treatment for childhood cancer and long-term follow up of survivors.

Journal Article (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

International Standard Serial Number (ISSN)

  • 0031-3955

Digital Object Identifier (DOI)

  • 10.1016/j.pcl.2007.10.009


  • eng

Conference Location

  • United States