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 2010

Published In

Volume / Issue

  • 24 / 1

Start / End Page

  • 129 - 149

PubMed ID

  • 20113899

Pubmed Central ID

  • 20113899

Electronic International Standard Serial Number (EISSN)

  • 1558-1977

Digital Object Identifier (DOI)

  • 10.1016/j.hoc.2009.11.013

Language

  • eng

Conference Location

  • United States