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Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group.

Publication ,  Journal Article
Okada, M; Hockenberry, MJ; Koh, CJ; Meeske, KA; Rangan, KE; Rodgers, C; Rosenthal, Y; Ruccione, KS; Freyer, DR
Published in: Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
July 2016

Although traditional recommendations for mononephric childhood cancer survivors are to avoid contact sports in order to protect the remaining kidney, review of available evidence suggests that the majority of renal loss is caused by accidents not involving sports. An interdisciplinary team performed a review of the English literature published from 1999 to 2012 within the PubMed, Cochrane, Google Scholar, and National Guidelines Clearinghouse databases. The level of evidence and proposed recommendations were graded according to an established rubric and GRADE criteria. Our review found that kidney loss is most commonly caused by nonsports activities such as motor vehicle accidents and falls, implying that restrictions on sports-related activity in mononephric pediatric survivors are not well supported. This favors encouraging ordinary sports and related activities without restriction in mononephric childhood cancer survivors because the known benefits of exercise outweigh the exceedingly low risk of renal loss. Accordingly, activity recommendations for mononephric patients have been revised in the most current version of the Children's Oncology Group Long-term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers. This has important implications for this and similar populations who may now undertake individual and organized sports without undue regard for their mononephric status.

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Published In

Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses

DOI

EISSN

1532-8457

ISSN

1043-4542

Publication Date

July 2016

Volume

33

Issue

4

Start / End Page

306 / 313

Related Subject Headings

  • Young Adult
  • Survivors
  • Nursing
  • Nephrectomy
  • Motor Activity
  • Kidney Neoplasms
  • Humans
  • Fatigue
  • Exercise
  • Child Welfare
 

Citation

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ICMJE
MLA
NLM
Okada, M., Hockenberry, M. J., Koh, C. J., Meeske, K. A., Rangan, K. E., Rodgers, C., … Freyer, D. R. (2016). Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group. Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses, 33(4), 306–313. https://doi.org/10.1177/1043454215607341
Okada, Maki, Marilyn J. Hockenberry, Chester J. Koh, Kathleen A. Meeske, Kasey E. Rangan, Cheryl Rodgers, Yael Rosenthal, Kathleen S. Ruccione, and David R. Freyer. “Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group.Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses 33, no. 4 (July 2016): 306–13. https://doi.org/10.1177/1043454215607341.
Okada M, Hockenberry MJ, Koh CJ, Meeske KA, Rangan KE, Rodgers C, et al. Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group. Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses. 2016 Jul;33(4):306–13.
Okada, Maki, et al. “Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group.Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses, vol. 33, no. 4, July 2016, pp. 306–13. Epmc, doi:10.1177/1043454215607341.
Okada M, Hockenberry MJ, Koh CJ, Meeske KA, Rangan KE, Rodgers C, Rosenthal Y, Ruccione KS, Freyer DR. Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children's Oncology Group. Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses. 2016 Jul;33(4):306–313.
Journal cover image

Published In

Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses

DOI

EISSN

1532-8457

ISSN

1043-4542

Publication Date

July 2016

Volume

33

Issue

4

Start / End Page

306 / 313

Related Subject Headings

  • Young Adult
  • Survivors
  • Nursing
  • Nephrectomy
  • Motor Activity
  • Kidney Neoplasms
  • Humans
  • Fatigue
  • Exercise
  • Child Welfare