Lifetime Follow-up Care After Childhood Cancer

Evaluation of selected endocrine disorders after anticancer treatment of solid tumors in childhood

“…Factors contributing to increased occurrence of dyslipidaemia, overweight or obesity are primarily corticosteroids , chemotherapy, younger age during therapy, higher doses of radiation, and also according to some authors, being a female [3,13]. Location of the tumour also seems to be relevant.…”

Parents' preferences for the organisation of long-term follow-up of childhood cancer survivors

“…Guidelines have been developed to provide recommendations for risk‐stratified long‐term follow‐up care (Children's Oncology Group, ; Scottish Intercollegiate Guidelines Network (SIGN), ; Wallace, Thompson, Anderson, & Guideline Development, ). Various models of care have been described and compared (Heirs et al., ) such as follow‐up by telephone (James, Guerrero, & Brada, ), multidisciplinary team (MDT) (Carlson, Hobbie, Brogna, & Ginsberg, ; Edgar & Wallace, ), paediatric oncologist (Haddy & Haddy, ), general practitioners (GP) (Schmidt et al., ) or shared‐care models (Blaauwbroek, Tuinier, Meyboom‐de Jong, Kamps, & Postma, ). In many countries, none of the models have been implemented and long‐term follow‐up is not standardised.…”

The Words We Use, the Procedures We Do, and How We Change (Medical Care Information for Family Physicians)

“…The article by Haddy and Haddy 15 has wonderful practical significance; it provides many specific recommendations for the care of patients after childhood cancers and their associated treatments. This is an excellent follow-up to a report recently in the Journal of the American Board of Family Medicine by Schwartz et al 16 Adult survivors of childhood cancer reported significantly more health problems than healthy controls (5.6 vs 2.6 problems; P Ͻ .001); specifically, problems with growth, thyroid, kidney, immunologic, heart, and fertility functions were noted 4 times more often among adult survivors of childhood cancer than were reported by the comparison group.…”