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. 2021 Sep;148(3):e2021053127.
doi: 10.1542/peds.2021-053127.

Long-term Follow-up Care for Childhood, Adolescent, and Young Adult Cancer Survivors

Melissa M Hudson  1 , Smita Bhatia  2 , Jacqueline Casillas  3 , Wendy Landier; SECTION ON HEMATOLOGY/ONCOLOGY, CHILDREN’S ONCOLOGY GROUP, AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY
Collaborators, Affiliations

Long-term Follow-up Care for Childhood, Adolescent, and Young Adult Cancer Survivors

Melissa M Hudson et al. Pediatrics. 2021 Sep.

Abstract

Progress in therapy has made survival into adulthood a reality for most children, adolescents, and young adults with a cancer diagnosis today. Notably, this growing population remains vulnerable to a variety of long-term therapy-related sequelae. Systematic ongoing follow-up of these patients is, therefore, important to provide for early detection of and intervention for potentially serious late-onset complications. In addition, health counseling and promotion of healthy lifestyles are important aspects of long-term follow-up care to promote risk reduction for physical and emotional health problems that commonly present during adulthood. Both general and subspecialty health care providers are playing an increasingly important role in the ongoing care of childhood cancer survivors, beyond the routine preventive care, health supervision, and anticipatory guidance provided to all patients. This report is based on the guidelines that have been developed by the Children's Oncology Group to facilitate comprehensive long-term follow-up of childhood, adolescent, and young adult cancer survivors (www.survivorshipguidelines.org).

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Conflict of interest statement

POTENTIAL CONFLICT OF INTEREST: Dr Landier has a relationship with Merck Sharp & Dohme as a principal investigator; and Drs Hudson, Bhatia, and Casillas have indicated they have no potential conflicts of interest to disclose.

Figures

Fig 1.
Fig 1.. Example of an exposure-based recommendation from the COG LTFU Guidelines
(From the Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers, Version 5.0, October 2018, used with permission).
Fig 2.
Fig 2.. Sample template for cancer treatment summary containing essential data elements necessary for generating long-term follow-up guidelines
(From the Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers, Version 5.0, October 2018, used with permission).
Fig 3.
Fig 3.. How to use the COG LTFU Guidelines to plan cancer survivorship care
See this image and copyright information in PMC

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