Models of care for survivors of childhood cancer from across the globe: Advancing survivorship care in the next decade

Emily S. Tonorezos, Dana Barnea, Richard J. Cohn, Monica S. Cypriano, Brice C. Fresneau, Riccardo Haupt, Lars Hjorth, Yasushi Ishida, Jarmila Kruseova, Claudia E. Kuehni, Purna A. Kurkure, Thorsten Langer, Paul C. Nathan, Jane E. Skeen, Roderick Skinner, Nurdan Tacyildiz, Marry M. Van Den Heuvel-Eibrink, Jeanette F. Winther, Melissa M. Hudson, Kevin C. Oeffinger

Research output: Contribution to journalReview article

Abstract

With improvements in cancer treatment and supportive care, a growing population of survivors of childhood cancer at risk for significant and potentially life-threatening late effects has been identified. To provide a current snapshot of the models of care from countries with varying levels of resources and health care systems, stakeholders in childhood cancer survivorship clinical care and research were identified from 18 countries across five continents. Stakeholders responded to a survey and provided a brief narrative regarding the current state of survivorship care. Findings indicate that among pediatric-age survivors of childhood cancer (allowing for differences in age cutoffs across countries), resources are generally available, and a large proportion of survivors are seen by a physician familiar with late effects in most countries. After survivors transition to adulthood, only a minority are seen by a physician familiar with late effects. Despite the need to improve communication between pediatric oncology and primary care, only a few countries have existing national efforts to educate primary care physicians, although many more reported that educational programs are in development. These data highlight common challenges and potential solutions for the lifelong care of survivors of childhood cancer. Combining risk-based and patient-oriented solutions for this population is likely to benefit both providers and patients.

Original languageEnglish
Pages (from-to)2223-2230
Number of pages8
JournalJournal of Clinical Oncology
Volume36
Issue number21
DOIs
Publication statusPublished - Jul 20 2018

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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  • Cite this

    Tonorezos, E. S., Barnea, D., Cohn, R. J., Cypriano, M. S., Fresneau, B. C., Haupt, R., Hjorth, L., Ishida, Y., Kruseova, J., Kuehni, C. E., Kurkure, P. A., Langer, T., Nathan, P. C., Skeen, J. E., Skinner, R., Tacyildiz, N., Van Den Heuvel-Eibrink, M. M., Winther, J. F., Hudson, M. M., & Oeffinger, K. C. (2018). Models of care for survivors of childhood cancer from across the globe: Advancing survivorship care in the next decade. Journal of Clinical Oncology, 36(21), 2223-2230. https://doi.org/10.1200/JCO.2017.76.5180