Journal of Pediatric Oncology Nursing

 

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Journal of Pediatric Oncology Nursing, Vol. 21, No. 3, 170-174 (2004)
DOI: 10.1177/1043454204264388

A Model of Care for Childhood Cancer Survivors That Facilitates Research

Melissa M. Hudson, MD

After Completion of Therapy (ACT) Clinic, Department of Hematology Oncology and Behavioral Medicine, St. Jude Children’s Research Hospital and the University of Tennessee, College of Medicine, Memphis, melissa.hudson{at}stjude.org

Allison Hester, PNP

ACT Clinic, Department of Hematology Oncology, St. Jude Children’s Research Hospital and the University of Tennessee, College of Medicine, Memphis

Teresa Sweeney, PNP

ACT Clinic, Department of Hematology Oncology, St. Jude Children’s Research Hospital and the University of Tennessee, College of Medicine, Memphis

Sarah Kippenbrock

St. Jude Children’s Research Hospital

Ryan Majcina

St. Jude Children’s Research Hospital

Susan Vear

St. Jude Children’s Research Hospital

Sally Wiard, MSW

ACT Clinic, Department of Behavioral Medicine, St. Jude Children’s Research Hospital and the University of Tennessee, College of Medicine, Memphis

Stuart Kaplan, MD

ACT Clinic, Department of Hematology Oncology and Behavioral Medicine, St. Jude Children’s Research Hospital and the University of Tennessee, College of Medicine, Memphis

The majority of children and adolescents diagnosed with cancer will achieve long-term survival after contemporary therapy. Consequent to this success are challenges inherent in coordinating lifelong health care for a group predisposed to a variety of cancer-related complications. With increasing numbers of aging adult survivors of childhood cancer, clinicians now face the additional challenge of studying delayed effects of childhood cancer in the context of organ senescence. Clinicians must also address the transition of survivor health care from the pediatric oncology setting to the adult community. Salient issues influencing health care of long-term childhood cancer survivors are summarized, and a model for monitoring late treatment effects used at a pediatric cancer facility is presented. This model is remarkable for its ability to enhance optimal delivery of long-term survivor care, facilitate the transition of survivor care from the pediatric treatment center to community providers, and support investigations of late cancer-related morbidity and mortality.

Key Words: childhood cancer survivor • late effects • health care • transition


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This article has been cited by other articles:


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Journal of Pediatric Oncology NursingHome page
C. A. Carlson, W. L. Hobbie, M. Brogna, and J. P. Ginsberg
A Multidisciplinary Model of Care for Childhood Cancer Survivors With Complex Medical Needs
Journal of Pediatric Oncology Nursing, February 1, 2008; 25(1): 7 - 13.
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ANN INTERN MEDHome page
K. K. Ness, A. C. Mertens, M. M. Hudson, M. M. Wall, W. M. Leisenring, K. C. Oeffinger, C. A. Sklar, L. L. Robison, and J. G. Gurney
Limitations on Physical Performance and Daily Activities among Long-Term Survivors of Childhood Cancer
Ann Intern Med, November 1, 2005; 143(9): 639 - 647.
[Abstract] [Full Text] [PDF]