Adult Survivors of Childhood Cancer: The Medical and Psychosocial Late Effects of Cancer Treatment and the Impact on Sexual and Reproductive Health
Adult Survivors of Childhood Cancer: The Medical and Psychosocial Late Effects of Cancer Treatment and the Impact on Sexual and Reproductive Health
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DOI：
10.1111/jsm.12050
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发表时间：
2013-02-01
影响因子：
3.5
通讯作者：
Pucci, Donna A.
中科院分区：
文献类型：
--
作者：
Jacobs, Linda A.;Pucci, Donna A.
简介美国有超过1300万癌症幸存者，占美国人口的34％。根据监视流行病学和最终结果计划（SEER）数据，诊断为019岁癌症的儿童的5年总生存率为83.1％，2/3的儿童癌症幸存者至少会经历一种治疗的较晚影响。旨在简要概述癌症治疗对儿童癌症幸存者的医学和社会心理影响，重点是该人群的性和生殖健康问题。方法是在年度性医学会议会议上的演讲中开发手稿。提出了年轻成人癌症幸存者经历的长期和晚期治疗概述。主要结果度量该手稿是基于审查医学和社会心理文献，专业团体的共识陈述以及临床观察的演讲。结果癌症和癌症治疗对生理，心理和人际关系因素具有直接和间接影响，这些因素可能会对癌症幸存者的健康和福祉产生负面影响，包括性和生殖功能以及满意度。结论癌症，其管理和由此产生的后期影响必须由照顾儿童癌症幸存者的提供者探索和理解，以便可以在该人群中实施教育，心理，药理学以及预防干预措施。 Jacobs La和Pucci DA。儿童癌症的成年幸存者：癌症治疗的医学和心理社会后期影响以及对性和生殖健康的影响。 J Sex Med 2013; 10（补充1）：120-126。
Introduction There are over 13 million cancer survivors in the United States, which constitutes 34% of the U.S. population. According to the Surveillance Epidemiology and End Results program (SEER) data the 5-year overall survival rate for children diagnosed with cancer between ages 019 is 83.1%, and 2/3 of childhood cancer survivors will experience at least one late effect of treatment. Aim To provide a brief overview of the medical and psychosocial effects of cancer treatments in survivors of childhood cancer with a focus on sexual and reproductive health issues in this population. Methods The development of a manuscript from a presentation at the Annual Society of Sexual Medicine meeting. An overview of long-term and late effects of treatment experienced by young adult cancer survivors was presented. Main Outcome Measure This manuscript is based on a presentation that reviewed the medical and psychosocial literature, consensus statements of professional groups, and clinical observations. Results Cancer and cancer treatments have both direct and indirect effects of physiological, psychological, and interpersonal factors that can negatively impact the health and well-being of cancer survivors including sexual and reproductive function and satisfaction. Conclusions Cancer, its management, and the resulting late effects must be explored and understood by providers caring for childhood cancer survivors so that educational, psychological, pharmacologic, as well as preventive interventions can be implemented with this population. Jacobs LA and Pucci DA. Adult survivors of childhood cancer: The medical and psychosocial late effects of cancer treatment and the impact on sexual and reproductive health. J Sex Med 2013; 10(suppl 1): 120-126.