A model of care for childhood cancer survivors that facilitates research.
A model of care for childhood cancer survivors that facilitates research.
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DOI：
10.1177/1043454204264388
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发表时间：
2004-05-01
期刊：
影响因子：
--
通讯作者：
Kaplan, Stuart
中科院分区：
文献类型：
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作者：
Hudson, Melissa M;Hester, Allison;Kaplan, Stuart
大多数被诊断患有癌症的儿童和青少年在接受当代治疗后将获得长期生存。这一成功的结果是固有的挑战，协调终身卫生保健的群体易患各种癌症相关的并发症。随着儿童癌症的成年幸存者越来越多，临床医生现在面临着在器官衰老背景下研究儿童癌症的延迟效应的额外挑战。临床医生还必须解决幸存者医疗保健从儿科肿瘤设置到成人社区的过渡。总结了影响长期儿童癌症幸存者保健的突出问题，并提出了一种用于监测儿童癌症设施的晚期治疗效果的模型。这种模式的显著特点在于，它能够提高长期幸存者护理的最佳交付，促进幸存者护理从儿科治疗中心向社区、提供者的过渡，并支持晚期癌症相关发病率和死亡率的调查。
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.