Development of risk-based guidelines for pediatric cancer survivors: The Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline
Development of risk-based guidelines for pediatric cancer survivors: The Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline
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DOI：
10.1200/jco.2004.11.032
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发表时间：
2004-12-15
影响因子：
45.3
通讯作者：
Hudson, MM
中科院分区：
文献类型：
--
作者：
Landier, W;Bhatia, S;Hudson, MM
儿童、青少年和年轻成人癌症幸存者的儿童肿瘤学组长期随访指南是基于风险的、与手术相关的临床实践指南，旨在促进早期发现和干预儿科恶性肿瘤治疗可能导致的并发症。通过儿童肿瘤组迟发效应委员会、护理学科和患者倡导委员会的共同努力，这些指南代表了多学科专家小组在儿科癌症治疗迟发效应方面的共识声明。该指南既以证据为基础（利用治疗性暴露与晚期效应之间的既定关联来确定高风险类别），又以专家的集体临床经验为基础（将风险程度与筛查建议的强度相匹配）。预期在完成癌症治疗后2年或更长时间内开始使用;但是，预期不为幸存者原发病的随访提供指导。为加强后续护理和扩大准则的应用，还编制了一套补充的病人教育材料（“健康链接”）。这些指南中提供的信息对于儿科、肿瘤学、内科、家庭医学和妇科领域的医疗保健提供者以及许多领域的亚专科医生都很重要。这些指南的实施旨在提高对潜在晚期效应的认识，并规范和加强在整个生命周期内为儿童癌症幸存者提供的后续护理。该指南和相关的健康链接可在www.survivorshipguidelines. org上全文下载。
The Children's Cincology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers are risk-based, exposure-related clinical practice guidelines intended to promote earlier detection of and intervention for complications that may potentially arise as a result of treatment for pediatric malignancies. Developed through the collaborative efforts of the Children's Oncology Group Late Effects Committee, Nursing Discipline, and Patient Advocacy Committee, these guidelines represent a statement of consensus from a multidisciplinary panel of experts in the late effects of pediatric cancer treatment. The guidelines are both evidence-based (utilizing established associations between therapeutic exposures and late effects to identify high-risk categories) and grounded in the collective clinical experience of experts (matching the magnitude of risk with the intensity of screening recommendations). They are intended for use beginning 2 or more years following the completion of cancer therapy; however, they are not intended to provide guidance for follow-up of the survivor's primary disease. A complementary set of patient education materials ("Health Links") was developed to enhance follow-up care and broaden the application of the guidelines. The information provided in these guidelines is important for health care providers in the fields of pediatrics, oncology, internal medicine, family practice, and gynecology, as well as subspecialists in many fields. Implementation of these guidelines is intended to increase awareness of potential late effects and to standardize and enhance follow-up care provided to survivors of pediatric cancer throughout the lifespan. The Guidelines, and related Health Links, can be downloaded in their entirety at www.survivorshipguidelines.org.