There are approximately 300,000 survivors of childhood cancer in the United States, and most of them receive their medical care from primary care physicians. Adult survivors of childhood cancer are at considerable risk of long-term morbidity and mortality beyond the recurrence of their primary malignancy. Late adverse effects can impair organ function, stunt growth and development, and cause neurocognitive dysfunction and secondary malignancies. To address the need for systematic, comprehensive care of this expanding high-risk patient population, the Children's Oncology Group has developed long-term follow-up guidelines. Proper use of these guidelines will allow primary care physicians to understand a patient's individual risk, provide additional screening as needed, and identify late adverse effects of childhood cancer early. The foundation of the care of an adult survivor of a childhood cancer is a complete, accurate account of the patient's cancer and subsequent therapy in the form of a Summary of Cancer Treatment. A complete Summary of Cancer Treatment allows a primary care physician to use the long-term follow-up guidelines to create an individualized care plan. This article will review the late adverse effects of childhood cancer therapy and the transition of patients from pediatric oncologists to physicians in adulthood, and explain how primary care physicians can use these tools to provide appropriate care to adult survivors of childhood cancer. (Am Fam Physician. 2010; 81(10):1250-1255. Copyright (C) 2010 American Academy of Family Physicians.)
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SUNY Upstate Med Univ, Dept Pediat, Syracuse, NY 13210 USASUNY Upstate Med Univ, Dept Pediat, Syracuse, NY 13210 USA
Sima, Jody L.
Perkins, Susan M.
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Indiana Univ Sch Med, Indianapolis, IN 46202 USASUNY Upstate Med Univ, Dept Pediat, Syracuse, NY 13210 USA
Perkins, Susan M.
Haggstrom, David A.
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Roudebush VAMC, VA Hlth Serv Res & Dev Ctr Hlth Informat & Commun, Indianapolis, IN USA
Indiana Univ Sch Med, Dept Med, Div Gen Internal Med & Geriatr, Indianapolis, IN 46202 USA
Regenstrief Inst Inc, IU Ctr Hlth Serv & Outcomes Res, Indianapolis, IN USASUNY Upstate Med Univ, Dept Pediat, Syracuse, NY 13210 USA
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Seattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Univ Washington, Seattle Childrens Hosp, Canc & Blood Disorders Ctr, Seattle, WA USA
Fred Hutchinson Canc Ctr, Seattle, WA USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Ohlsen, Timothy J. D.
Chen, Yan
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h-index: 0
机构:
Univ Alberta, Calgary, AB, CanadaSeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Chen, Yan
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Baldwin, Laura-Mae
Hudson, Melissa M.
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St Jude Childrens Res Hosp, Dept Oncol & Epidemiol, Memphis, TN USA
St Jude Childrens Res Hosp, Dept Canc Control, Memphis, TN USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Hudson, Melissa M.
Nathan, Paul C.
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h-index: 0
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Univ Toronto, Hosp Sick Children, Toronto, ON, CanadaSeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Nathan, Paul C.
Snyder, Claire
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Johns Hopkins Sch Med, Baltimore, MD USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Snyder, Claire
Syrjala, Karen L.
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Fred Hutchinson Canc Ctr, Seattle, WA USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Syrjala, Karen L.
Tonorezos, Emily S.
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NCI, Off Canc Survivorship, Div Canc Control & Populat Sci, Rockville, MD USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Tonorezos, Emily S.
Yasui, Yutaka
论文数: 0引用数: 0
h-index: 0
机构:
St Jude Childrens Res Hosp, Dept Oncol & Epidemiol, Memphis, TN USA
St Jude Childrens Res Hosp, Dept Canc Control, Memphis, TN USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Yasui, Yutaka
Armstrong, Gregory T.
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St Jude Childrens Res Hosp, Dept Oncol & Epidemiol, Memphis, TN USA
St Jude Childrens Res Hosp, Dept Canc Control, Memphis, TN USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Armstrong, Gregory T.
Oeffinger, Kevin C.
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机构:
Duke Univ, Dept Med, Durham, NC USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
Oeffinger, Kevin C.
Chow, Eric J.
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Univ Washington, Seattle Childrens Hosp, Canc & Blood Disorders Ctr, Seattle, WA USA
Fred Hutchinson Canc Ctr, Seattle, WA USASeattle Childrens Hosp, Canc & Blood Disorders Ctr, 4800 Sand Point Way NE, Seattle, WA 98105 USA
机构:
Univ South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USAUniv South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USA
Carek, Stephen
Emerson, John F.
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Univ South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USAUniv South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USA
Emerson, John F.
Patel, Jatin
论文数: 0引用数: 0
h-index: 0
机构:
Univ South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USAUniv South Carolina, Dept Family Med, Prisma Hlth, Sch Med Greenville, Columbia, SC 29208 USA
机构:
Univ Texas, SW Med Ctr Dallas, Dept Family Practice & Community Med, Dallas, TX 75390 USAUniv Texas, SW Med Ctr Dallas, Dept Family Practice & Community Med, Dallas, TX 75390 USA
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