Follow-up of childhood cancer survivors: The role of the primary care physician Journal Article

  


Authors: Henderson, T.; Patel, S.; Levine, J.; Oeffinger, K. C.
Article Title: Follow-up of childhood cancer survivors: The role of the primary care physician
Abstract: As the cure rates for childhood cancer have increased, the number of adult survivors of childhood cancer has grown. These adult survivors have unique health problems, many of which do not become apparent until 20 or 30 years after treatment for cancer. Neurocognitive problems, endocrinopathies, second cancers, cardiovascular disease, thyroid disorders, and muscle atrophy are among the problems that may develop in patients who received radiation therapy. The long-term effects of chemotherapy can include congestive heart failure, pulmonary disease, nephrotoxicity, bone loss, infertility, and hearing loss. Long-term psychological effects, such as learning disabilities, social and behavioral adjustment difficulties, and cancer-related anxieties and fears, are also common. A systematic approach to screening, surveillance, and prevention can reduce the incidence and severity of long-term sequelae. Because many childhood cancer survivors, as they move or go away to school, are lost to follow-up with their original treating center, primary care practitioners often play a key role in providing this care.
Keywords: cancer chemotherapy; osteolysis; cancer risk; side effect; cancer radiotherapy; chemotherapy; follow up; antineoplastic agent; cancer diagnosis; cancer prevention; nephrotoxicity; lung disease; cancer screening; childhood cancer; infertility; cancer survivor; health care; psychological aspect; cardiovascular disease; physician; cataract; short survey; radiation therapy; anxiety; osteoporosis; second cancer; fear; neurologic disease; primary medical care; congestive heart failure; endocrine disease; hearing loss; muscle atrophy; osteopenia; thyroid disease; learning disorder; endocrinopathy; post-traumatic stress disorder
Journal Title: Consultant
Volume: 48
Issue: 6
ISSN: 0010-7069
Publisher: UBM Media  
Date Published: 2008-05-01
Start Page: 438
End Page: 442
Language: English
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-44349121167&partnerID=40&md5=79d498ef45421e0e1987a72940d02a0b
Notes: --- - "Export Date: 17 November 2011" - "CODEN: CNSLA" - "Source: Scopus"