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General (cont.)

Health Issues in Survivors of Childhood Cancer

Author: Sharon Castellino, MD, Melissa M. Hudson, MD
Late Effects (General)
Journal Details  South Med J., 95(9): 977-984, 2002 Southern Medical Association

This article explores the range of late effects that childhood cancer survivors are at risk for, and point out the need for life long monitoring. This article has good detail and includes follow-up guidelines. However more recent and detailed guidelines have been published by the Children's Oncology Group and these should be used instead in consultation with your doctor.
Health Status of Adult Long-Term Survivors of Childhood Cancer-A Report from the Childhood Cancer Survivor Study

Author: Melissa M. Hudson, MD, et al
Late Effects (General)
Journal Details  JAMA, September 24, 2003, Vol. 290, No. 12, pp 1583-1592

This article explores the risks for medical and psychosocial late effects that adversely affect the health status of many childhood cancer survivors. The goal of the study was to describe the health status of adult long-term survivors of childhood cancer and to 1) determine the prevalence of adverse health status, 2) compare the health status of survivors with siblings, and 3) identify factors associated with adverse health status in survivors.
Late Mortality Experience in Five-Year Survivors of Childhood and Adolescent Cancer: The Childhood Cancer Survivor Study

Author: Ann C. Mertens, et al
Late Effects (General)
Journal Details  Journal of Clinical Oncology, Vol. 19, No. 13, (July 1), 2001, pp. 3163-3172

This article is based on the results of the Childhood Cancer Survivor Study and focuses on, for those that had passed away after five years following treatment, the underlying cause for death. The findings showed a 10.8-fold increase in overall mortality. This article shows that risks in the years after completion of cancer treatment are significant and can lead to death. This article underscores the need for close monitoring for late-effects.
The cancer screening practices of adult survivors of childhood cancer - A report from the Childhood Cancer Survivor Study

Author: Mark W. Yeazel, Kevin C. Oeffinger, James G. Gurney, Ann C. Mertens, Melissa M. Hudson, Karen M. Emmons, egang Chen, Leslie L. Robison,
Late Effects (General)
Journal Details  Cancer, Published online 12/15/03 in advance of print.

A report from the Childhood Cancer Survivor Study. The results of the current study demonstrate that the cancer screening practices among survivors of childhood cancer are below optimal levels. Primary care physicians who include childhood cancer survivors among their patients could benefit these individuals by informing them about future cancer risks and recommending appropriate evidence-based screening.
Health Care of Young Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

Author: Kevin C. Oeffinger, Ann C. Mertens, Melissa M. Hudson, James G. Gurney, Jacqueline Casillas, Hegang Chen, John Whitton, Mark Yeazel, Yutaka Yasui, and Leslie L. Robison
Late Effects (General)
Journal Details  Ann Fam Med 2004; 2: 61-70

Concludes that primary care physicians provide health care for most of this growing high-risk population. To optimize risk-based care, it is critical that cancer centers and primary care physicians develop methods to communicate effectively and longitudinally.
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