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Children 2014, 1(2), 227-240; doi:10.3390/children1020227

Clinical Guidelines for the Care of Childhood Cancer Survivors

1
Departments of Medicine, Memorial Sloan Kettering and Weill Cornell Medical College, 300 East 66th Street, New York, NY 10065, USA
2
University of Chicago Medicine Comer Children's Hospital, 5841 S. Maryland Avenue, MC 4060, Chicago, IL 60637, USA
*
Author to whom correspondence should be addressed.
Received: 30 June 2014 / Revised: 26 August 2014 / Accepted: 2 September 2014 / Published: 12 September 2014
(This article belongs to the Special Issue Acute and Long-Term Sequelae of Childhood Cancer Therapy)
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Abstract

The Long-Term Follow-Up Guidelines for survivors of childhood, adolescent, and young adult cancers are evidence- and consensus-based guidelines that have been developed and published by the Children’s Oncology Group (COG) Late Effects Committee, Nursing Discipline, and the Patient Advocacy Committee. Originally published in 2004, the guidelines are currently in version 3.0. While the COG guidelines have been praised as a model for providing risk-based survivorship care, adherence has not been uniform. Reasons for this gap include unawareness on the part of the survivor and/or care team as well as disagreement about the individual recommendations. In some cases, the burden of testing (such as annual echocardiography or repeat pulmonary function testing) may be too great. A small number of intervention studies have documented improved adherence to guideline recommendations with dissemination of informational material. Future studies should focus on individualizing screening recommendations, as well as identifying unnecessary testing. View Full-Text
Keywords: survivorship; childhood cancer; guidelines survivorship; childhood cancer; guidelines
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Tonorezos, E.S.; Henderson, T.O. Clinical Guidelines for the Care of Childhood Cancer Survivors. Children 2014, 1, 227-240.

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