Long-Term Follow-Up of Children, Adolescents, and Young Adult Cancer Survivors

被引:18
作者
Hilgendorf, Inken [1 ]
Bergelt, Corinna [2 ]
Bokemeyer, Carsten [3 ]
Kaatsch, Peter [4 ]
Seifart, Ulf [5 ]
Stein, Alexander [6 ]
Langer, Thorsten [7 ]
机构
[1] Univ Klinikum Jena, Abt Hamatol & Onkol, Klin Innere Med 2, Jena, Germany
[2] Univ Klinikum Hamburg Eppendorf, Inst & Poliklin Med Psychol, Zentrum Psychosoziale Med, Hamburg, Germany
[3] Univ Klinikum Hamburg Eppendorf, Med Klin & Poliklin, Hubertus Wald Tumor Zentrum 2, Hamburg, Germany
[4] Johannes Gutenberg Univ Mainz, Deutsch Kinderkrebsregister, Univ Med, Inst Med Biometrie Epidemiol & Informat, Mainz, Germany
[5] Klin Sonnenblick Deutsch Rentenversicherung Hesse, Klin Hamatol & Onkol, Marburg, Germany
[6] Hamatol Onkol Praxis Hamburg Eppendorf, Hamburg, Germany
[7] Univ Klinikum Schleswig Holstein, Klin Kinder & Jugendmed, Campus Lubeck, Lubeck, Germany
关键词
AYA cancer survivor; Childhood cancer survivor; Late effects; Long-term follow-up;
D O I
10.1159/000514381
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background and Summary: Thanks to increasing cure rates to currently >80%, children, adolescents, and young adults (CAYA) survive their cancer much more frequently today than decades ago. Due to their long life expectancy, CAYA cancer survivors are at a particular risk of long-term sequelae from the cancer itself or the therapy applied; this requires specific follow-up, and preventative or even therapeutic interventions. Thus, compared to the normal population, morbidity and mortality may be significantly increased. In 2 of 3 survivors, the cancer and the respective treatment can lead to late effects, even after 30 years, which require specific therapy; in about one-third of these cases, these effects are classed as severe. Applying structured follow-up could identify these late effects at an early stage and initiate immediate treatment. In 2018, a working group dealing with long-term survival after cancer detected <40 years of age was founded within the framework of the National Cancer Plan of the German Federal Ministry of Health.
引用
收藏
页码:184 / 189
页数:6
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