Childhood cancer survivors: Considerations for surgeons in the transition from pediatric to adult care

Henderson, Tara O.; Nathan, Paul C.

doi:10.1053/j.sempedsurg.2015.01.007

Cited by 5 publications

(4 citation statements)

References 82 publications

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“…The framework for survey items was established after due discussion by a multidisciplinary research team-the Task Force for Establishment of a Transition Outpatient Clinic-at the medical institution. The questionnaire items were determined with reference to previous studies [25,[30][31][32][33][34][35][36][37][38][39][40], and took account of the characteristics of university hospitals and the present status of the subject medical institution.…”

Section: Questionnairementioning

confidence: 99%

Fact-finding survey of doctors at the departments of pediatrics and pediatric surgery on the transition of patients with childhood-onset chronic disease from pediatric to adult healthcare

et al. 2023

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Background The number of adult patients with childhood-onset chronic diseases is increasing. However, the process of transitioning these patients from child- to adult-centered medical services faces many difficulties. Despite the key role that doctors in the pediatric field are considered to play in transition, few fact-finding surveys about transition have been conducted among these doctors. Objective The aim of this study was to demonstrate the current status and challenges in the transition of patients with childhood-onset chronic diseases by a fact-finding survey of pediatricians and pediatric surgeons at a university hospital. Methods A cross-sectional survey was performed using an anonymous self-administered questionnaire. Seventy-six doctors of pediatrics and pediatric surgery (excluding junior residents) in a university hospital were asked to answer an anonymous self-report questionnaire. A multidisciplinary research team selected items related to the transitional process. Results Sixty (79%) doctors participated, of whom 52 (87%) showed awareness of transition. No doctor answered that “Transition is conducted smoothly.” Doctors with shorter pediatric department experience had lower awareness and poorer experience with transition. In contrast to pediatric surgeons, pediatricians explained “job-seeking activities” and “contraceptive methods” to the patient, and reported a higher patient age at which to initiate explanation of transition to the patient and his/her family. Among factors inhibiting transition, 39 (65%) respondents selected “The patient’s family members do not desire transition” and 34 (57%) selected “Although a relevant adult healthcare department is available, it will not accept the patient.” The medical providers most frequently considered to have responsibility for playing a central role in the transition process were “pediatrician/pediatric surgeon,” “medical social worker,” and “regional medical liaison office.” Discussion To promote transition, pediatric and adult healthcare departments should share concerns about and cooperate in the establishment of more effective methods of transition, and provide multidisciplinary collaboration to support patients and their families.

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Section: Questionnairementioning

confidence: 99%

Fact-finding survey of doctors at the departments of pediatrics and pediatric surgery on the transition of patients with childhood-onset chronic disease from pediatric to adult healthcare

et al. 2023

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“…These former therapies may influence decision-making in the treatment of DTC (Table 1). For example, their potential to cause cardiac or pulmonary adverse effects later in life must be taken into account when planning anesthesia as these patients are likely to be at increased risk of complications during and after anesthesia (30). For this reason, in all CCS, a careful anesthesia evaluation should be performed, with reference to the actual functional organ status, before performing surgery.…”

Section: Consideration 7: Since Ccs Are Likely To Be At Increased Rismentioning

confidence: 99%

Clinical considerations for the treatment of secondary differentiated thyroid carcinoma in childhood cancer survivors

Santen

Alexander

Rivkees

et al. 2020

European Journal of Endocrinology

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The incidence of differentiated thyroid carcinoma (DTC) has increased rapidly over the past several years. Thus far, the only conclusively established risk factor for developing DTC is exposure to ionizing radiation, especially when the exposure occurs in childhood. Since the number of childhood cancer survivors (CCS) is increasing due to improvements in treatment and supportive care, the number of patients who will develop DTC after surviving childhood cancer (secondary thyroid cancer) also is expected to rise. Currently, there are no recommendations for management of thyroid cancer specifically for patients who develop DTC as a consequence of cancer therapy during childhood. Since complications or late effects from prior cancer treatment may elevate the risk of toxicity from DTC therapy, the medical history of CCS should be considered carefully in choosing DTC treatment. In this paper, we emphasize how the occurrence and treatment of the initial childhood malignancy affects the medical and psychosocial factors that will play a role in the diagnosis and treatment of a secondary DTC. We present considerations for clinicians to use in the management of patients with secondary DTC, based on the available evidence combined with experience-based opinions of the authors.

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“…The incidence has increased over the last decades by 13%, 2 despite this, the survival rate of this population has also increased beyond 85% 3 . The main side effects of pediatric cancer and its treatment are obesity, cardiovascular disease, impaired growth, and secondary malignancy 4–6 . Moreover, the psychological sequels are very common in pediatric cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

Is higher physical fitness associated with better psychological health in young pediatric cancer survivors? A cross‐sectional study from the iBoneFIT project

Rodríguez-Solana

Gracia‐Marco

Llorente-Cantarero

et al. 2023

Scandinavian Med Sci Sports

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Objective: To examine the associations of self-perceived and objectivelymeasured physical fitness with psychological well-being and distress indicators in young pediatric cancer survivors. Materials and Methods:A total of 116 participants (12.1 ± 3.3 years, 56.9% boys) from the iBoneFIT project participated in this cross-sectional study. Objectivelymeasured physical fitness (muscular fitness) was obtained by handgrip strength and standing long jump tests for the upper and lower body, respectively. Selfperceived physical fitness was obtained by the International Fitness Scale (IFIS). Positive and negative affect were assessed by the positive affect schedule for children (PANAS-C), happiness by Subjective Happiness Scale (SHS), optimism by Life Orientation Test-Revised (LOT-R), self-esteem by the Rosenberg Self-Esteem Scale (RSE), anxiety by State-Trait Anxiety Inventory for Children (STAIC-R), and depression by Children Depression Inventory (CDI). Multiple linear regressions adjusted by key covariates were performed to analyze associations. Results: No associations were found between objectively-measured muscular fitness and any of the psychological well-being and distress indicators (p > 0.05).Self-perceived overall fitness and flexibility were positively associated with positive affect (β ≥ 0.258, p < 0.05). Self-perceived cardiorespiratory fitness, speed/

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Childhood cancer survivors: Considerations for surgeons in the transition from pediatric to adult care

Cited by 5 publications

References 82 publications

Fact-finding survey of doctors at the departments of pediatrics and pediatric surgery on the transition of patients with childhood-onset chronic disease from pediatric to adult healthcare

Fact-finding survey of doctors at the departments of pediatrics and pediatric surgery on the transition of patients with childhood-onset chronic disease from pediatric to adult healthcare

Clinical considerations for the treatment of secondary differentiated thyroid carcinoma in childhood cancer survivors

Is higher physical fitness associated with better psychological health in young pediatric cancer survivors? A cross‐sectional study from the iBoneFIT project

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