Taking Care of Second Cancer Risk

Wilkins, Krista L.; Woodgate, Roberta L.

doi:10.1097/ncc.0b013e3182164951

Cited by 2 publications

(1 citation statement)

References 20 publications

(24 reference statements)

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“…One reason for this low percentage might be that the information was provided a long time ago; moreover, the information might not be remembered due to the patient's emotional state at that time. As suggested earlier, repeating the information and checking the knowledge obtained might be helpful [27]. CCS said they want to be better informed and this might reduce the patient's interval.…”

Section: Discussionmentioning

confidence: 99%

Second cancers after childhood cancer – GPs beware!

Berendsen

Nibbelink

Blaauwbroek

et al. 2013

Scandinavian Journal of Primary Health Care

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BackgroundOne of the long-term effects in childhood cancer survivors (CCS) is the development of second cancers. In a cohort of CCS, this study describes how second cancers were presented, the way they were diagnosed, and the knowledge CCS had about their increased risk to develop a second cancer.Patients and methodsSelected participants were all adult five-year CCS (n = 1275) who were treated at the University Medical Center Groningen since 1965. Of these, 84 (6.6%) had developed a second cancer, of which 27 had died. The 57 survivors were asked to participate in a telephone interview.ResultsOf the 57 CCS, 35 (61%) participated. Together they had developed 45 second cancers. Most participants (97%) were seen at the long-term follow-up clinic. Of all second cancers, 89% caused symptoms. Of all second cancers, the majority (56%) were first presented at the general practitioner's (GP's) office and 20% at follow-up testing. Of these CCS, only 28% were aware of their increased risk of developing a second cancer.ConclusionsIt is important to inform CCS continuously regarding their increased risk, as a relatively small percentage are aware of this. Since most of these patients first reported their symptoms to the GP, all GPs should be aware of this increased risk, in particular because this concerns cancer at a younger age than normally expected. A survivor care plan might be an effective way of communication with both CCS and GPs.

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Section: Discussionmentioning

confidence: 99%