Oeffinger Kevin C, Hudson Melissa M, Landier Wendy
Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Prim Care. 2009 Dec;36(4):743-80. doi: 10.1016/j.pop.2009.07.007.
Late effects of therapy for childhood cancer are frequent and serious. Fortunately, many late effects are also modifiable. Proactive and anticipatory risk-based care can reduce the frequency and severity of treatment-related morbidity. The primary care clinician should be an integral component in risk-based care of survivors. Continued communication between the "late effects" staff at the cancer center and the primary care clinician is essential for optimum care of this high-risk population.
儿童癌症治疗的晚期效应常见且严重。幸运的是,许多晚期效应也是可以改变的。基于风险的主动和前瞻性护理可以降低与治疗相关的发病率的频率和严重程度。初级保健临床医生应成为幸存者基于风险护理的重要组成部分。癌症中心的“晚期效应”工作人员与初级保健临床医生之间持续的沟通对于这一高危人群的最佳护理至关重要。