Volerman Anna
Department of Medicine and Pediatrics, University of Chicago, 5841 South Maryland Avenue, MC 3051, Chicago, IL 60637, USA.
Med Clin North Am. 2015 Sep;99(5):1059-73. doi: 10.1016/j.mcna.2015.05.005.
Today more than 80% of children diagnosed with cancer are alive 5 years after diagnosis. Childhood cancer survivors encounter high rates of morbidity and mortality from late effects and, as a result, require long-term follow-up care. Care must be individualized based on the cancer type and therapies, which are detailed in a treatment summary. Primary care providers are instrumental to providing long-term care, which includes monitoring for recurrence and secondary malignancies, evaluating for and treating late effects, and providing preventive care and counseling. With appropriate surveillance, childhood cancer survivors can live physically and emotionally healthy lives.
如今,超过80%被诊断患有癌症的儿童在确诊后能存活5年。儿童癌症幸存者因晚期效应面临着较高的发病率和死亡率,因此需要长期的随访护理。护理必须根据癌症类型和治疗方法进行个体化,这些信息在治疗总结中有详细说明。初级保健提供者在提供长期护理方面发挥着重要作用,长期护理包括监测复发和继发性恶性肿瘤、评估和治疗晚期效应,以及提供预防性护理和咨询。通过适当的监测,儿童癌症幸存者可以过上身心健康的生活。