Hematology Department, Institute Jules Bordet.
Founder of Ending discrimination against cancer survivors project, Brussels, Belgium.
Curr Opin Oncol. 2024 Sep 1;36(5):360-368. doi: 10.1097/CCO.0000000000001072. Epub 2024 Jun 24.
The significantly improved survivorship in Hodgkin lymphoma is fraught with challenges, including persistent symptoms, secondary health complications, and socio-professional obstacles. This review highlights the need for comprehensive survivorship care plans that include detection of relapse, assessment of long-term side effects, screening for secondary cancers, psychological support, and assistance with socio-professional integration.
Cardiovascular diseases, secondary malignancies and other associated risks remains an important problem related to the effective treatment of patients with Hodgkin lymphoma. Furthermore, fertility concerns and endocrine disorders remain prevalent issues posttreatment. An optimal evaluation of the risks before and after treatment is essential to reduce the impact of these side effects on quality of life. Addressing the socio-professional reintegration of survivors, the concept of the 'Right to be forgotten' emerges as a critical consideration. This principle seeks to eliminate discrimination against cancer survivors in accessing financial services and aims for legislative changes to ensure that past cancer diagnosis does not unfairly affect survivors' futures. Implementation of this 'Right to be forgotten' in the legislature, is currently underway in European countries.
The focus of survivorship care has shifted towards the holistic management of these long-term outcomes. Quality of life for Hodgkin lymphoma survivors is affected by various treatment-related factors, with evidence suggesting that physical, psychological and socio-professional domains remain impacted years after treatment.
霍奇金淋巴瘤患者的生存率显著提高,但随之而来的是各种挑战,包括持续存在的症状、继发性健康并发症以及社会职业障碍。本综述强调了制定全面的生存护理计划的必要性,该计划应包括复发检测、长期副作用评估、继发性癌症筛查、心理支持以及社会职业融合援助。
心血管疾病、继发性恶性肿瘤和其他相关风险仍然是与霍奇金淋巴瘤患者有效治疗相关的一个重要问题。此外,治疗后仍普遍存在生育问题和内分泌紊乱。在治疗前后进行最佳风险评估对于降低这些副作用对生活质量的影响至关重要。为了解决幸存者的社会职业再融入问题,“被遗忘的权利”这一概念应运而生。该原则旨在消除对癌症幸存者获取金融服务的歧视,并旨在通过立法改革确保过去的癌症诊断不会不公平地影响幸存者的未来。目前,欧洲国家正在立法中实施这一“被遗忘的权利”。
生存护理的重点已经转移到对这些长期结局的全面管理上。霍奇金淋巴瘤幸存者的生活质量受到各种治疗相关因素的影响,有证据表明,治疗多年后,身体、心理和社会职业领域仍会受到影响。