Duffner U, Sauter S, Bergsträsser E, Brandis M, Niemeyer C
Universitäts-Kinderklinik Freiburg.
Klin Padiatr. 1995 Jul-Aug;207(4):193-203. doi: 10.1055/s-2008-1046538.
With intensive treatment many children and young adults with cancer can be cured of their disease. Therefore, the recognition of late effects of therapy will become increasingly important. Future concepts of follow-up care in pediatric oncology will have to serve two purposes: First, to determine the status of the malignant disease with early diagnosis of relapse and second, to recognize relevant side effects of treatment. We present a comprehensive approach of follow-up care which is primarily based on the definition of risk criteria for the development of relevant organ toxicity after different treatment modalities. For each patient a standardized summary of therapy delivered is documented. According to the definition of the risk criteria an individualized schedule for follow-up is decided upon. We hope that this structured concept will result in appropriate patient care while keeping the diagnostic efforts and costs limited.
通过强化治疗，许多患有癌症的儿童和年轻成年人能够治愈疾病。因此，认识到治疗的晚期效应将变得越来越重要。未来儿科肿瘤学随访护理的理念必须服务于两个目的：第一，通过早期诊断复发来确定恶性疾病的状态；第二，识别治疗的相关副作用。我们提出了一种全面的随访护理方法，该方法主要基于不同治疗方式后相关器官毒性发生的风险标准定义。为每位患者记录所接受治疗的标准化总结。根据风险标准的定义，确定个性化的随访计划。我们希望这种结构化理念在限制诊断工作和成本的同时，能带来适当的患者护理。
