Originally published as JCO Early Release 10.1200/JCO.2004.11.032 on December 2 2004
Journal of Clinical Oncology, Vol 22, No 24 (December 15), 2004: pp. 4979-4990
© 2004 American Society of Clinical Oncology.
Development of Risk-Based Guidelines for Pediatric Cancer Survivors: The Children's Oncology Group Long-Term Follow-Up Guidelines From the Children's Oncology Group Late Effects Committee and Nursing Discipline
Wendy Landier,
Smita Bhatia,
Debra A. Eshelman,
Katherine J. Forte,
Teresa Sweeney,
Allison L. Hester,
Joan Darling,
F. Daniel Armstrong,
Julie Blatt,
Louis S. Constine,
Carolyn R. Freeman,
Debra L. Friedman,
Daniel M. Green,
Neyssa Marina,
Anna T. Meadows,
Joseph P. Neglia,
Kevin C. Oeffinger,
Leslie L. Robison,
Kathleen S. Ruccione,
Charles A. Sklar,
Melissa M. Hudson
From the Division of Pediatrics, City of Hope Comprehensive Cancer Center, Duarte; Department of Pediatric Hematology-Oncology, Stanford University Medical Center, Stanford; Division of Hematology-Oncology, Department of Pediatrics, USC Keck School of Medicine and Children's Hospital Los Angeles, CA; Center for Cancer and Blood Disorders, Children's Medical Center; Department of Family Practice and Community Medicine, University of Texas Southwestern Medical School, Dallas, TX; Division of Pediatric Oncology, AFLAC Cancer Center and Blood Disorders Service, Children's Healthcare of Atlanta, Atlanta, GA; Department of Hematology-Oncology, St. Jude Children's Research Hospital, Memphis, TN; Children's Oncology Group Patient Advocacy Committee, Lincoln, NE; Department of Pediatrics, University of Miami School of Medicine, Miami, FL; Division of Pediatric Hematology-Oncology, University of North Carolina, Chapel Hill, NC; Department of Radiation Oncology, University of Rochester Medical Center, Rochester; Department of Pediatrics, Roswell Park Cancer Institute, Buffalo; Department of Pediatrics/Endocrinology, Memorial Sloan Kettering Cancer Center, New York, NY; Department of Radiation Oncology, McGill University Health Centre, Montréal, Québec, Canada; Department of Pediatric Hematology-Oncology, Children's Hospital and Regional Medical Center, Seattle, WA; Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA; and Department of Pediatrics, University of Minnesota School of Medicine, Minneapolis, MN
Address reprint requests to Melissa M. Hudson, MD, St Jude Children's Research Hospital, 332 N Lauderdale, Memphis, Tennessee 38105; e-mail: melissa.hudson{at}stjude.org
The Children’s Oncology Group Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers are risk-based, exposure-related clinical practice guidelines intended to promote earlier detection of and intervention for complications that may potentially arise as a result of treatment for pediatric malignancies. Developed through the collaborative efforts of the Children’s Oncology Group Late Effects Committee, Nursing Discipline, and Patient Advocacy Committee, these guidelines represent a statement of consensus from a multidisciplinary panel of experts in the late effects of pediatric cancer treatment. The guidelines are both evidence-based (utilizing established associations between therapeutic exposures and late effects to identify high-risk categories) and grounded in the collective clinical experience of experts (matching the magnitude of risk with the intensity of screening recommendations). They are intended for use beginning 2 or more years following the completion of cancer therapy; however, they are not intended to provide guidance for follow-up of the survivor’s primary disease. A complementary set of patient education materials ("Health Links") was developed to enhance follow-up care and broaden the application of the guidelines. The information provided in these guidelines is important for health care providers in the fields of pediatrics, oncology, internal medicine, family practice, and gynecology, as well as subspecialists in many fields. Implementation of these guidelines is intended to increase awareness of potential late effects and to standardize and enhance follow-up care provided to survivors of pediatric cancer throughout the lifespan. The Guidelines, and related Health Links, can be downloaded in their entirety at www.survivorshipguidelines.org.
Supported by the Children's Oncology Group grant U10 CA098543 from the National Cancer Institute. Dr Hudson is also supported by the Cancer Center Support (CORE) grant CA 21765 from the National Cancer Institute and by the American Lebanese Syrian Associated Charities.
Authors' disclosures of potential conflicts of interest are found at the end of this article.
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Facebook  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
L. A. Jacobs, S. C. Palmer, L. A. Schwartz, A. DeMichele, J. J. Mao, J. Carver, C. Gracia, C. E. Hill-Kayser, J. M. Metz, M. K. Hampshire, et al.
Adult Cancer Survivorship: Evolution, Research, and Planning Care
CA Cancer J Clin,
November 1, 2009;
59(6):
391 - 410.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. Romerius, O. Stahl, C. Moell, T. Relander, E. Cavallin-Stahl, T. Wiebe, Y. L. Giwercman, and A. Giwercman
Hypogonadism Risk in Men Treated for Childhood Cancer
J. Clin. Endocrinol. Metab.,
November 1, 2009;
94(11):
4180 - 4186.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Ruccione
The Legacy of Pediatric Oncology Nursing in Advancing Survivorship Research and Clinical Care
Journal of Pediatric Oncology Nursing,
September 1, 2009;
26(5):
255 - 265.
[Abstract]
[PDF]
|
|
|
|
|
|
|
T. B. Haddy, R. B. Mosher, and G. H. Reaman
Late Effects in Long-Term Survivors After Treatment for Childhood Acute Leukemia
Clinical Pediatrics,
July 1, 2009;
48(6):
601 - 608.
[Abstract]
[PDF]
|
|
|
|
|
|
|
G. T. Armstrong, Q. Liu, Y. Yasui, S. Huang, K. K. Ness, W. Leisenring, M. M. Hudson, S. S. Donaldson, A. A. King, M. Stovall, et al.
Long-Term Outcomes Among Adult Survivors of Childhood Central Nervous System Malignancies in the Childhood Cancer Survivor Study
J Natl Cancer Inst,
July 1, 2009;
101(13):
946 - 958.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. C. Nathan, J. S. Ford, T. O. Henderson, M. M. Hudson, K. M. Emmons, J. N. Casillas, E. A. Lown, K. K. Ness, and K. C. Oeffinger
Health Behaviors, Medical Care, and Interventions to Promote Healthy Living in the Childhood Cancer Survivor Study Cohort
J. Clin. Oncol.,
May 10, 2009;
27(14):
2363 - 2373.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
AMERICAN ACADEMY OF PEDIATRICS Section on Hematolo
Long-term Follow-up Care for Pediatric Cancer Survivors
Pediatrics,
March 1, 2009;
123(3):
906 - 915.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. A. Berg
Tailored Supplemental Screening for Breast Cancer: What Now and What Next?
Am. J. Roentgenol.,
February 1, 2009;
192(2):
390 - 399.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. C. Oeffinger, J. S. Ford, C. S. Moskowitz, L. R. Diller, M. M. Hudson, J. F. Chou, S. M. Smith, A. C. Mertens, T. O. Henderson, D. L. Friedman, et al.
Breast Cancer Surveillance Practices Among Women Previously Treated With Chest Radiation for a Childhood Cancer
JAMA,
January 28, 2009;
301(4):
404 - 414.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. Landier and S. Bhatia
Cancer Survivorship: A Pediatric Perspective
Oncologist,
November 1, 2008;
13(11):
1181 - 1192.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. C. Nathan, M. L. Greenberg, K. K. Ness, M. M. Hudson, A. C. Mertens, M. C. Mahoney, J. G. Gurney, S. S. Donaldson, W. M. Leisenring, L. L. Robison, et al.
Medical Care in Long-Term Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study
J. Clin. Oncol.,
September 20, 2008;
26(27):
4401 - 4409.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Gianni, E. H. Herman, S. E. Lipshultz, G. Minotti, N. Sarvazyan, and D. B. Sawyer
Anthracycline Cardiotoxicity: From Bench to Bedside
J. Clin. Oncol.,
August 1, 2008;
26(22):
3777 - 3784.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. LILES, J. BLATT, D. MORRIS, R. WARDROP III, A. SHARMA, A. SZNEWAJS, and R. GOLDSBY
Monitoring pulmonary complications in long-term childhood cancer survivors: Guidelines for the primary care physician
Cleveland Clinic Journal of Medicine,
July 1, 2008;
75(7):
531 - 539.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Bhatia and L. L. Robison
Cancer Survivorship Research: Opportunities and Future Needs for Expanding the Research Base
Cancer Epidemiol. Biomarkers Prev.,
July 1, 2008;
17(7):
1551 - 1557.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Simonelli, M. A. Annunziata, E. Chimienti, M. Berretta, and U. Tirelli
Cancer survivorship: a challenge for the European oncologists
Ann. Onc.,
July 1, 2008;
19(7):
1216 - 1217.
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Wasilewski-Masker, S. C. Kaste, M. M. Hudson, N. Esiashvili, L. A. Mattano, and L. R. Meacham
Bone Mineral Density Deficits in Survivors of Childhood Cancer: Long-term Follow-up Guidelines and Review of the Literature
Pediatrics,
March 1, 2008;
121(3):
e705 - e713.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. M. Shankar, N. Marina, M. M. Hudson, D. C. Hodgson, M. J. Adams, W. Landier, S. Bhatia, K. Meeske, M. H. Chen, K. E. Kinahan, et al.
Monitoring for Cardiovascular Disease in Survivors of Childhood Cancer: Report From the Cardiovascular Disease Task Force of the Children's Oncology Group
Pediatrics,
February 1, 2008;
121(2):
e387 - e396.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. L. Friedman, A. Rovo, W. Leisenring, A. Locasciulli, M. E. D. Flowers, A. Tichelli, J. E. Sanders, H. J. Deeg, and G. Socie
Increased risk of breast cancer among survivors of allogeneic hematopoietic cell transplantation: a report from the FHCRC and the EBMT-Late Effect Working Party
Blood,
January 15, 2008;
111(2):
939 - 944.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. Carver, C. L. Shapiro, A. Ng, L. Jacobs, C. Schwartz, K. S. Virgo, K. L. Hagerty, M. R. Somerfield, D. J. Vaughn, and for the ASCO Cancer Survivorship Expert Panel
American Society of Clinical Oncology Clinical Evidence Review on the Ongoing Care of Adult Cancer Survivors: Cardiac and Pulmonary Late Effects
J. Clin. Oncol.,
September 1, 2007;
25(25):
3991 - 4008.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. C. Nathan, S. K. Patel, K. Dilley, R. Goldsby, J. Harvey, C. Jacobsen, N. Kadan-Lottick, K. McKinley, A. K. Millham, I. Moore, et al.
Guidelines for Identification of, Advocacy for, and Intervention in Neurocognitive Problems in Survivors of Childhood Cancer: A Report From the Children's Oncology Group
Arch Pediatr Adolesc Med,
August 1, 2007;
161(8):
798 - 806.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. M. Geenen, M. C. Cardous-Ubbink, L. C. M. Kremer, C. van den Bos, H. J. H. van der Pal, R. C. Heinen, M. W. M. Jaspers, C. C. E. Koning, F. Oldenburger, N. E. Langeveld, et al.
Medical Assessment of Adverse Health Outcomes in Long-term Survivors of Childhood Cancer
JAMA,
June 27, 2007;
297(24):
2705 - 2715.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. C. Oeffinger and L. L. Robison
Childhood Cancer Survivors, Late Effects, and a New Model for Understanding Survivorship
JAMA,
June 27, 2007;
297(24):
2762 - 2764.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Sposto, W. B. London, and T. A. Alonzo
Criteria for Optimizing Prognostic Risk Groups in Pediatric Cancer: Analysis of Data From the Children's Oncology Group
J. Clin. Oncol.,
May 20, 2007;
25(15):
2070 - 2077.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. S. Donaldson, M. P. Link, H. J. Weinstein, S. N. Rai, S. Brain, A. L. Billett, C. A. Hurwitz, M. Krasin, L. E. Kun, K. C. Marcus, et al.
Final Results of a Prospective Clinical Trial With VAMP and Low-Dose Involved-Field Radiation for Children With Low-Risk Hodgkin's Disease
J. Clin. Oncol.,
January 20, 2007;
25(3):
332 - 337.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. Goodwin, B. E. Oosterhuis, B. Hayes-Lattin, the LIVESTRONG Young Adult Alliance, N. Sharma, T. Melgar, C. Brands, R. Haupt, M. Jankovic, A. J.P. Veerman, et al.
Survivors of Childhood Cancer
N. Engl. J. Med.,
January 11, 2007;
356(2):
191 - 194.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. T. Meadows
Pediatric Cancer Survivorship: Research and Clinical Care
J. Clin. Oncol.,
November 10, 2006;
24(32):
5160 - 5165.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. C. Foster, R. A. Kleinerman, D. H. Abramson, J. M. Seddon, R. E. Tarone, and M. A. Tucker
Tobacco Use in Adult Long-term Survivors of Retinoblastoma.
Cancer Epidemiol. Biomarkers Prev.,
August 1, 2006;
15(8):
1464 - 1468.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Maunsell, L. Pogany, M. Barrera, A. K. Shaw, and K. N. Speechley
Quality of Life Among Long-Term Adolescent and Adult Survivors of Childhood Cancer
J. Clin. Oncol.,
June 1, 2006;
24(16):
2527 - 2535.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. K. Gospodarowicz and R. M. Meyer
The Management of Patients with Limited-Stage Classical Hodgkin Lymphoma
Hematology,
January 1, 2006;
2006(1):
253 - 258.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B Jarzab, D Handkiewicz-Junak, and J Wloch
Juvenile differentiated thyroid carcinoma and the role of radioiodine in its treatment: a qualitative review
Endocr. Relat. Cancer,
December 1, 2005;
12(4):
773 - 803.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. L. Spunt, T. A. Sweeney, M. M. Hudson, C. A. Billups, M. J. Krasin, and A. L. Hester
Late Effects of Pelvic Rhabdomyosarcoma and Its Treatment in Female Survivors
J. Clin. Oncol.,
October 1, 2005;
23(28):
7143 - 7151.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
