Long-Term Follow-Up for Adult Survivors of Childhood and Young Adult Cancer - University of Minnesota Cancer Center
Increasing numbers of children with cancer are
surviving and growing into adulthood. Adult
survivors of childhood and young adult cancer have unique health care needs
related to their previous diagnoses and treatment.
Long-term
follow-up care is a specialized risk-based approach designed to address the
ongoing medical and psychosocial needs of patients formerly treated for cancer.
The
University of Minnesota’s Long-Term Follow-Up Clinic
was created in 2005 to: 1)
Provide risk-based clinical care and screening for cancer survivors, 2)
Improve survivorship research, 3)
Educate survivors and the medical community, and 4)
Become a community resource for cancer survivorship.
Survivors
undergo an annual clinical assessment and receive a detailed treatment summary of
their prior therapy. Each patient is
offered enrollment in the clinical database and has the option of participating
in ongoing research into the late effects of cancer therapy. All are provided with educational materials specific
to their treatment and summaries are sent to each survivor and their primary
physician to assist with ongoing health care needs.
Over
200 patients have been evaluated since the clinic opened.
- 8
years - mean age at diagnosis (range: 0-23)
- 24
years - mean age at initial visit (range: 6-60)
Diagnoses
include
- Leukemia
(37%),
- Brain
tumors (14%),
- Bone
tumors (14%),
- Hodgkin’s
lymphoma (12%),
- Rhabdomyosarcoma
(8%),
- Non-
Hodgkin’s lymphoma (4%),
- Wilma
tumor (4%),
- Retinoblastoma (4%),
- Hepatoblastoma
(1%)
The
most frequent organ systems affected include the endocrine, cardiovascular,
nervous, and musculoskeletal systems.
All
patients receive a brief assessment from a neuropsychologist and social worker,
with referral for further evaluation if necessary. Therapeutic advances are contributing to a
growing number of adults formally treated for childhood cancer.
Treatment
related sequelae continue to occur and long-term follow-up is an important
component of quality health care for these individuals.
For more information, contact: Daniel Mulrooney,
MD, MS Phone: 612-626-2778 Email: mulro006@umn.edu
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