Survivors of pediatric posterior fossa tumors: cognitive outcome, intervention, and risk-based care.
Adolescent and young adult survivors of posterior fossa tumors face a wide variety of functional challenges following treatment. The concept of survival needs to include plans to regularly monitor and effectively respond to those patients considered at risk for continued morbidities associated with cancer and its treatment. The nature of impairment experienced by survivors is discussed, including predominant patient- and treatment-related risk factors. A model to respond to the cognitive needs of survivors, including risk-based evaluation and intervention, is proposed. It is imperative for the success of the survivor that a team approach is taken to care. This approach must include improving the awareness and education of teachers and other education specialists who interact with this population of survivors. There is also an obligation to put forth effort in developing and validating efficacious intervention programs.
Palmer
Shawna L
SL
Department of Behavioral Medicine, St Jude Children's Research Hospital; Memphis, TN 38105-2794, USA. shawna.palmer@stjude.org
Leigh
Laurie
L
D000223:Adaptation, Psychological; D000293:Adolescent; D000367:Age Factors; D017024:Chemotherapy, Adjuvant; D003072:Cognition Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D003131:Combined Modality Therapy; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D015192:Infratentorial Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008297:Male; D009367:Neoplasm Staging; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods; D010353:Patient Education as Topic; D011379:Prognosis; D011788:Quality of Life; D018714:Radiotherapy, Adjuvant; D018570:Risk Assessment; D012308:Risk Management; D012737:Sex Factors; D018434:Sickness Impact Profile; D017741:Survivors / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult