title: Late effects in adult survivors of childhood cancer: considerations for the general practitioner.
abstract: Childhood cancer survivorship is a national public health priority, with an increasing number of survivors who face late effects from both disease and treatment. As childhood cancer survivors are living into adulthood, care of the late effects associated with their diagnosis and treatment can become complex. Often these patients no longer have follow-up with the treating pediatric hospital and seek medical care from an adult primary care professional. Combining the results of current survivorship research with clinical experience, we describe common late effects that general internists and primary care professionals may encounter during routine visits with adult survivors of childhood cancer. Recommendations and resources are provided for identifying and managing late effects.
authors.affiliation: Pediatric Heme/OncIBMT, Medical College of Wisconsin, Milwaukee, USA. dschmidt@chw.org
authors.forename: Debra
authors.initials: D
authors.lastname: Schmidt
authors.forename: Lynnette
authors.initials: L
authors.lastname: Anderson
authors.forename: Kristin
authors.initials: K
authors.lastname: Bingen
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hoag
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Kupst
authors.forename: Anne B
authors.initials: AB
authors.lastname: Warwick
mesh_terms: D000328:Adult; D002648:Child; D005194:Family Practice; D006801:Humans; D009369:Neoplasms / Q000150:complications* / Q000628:therapy*; D011788:Quality of Life; D012307:Risk Factors; D017741:Survivors