title: Institutional adherence to cardiovascular risk factor screening guidelines for young survivors of acute lymphoblastic leukemia.
abstract: Survivors of acute lymphoblastic leukemia have increased risk for long-term cardiovascular complications. Early identification of cardiovascular risk factors (CVRF) may allow for effective interventions. In this retrospective cohort study of 194 patients at Children's Hospital Los Angeles, we investigated CVRF screening practices in an established childhood cancer survivorship program relative to both the Children's Oncology Group (COG) Long-Term Follow-Up Guidelines and American Academy of Pediatrics (AAP) recommendations. CVRF screening practices met COG but not the more stringent AAP recommendations, particularly in areas of dyslipidemia and diabetes screening. Implications of our findings are discussed.
authors.affiliation: *Center for Endocrinology, Diabetes and Metabolism †Diabetes & Obesity Program §LIFE Cancer Survivorship & Transition Program/Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles ‡Keck School of Medicine, University of Southern California, Los Angeles, CA.
authors.forename: Maria H
authors.initials: MH
authors.lastname: Lin
authors.forename: Jamie R
authors.initials: JR
authors.lastname: Wood
authors.forename: Steven D
authors.initials: SD
authors.lastname: Mittelman
authors.forename: David R
authors.initials: DR
authors.lastname: Freyer
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D002318:Cardiovascular Diseases / Q000209:etiology*; D002648:Child; D015331:Cohort Studies; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008055:Lipids / Q000097:blood; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000097:blood / Q000401:mortality*; D012189:Retrospective Studies; D012307:Risk Factors; D017741:Survivors
chemical_list: D001786:Blood Glucose; D008055:Lipids