Development of a Primary Care-Based Clinic to Support Adults With a History of Childhood Cancer: The Tactic Clinic.
OBJECTIVE
Describe the development and evolution of a primary-care-based, multidisciplinary clinic to support the ongoing care of adult survivors of childhood cancer.


METHODS
A consultative clinic for adult survivors of childhood cancer has been developed that is located in an adult, academic internal medicine setting and is based on a long-term follow-up clinic model available at Children's Hospital Colorado.


RESULTS
The clinic opened in July 2008. One hundred thirty-five patients have been seen as of April 2014. Referrals and clinic capacity have gradually increased over time, and a template has been developed in the electronic medical record to help facilitate completion of individualized care plan letters.


CONCLUSIONS
A primary care-based, multidisciplinary consultative clinic for adults with a history of childhood cancer survivor is feasible and actively engages adult primary care resources to provide risk-based care for long-term pediatric cancer survivors. This model of care planning can help support adult survivors of pediatric cancer and their primary care providers in non-academic, community settings as well.
Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO. Electronic address: linda.overholser@ucdenver.edu.
Linda S
LS
Overholser
Connecticut Children's Medical Center, Hartford, CT.
Kerry M
KM
Moss
Department of Psychology, University of Colorado Denver, Denver, CO.
Kristin
K
Kilbourn
Colorado School of Public Health, Aurora, CO.
Betsy
B
Risendal
University of Colorado Hospital, Aurora, CO.
Alison F
AF
Jones
Center for Cancer and Blood Disorders, Children's Hospital Colorado, Aurora, CO.
Brian S
BS
Greffe
Center for Cancer and Blood Disorders, Children's Hospital Colorado, Aurora, CO.
Timothy
T
Garrington
University of Colorado Hospital, Aurora, CO.
Kristin
K
Leonardi-Warren
Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO.
Traci E
TE
Yamashita
Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO; University of Colorado Health.
Jean S
JS
Kutner
D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000628:therapy; D003120:Colorado; D019468:Disease Management; D005260:Female; D006285:Health Planning / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D009369:Neoplasms / Q000175:diagnosis / Q000628:therapy*; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D017741:Survivors; D060305:Transition to Adult Care / Q000458:organization & administration*; D055815:Young Adult
Chronic disease management; Pediatric cancer survivorship; Pediatric to adult care transition; Primary care; Survivorship care planning