Establishing childhood cancer survivorship clinics in India: A consensus statement

Rachna Seth , Maya Prasad , Gauri Kapoor , Gargi Das , Srinivasan Prasanth , Vandana Dhamankar , Purna Kurkure , M Melissa Hudson
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Abstract

Objectives

To provide a consensus statement describing best practices and evidence regarding the setting up Childhood Cancer Survivor Clinics in India.

Methods

Key topics regarding childhood cancer survivorship clinics were identified during a workshop conducted during the annual Pediatric Hematology Oncology conference (PHOCON) in New Delhi in November 2022. Workshop participants included oncologists, hematologists, medical social workers, representatives of non-government organizations, and childhood cancer survivors. Consensus was generated by combining expert opinion and a review of the literature.

Results

Several components regarding survivorship clinics, including the setting up of survivor clinics separate from the oncology clinic, the leading role of the treating oncologist in survivor clinics, the composition of survivor clinics and the patient pathways in the clinic, the frequency of follow-up for different survivors based on risk stratification, plans in adult survivors and the role of allied specialties like cardiologists, neurologists etc. were discussed.

Conclusion

Care of childhood cancer survivors is complex and requires a multidisciplinary approach centred around patients and their caregivers. Addressing post-treatment concerns is critical to our patient's quality of life as survival improves. There continues to be a need to define effective and efficient programs that can coordinate this multidisciplinary effort toward survivorship.

在印度建立儿童癌症幸存者诊所:共识声明
方法 2022 年 11 月在新德里举行的儿科血液肿瘤学年会 (PHOCON) 期间召开了一次研讨会,会上确定了有关儿童癌症幸存者诊所的主要议题。研讨会参与者包括肿瘤学家、血液学家、医务社工、非政府组织代表和儿童癌症幸存者。会议结合专家意见和文献综述达成了共识。会议结果讨论了幸存者门诊的若干内容,包括设立独立于肿瘤门诊的幸存者门诊、肿瘤治疗专家在幸存者门诊中的主导作用、幸存者门诊的组成和门诊中的患者路径、根据风险分层对不同幸存者进行随访的频率、成年幸存者的计划以及心脏病专家、神经科专家等相关专科的作用。结论 儿童癌症幸存者的护理非常复杂,需要以患者及其护理人员为中心的多学科方法。随着生存率的提高,解决治疗后的问题对患者的生活质量至关重要。目前仍有必要制定有效且高效的计划,以协调多学科的努力,实现生存。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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