Sharon L. Conner MSN, APRN, FNP-C , Wilson File MD, MMEdL
{"title":"癌症幸存者的PCP","authors":"Sharon L. Conner MSN, APRN, FNP-C , Wilson File MD, MMEdL","doi":"10.1016/j.cppeds.2025.101823","DOIUrl":null,"url":null,"abstract":"<div><div>The number of childhood cancer survivors (CCS) in the United States exceeds 500,000 and continues to rise<span><span><sup>1</sup></span></span>. While recurrence risk diminishes over time, the prevalence of late effects from cancer treatment increases with age and affects over 60% of survivors<span><span>2</span></span>, <span><span>3</span></span>. Primary care providers (PCPs) are ideally positioned to manage the long-term health needs of CCS, yet many feel ill-equipped due to a lack of concise guidelines<span><span>4</span></span>, <span><span>5</span></span>. This article provides a comprehensive overview for PCPs on managing late effects in CCS. Key areas of focus include general health maintenance, psychological and neurocognitive care, immune function and vaccinations, as well as monitoring for endocrine, cardiovascular, pulmonary, and secondary malignancies. Emphasis is placed on regular screenings and lifestyle modifications. We advocate for proactive PCP involvement in the surveillance and management of late effects associated with childhood cancer treatment.</div></div>","PeriodicalId":49086,"journal":{"name":"Current Problems in Pediatric and Adolescent Health Care","volume":"55 8","pages":"Article 101823"},"PeriodicalIF":3.7000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cancer survivorship for the PCP\",\"authors\":\"Sharon L. Conner MSN, APRN, FNP-C , Wilson File MD, MMEdL\",\"doi\":\"10.1016/j.cppeds.2025.101823\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The number of childhood cancer survivors (CCS) in the United States exceeds 500,000 and continues to rise<span><span><sup>1</sup></span></span>. While recurrence risk diminishes over time, the prevalence of late effects from cancer treatment increases with age and affects over 60% of survivors<span><span>2</span></span>, <span><span>3</span></span>. Primary care providers (PCPs) are ideally positioned to manage the long-term health needs of CCS, yet many feel ill-equipped due to a lack of concise guidelines<span><span>4</span></span>, <span><span>5</span></span>. This article provides a comprehensive overview for PCPs on managing late effects in CCS. Key areas of focus include general health maintenance, psychological and neurocognitive care, immune function and vaccinations, as well as monitoring for endocrine, cardiovascular, pulmonary, and secondary malignancies. Emphasis is placed on regular screenings and lifestyle modifications. We advocate for proactive PCP involvement in the surveillance and management of late effects associated with childhood cancer treatment.</div></div>\",\"PeriodicalId\":49086,\"journal\":{\"name\":\"Current Problems in Pediatric and Adolescent Health Care\",\"volume\":\"55 8\",\"pages\":\"Article 101823\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Problems in Pediatric and Adolescent Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1538544225000975\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Problems in Pediatric and Adolescent Health Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1538544225000975","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
The number of childhood cancer survivors (CCS) in the United States exceeds 500,000 and continues to rise1. While recurrence risk diminishes over time, the prevalence of late effects from cancer treatment increases with age and affects over 60% of survivors2, 3. Primary care providers (PCPs) are ideally positioned to manage the long-term health needs of CCS, yet many feel ill-equipped due to a lack of concise guidelines4, 5. This article provides a comprehensive overview for PCPs on managing late effects in CCS. Key areas of focus include general health maintenance, psychological and neurocognitive care, immune function and vaccinations, as well as monitoring for endocrine, cardiovascular, pulmonary, and secondary malignancies. Emphasis is placed on regular screenings and lifestyle modifications. We advocate for proactive PCP involvement in the surveillance and management of late effects associated with childhood cancer treatment.
期刊介绍:
Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.