What are required for the follow-up of childhood cancer survivors

Abstract

Recent developments in risk stratification and supportive care in pediatric cancer treatment have greatly improved the survival rate of childhood cancer. On the other hand, childhood cancer survivors remain at risk for late complications even after the disease is cured. The importance of long-term follow-up of childhood cancer survivors to promote and maintain a healthy lifestyle is undisputed, but not all of them receive adequate follow-up examination and care. Owing to the wide spectrum of late complications that can occur in childhood cancer survivors, the care that needs to be provided can be complex, sometimes creating barriers to transitional support or interruptions in follow-up. The patient’s own knowledge of comorbidities and long-term follow-up is also a major factor in follow-up continuity. Education of patients for them to acquire health literacy is an important factor to enhance long-term follow-up of childhood cancer survivors. In the ever-changing field of pediatric cancer care, it is desirable to enhance follow-up tools and systems.