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Lackner, H; Moser, A; Sovinz, P; Benesch, M; Schwinger, W; Urban, C.
Long-term care of young adults surviving childhood cancer - where do we go?
Wien Klin Wochenschr. 2007; 119(11-12): 361-364.
Doi: 10.1007/s00508-007-0782-7
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- Führende Autor*innen der Med Uni Graz
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Lackner Herwig
- Co-Autor*innen der Med Uni Graz
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Benesch Martin
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Nebl Andrea Maria
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Ritter-Sovinz Petra
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Schwinger Wolfgang
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Urban Ernst-Christian
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- Abstract:
- METHODS: Between January 1990 and November 2006, 65 consecutive childhood cancer survivors entered a prospective follow-up study to evaluate the frequency and severity of tumor- and/or therapy-related long-term sequelae. Their median age at diagnosis was 9.7 years, median actual age is 25.1 years, and median duration of follow-up is 14.8 years. RESULTS: Nine patients (13.9%) were completely free from late effects, whereas 31/65 patients (47.6%) had only minimal late effects without need of medical support and 25/65 patients (38.5%) had severe late effects requiring long-term medical care. The most frequent late effects were endocrine deficits, musculosceletal problems, neurologic problems, chronic hepatitis and hearing loss. Currently, a network of local adult care providers is being established in order to enable a smooth and competent referral from pediatric hemato-oncology to adult medicine. CONCLUSIONS: Two thirds of former childhood cancer patients are able to return to everyday life without any impairment. However, one third is suffering from considerable morbidity requiring long-term medical care. Transition models from pediatric hemato-oncology to adult health care providers are urgently needed.
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Adolescent -
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Adult -
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Child -
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Humans -
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Long-Term Care - methods
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Longitudinal Studies -
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Male -
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Neoplasms - diagnosis Neoplasms - therapy
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Outcome Assessment (Health Care) -
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Survivors -
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Treatment Outcome -
- Find related publications in this database (Keywords)
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long term follow-up
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pediatric cancer
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childhood
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late effects
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adult medicine