Current pediatric cancer survivorship practices: a report from the Children’s Oncology Group
Menée aux Etats-Unis par enquête en ligne auprès de 209 institutions appartenant au réseau "Children’s Oncology Group", cette étude analyse leurs pratiques et leurs services concernant les soins de l'après-cancer dédiés aux patients ayant survécu à un cancer pédiatrique
Purpose : The purpose of this study is to describe current survivor services provided by COG institutions.
Methods : A 190-question online survey was distributed to 209 COG member institutions over a 5-month period in 2017. Descriptive statistics were used to describe survivor services and explore their changes between 2007 and 2017.
Results : Representatives from 153 (73%) institutions completed the survey. Of these, 96% of institutions reported that they provide pediatric cancer survivor care either in a specialized late effects program (75%) or a regular pediatric oncology clinic (24%). However, only 29.8% of institutions reported that > 75% of eligible patients were seen in a survivorship clinic. The most prevalent reported barriers to survivor care were lack of dedicated time (58%) and lack of funding for program development (41%). In 2017, 88% of institutions provided a treatment summary compared to 31% in 2007.
Conclusion : The majority of COG institutions have dedicated care for pediatric and young adult survivors of childhood cancer; however, at most institutions, < 75% of eligible patients access this care. Research into more efficient technology strategies is needed to ensure all survivors the opportunity to receive appropriate follow-up care.
Implications for Cancer Survivors : This survey provides a snapshot of the status of late effects services within COG institutions and provides information on residual gaps in services. Next steps should focus on the importance of attendance in a survivorship clinic on the physical health and psychosocial outcomes in cancer survivors.
Journal of Cancer Survivorship , article en libre accès, 2022