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Models of Long-Term Follow-up for Cancer Patients: From Children to Adults, from Simple to Multi-Modal

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Survivorship Care for Cancer Patients

Abstract

The increased survival rate has led to a greater importance of potential long-term sequelae, and to the interest and importance of survivorship. Even if all the complications of cancer and its treatment cannot be prevented, many of these can be early diagnosed and can be effectively treated. Such conditions include breast cancer complicating mediastinal radiotherapy during childhood or young adulthood; anthracycline heart disease; and osteoporosis or early menopause induced by chemotherapy and/or hormone therapy, frequently used for breast or prostate cancer, or during corticosteroid therapy. Early counseling and early screening can improve morbidity and mortality. With this aim in mind, several scientific societies developed recommendations for childhood cancer survivors and an effort is made to harmonize them. Psychological or psychosocial complications are less known, and less understood. After childhood cancer, real post-traumatic stress states were found long after the end of the illness. The social, educational, sexual, and fertility dimensions were also explored in relation to the quality of life. Fatigue is another frequent and complicated complication as it is not palpable but it significantly decreases the quality of life. In this article, we present the different traditional approaches about long-term follow-up care found in the literature.

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Authors and Affiliations

  1. Pediatric Immuno-Hemato-Oncology Unit, Saint-Etienne University Hospital, Saint-Etienne, France

    Claire Berger

  2. Cancer and Radiation Group, Center for Research in Epidemiology and Population Health, INSERM U1018, Paris Sud-Paris Saclay University, Gustave Roussy, Villejuif, France

    Charlotte Demoor-Goldschmidt

  3. Pediatric Immuno-Hemato-Oncology Unit, Angers University Hospital, Angers, France

    Charlotte Demoor-Goldschmidt

  4. Department of Radiation Oncology, Centre François Baclesse, Caen, France

    Charlotte Demoor-Goldschmidt

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  1. Claire Berger
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  2. Charlotte Demoor-Goldschmidt
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Editors and Affiliations

  1. Medical Oncology, Centre Hospitalier Emile Mayrisch, Esch, Luxembourg

    Stefan Rauh

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Berger, C., Demoor-Goldschmidt, C. (2021). Models of Long-Term Follow-up for Cancer Patients: From Children to Adults, from Simple to Multi-Modal. In: Rauh, S. (eds) Survivorship Care for Cancer Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-78648-9_5

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