Survivors of childhood cancer: coming of age

The development of curative therapy for most pediatric malignancies has produced a growing population of childhood cancer survivors who are at increased risk for a variety of health problems resulting from their cancer or its treatment. Risk-based survivor care is recommended for all survivors. To optimize risk-based survivor care, several groups have organized health screening guidelines based on evidence from the literature linking specific therapeutic interventions with late treatment complications. This article addresses the scope of long-term health effects after pediatric cancer, the challenges in coordinating long-term survivor care, and health screening guideline resources available to facilitate survivor care.