Late effects care as an emerging clinical specialty in paediatric oncology: how to prepare the workforce?

Diana Greenfield1, Lars Hjorth

  • 1Sheffield Teaching Hospitals, NHS Foundation Trust, Sheffield, UK. Diana.Greenfield@sth.nhs.uk

Insights

Healthcare professionals require training to manage the long-term health needs of childhood cancer survivors. Ensuring adequate education is crucial for providing effective late effects care to this growing population.

Area of Science:

  • Pediatric Oncology
  • Cancer Survivorship Care
  • Healthcare Professional Education

Background:

  • Long-term childhood and adolescent cancer survivors have unique healthcare needs.
  • There is a recognized gap in understanding the educational requirements for healthcare professionals serving this population.

Purpose of the Study:

  • To review current educational approaches for healthcare professionals.
  • To identify strategies for preparing the workforce to deliver effective late effects care.

Main Methods:

  • Literature review of existing educational strategies.
  • Analysis of evidence for workforce preparedness in survivorship care.

Main Results:

  • The necessity of late effects care for childhood cancer survivors is widely acknowledged.
  • Internationally recognized, evidence-based screening practices are developing.

Conclusions:

  • Clinical staff, including medical and nursing professionals, must be adequately trained.
  • Effective preparation is essential for delivering safe, patient-centered, and clinically effective late effects care.
Abstract

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Cancer Survival Analysis01:21

Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...