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The Future of Childhood Cancer Survivorship: Challenges and Opportunities for Continued Progress
Stephanie B Dixon1, Eric J Chow2, Lars Hjorth3
1Department of Oncology, St. Jude Children's Research Hospital, MS 735, 262 Danny Thomas Place, Memphis, TN 38105, USA.
Abstract:
As treatment evolves and the population who survive childhood cancer ages and increases in number, researchers must use novel approaches to prevent, identify and mitigate adverse effects of treatment. Future priorities include collaborative efforts to pool large cohort data to improve detection of late effects, identify late effects of novel therapies, and determine the contribution of genetic factors along with physiologic and accelerated aging among survivors. This knowledge should translate to individual risk prediction and prevention strategies. Finally, we must utilize health services research and implementation science to improve adoption of survivorship care recommendations outside of specialized pediatric oncology centers.
Insights
As cancer treatments advance, survivors need new strategies to manage long-term side effects. Future research will focus on large data analysis, novel therapies, aging, and genetics to improve survivor care and prevention.
Area of Science:
- Pediatric Oncology
- Cancer Survivorship Research
- Health Services Research
Background:
- Increasing number of childhood cancer survivors require long-term care.
- Evolving cancer treatments necessitate novel approaches to manage adverse effects.
- Focus on preventing, identifying, and mitigating treatment-related toxicities is crucial.
Purpose of the Study:
- Outline future research priorities in pediatric cancer survivorship.
- Emphasize the need for novel approaches to manage late effects of cancer treatment.
- Highlight the importance of improving survivorship care delivery.
Main Methods:
- Collaborative efforts to pool large cohort data.
- Analysis of late effects from novel cancer therapies.
- Investigation of genetic factors, physiological aging, and accelerated aging in survivors.
Main Results:
- Need for improved detection of late effects.
- Identification of late effects associated with novel therapies.
- Understanding the contribution of genetic and aging factors to long-term health.
Conclusions:
- Future research should focus on data pooling and novel therapy effects.
- Individualized risk prediction and prevention strategies are essential.
- Implementation science is key to adopting survivorship care recommendations universally.
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