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[Supportive care in pediatric oncology: Considering children and AYA's special needs]
Marilyne Poirée1, Mylène Duplan2, Maïna Letort-Bertrand3
1CHU, service d'oncologie et hématologie pédiatrique, Nice, France.
Insights
Pediatric oncology care extends beyond cancer treatment to include vital supportive care. This encompasses pain management, nutrition, education, and long-term follow-up tailored for young cancer patients.
Area of Science:
- Pediatric Oncology
- Supportive Care
- Childhood Cancer Survivorship
Background:
- Pediatric oncology care involves more than just cancer treatment.
- Supportive care is a crucial component of managing childhood cancer.
- Survival rates in pediatric oncology necessitate a broader approach to care.
Purpose of the Study:
- To review the specificities of supportive care in pediatric oncology.
- To highlight the unique needs of young cancer patients and their families.
- To discuss the temporal aspects of supportive care, including post-treatment follow-up.
Main Methods:
- Literature review of supportive care in pediatric oncology.
- Analysis of common and unique aspects of supportive care.
- Examination of specific supportive care domains: pain, nutrition, education, schooling, and long-term follow-up.
Main Results:
- Supportive care in pediatric oncology includes pain management and nutritional support, similar to adult oncology.
- Pediatric-specific needs include tailored information and education for young patients.
- Supportive care must extend beyond active treatment to address long-term sequelae and survivorship.
Conclusions:
- Holistic care for pediatric cancer patients requires addressing physical, psychological, and educational needs.
- Innovative tools and frameworks are needed for effective pediatric supportive care.
- Long-term follow-up and screening for treatment-induced sequelae are essential for improving quality of life in childhood cancer survivors.
Abstract:
Organization of health care of a patient followed in pediatric oncology is not limited to cancer treatment. It includes a whole range of supportive care. Some are common to the supportive care offered in adult oncology, such as pain management and nutritional support. However, there are pediatric specificities. Others are more peculiar to children, such as education and information for young patients, and require a specific framework and innovative tools. The young age of patients and the improvement in survival rates in pediatric oncology also lead to questioning the temporality of supportive care by considering access to supportive care beyond the active phase of the disease. This review explains some of these different specificities: information and communication to the patient and his parents, assessment and management of pain, nutritional support but also schooling, long-term follow-up and screening sequelae induced by the disease and its treatments.
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