幼児がんの生存者の成人医療への移行:成人医療からの視点

Tomoko Katsui Taniyama¹, Akiko Higuchi², Midori Kadowaki²

¹Comprehensive Cancer Center, National Center for Global Health and Medicine, Shinjuku, Japan.

Journal of adolescent and young adult oncology

|September 3, 2025

まとめ

長期にわたる小児がん生存者 (CCS) は多くの健康問題に直面し,多くの深刻な問題は成人のケアに移った後に診断されます. 成人のケアを最適化することは生存の成功と継続的な健康リスクの管理に不可欠です

科学分野:

腫瘍学
大人の医療
公衆衛生

背景:

長期にわたる小児がん生存者 (CCS) の数は増加しています.
小児から成人の医療への効果的な移行は,この集団にとって不可欠です.

研究の目的:

成人CCSが経験する健康問題について,成人の介護の観点から説明する.
CCSの介護の移行における課題を特定する.

主な方法:

遡及的なチャートレビューが行われました.
2019年6月から2024年3月までの間に移行診療所を訪れた成人CCS (≥18歳) が含まれた.
健康問題と介護の必要性に関するデータを分析した.

主要な成果:

追跡期間の中央値は14ヶ月でした.
CCSの60%は重度の健康問題 (グレード ≥3) を経験した.
トランジション後の新しい診断には,心血管疾患 (45%) と骨のミネラル密度欠乏症 (64%) が含まれていた.
13人のCCSは入院し,52%は心理的介入が必要でした.
特定の長期の問題には,下垂体不全,聴覚障害,視覚障害が含まれています.

結論:

大人のCCSは,継続的な管理を必要とする複雑で複数の健康問題を表しています.
小児と成人の介護制度の違いは,健康問題の全面的な再評価を必要とします.
成人の視点からケアを最適化することは成功したCCSの移行と生存に不可欠です

キーワード:

大人の介護介護計画幼児がんの生存者遅い合併症トランジション

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