Pediatric oncologists unfamiliar with long-term follow-ups for childhood cancer survivors

Submitted by Ross Bonander Fri 01/29/2010

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Using survey responses from 655 pediatric oncologists in the US, researchers from the University of Chicago, Dana-Farber Cancer Institute, and Children's Hospital Boston concluded that many pediatric oncologists in the US are not familiar with long-term follow-up (LTFU) surveillance guidelines for childhood cancer survivors.

Researchers created a 'clinical vignette' of a 29 year old woman who, when she was 16, had been treated with mantle radiation for Hodgkin's lymphoma and asked the oncologists to make recommendations according to current long-term follow-up (LTFU) guidelines.

- 34% of respondents did not appropriately recommend yearly breast cancer surveillance;
- 43% of respondents did not appropriately recommend cardiac surveillance;
- 24% of respondents did not appropriately recommend yearly thyroid surveillance.

By Ross Bonander

Source: Henderson TO et al. Physician Preferences and Knowledge Gaps Regarding the Care of ChildHood Cancer Survivors: A Mailed Survey of Pediatric Oncologists. J Clin Oncol. 2010;doi:10.1200/JCO.2009.25.6107.

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