Childhood cancer survivor care: development of the passport for care

Childhood cancer survivor care: development of the passport for care

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ABSTRACT Survivors of childhood cancer are at risk of long-term adverse effects and late effects of the disease and/or its treatment. In response to national recommendations to improve


evidence-based follow-up care, a web-based support system for clinical decision making, the Passport for Care (PFC), was developed for use at the point of care to produce screening


recommendations individualized to the survivor. To date, the PFC has been implemented in over half of the nearly 200 clinics affiliated with the Children's Oncology Group across the


USA. Most clinician users report that the PFC has been integrated into clinic workflows, and that it fosters improved conversations with survivors about the potential late effects a survivor


might experience and about the screening and/or behavioural interventions recommended to improve health status. Furthermore, clinicians using the PFC have indicated that they adhered more


closely to follow-up care guidelines. Perspectives on the challenges encountered and lessons learned during the development and deployment of the PFC are reviewed and contrasted with other


nationwide approaches to the provision of guidance on survivor follow-up care; furthermore, the implications for the care of childhood cancer survivors are discussed. Access through your


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BEING VIEWED BY OTHERS IMPROVING QUALITY AND QUANTITY OF LIFE FOR CHILDHOOD CANCER SURVIVORS GLOBALLY IN THE TWENTY-FIRST CENTURY Article 24 July 2023 A JOINT INTERNATIONAL CONSENSUS


STATEMENT FOR MEASURING QUALITY OF SURVIVAL FOR PATIENTS WITH CHILDHOOD CANCER Article 15 June 2023 FOLLOW-UP CARE NEEDS AND MOTIVATIONAL FACTORS FOR CHILDHOOD CANCER SURVIVORS AND THEIR


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acknowledge funding support from the Cancer Prevention and Research Institute of Texas (CPRIT; grants PP100090 and PP130070 to D.G.P., PP100090 and PP130070 to M.F., and PP100090 and


PP130070 to M.E.H.), the Alex's Lemonade Stand Foundation, the Ronald McDonald House Charities (RMHC), and the Lance Armstrong Foundation, Young Texans Against Cancer, and


SurvivorVision. The work of W.L. and M.M.H. is funded in part by grants from the NIH National Cancer Institute (NCI; U10 CA098543 to W.L. and U10 CA098543 to M.M.H.). In addition, the


involvement of W.L. and M.M.H. in the Children's Oncology Group (COG) Long-Term Follow-Up Guidelines is partially supported by the NCI COG Chair's Grant (U10 CA098543; Principal


Investigator: P. C. Adamson). The authors wish to acknowledge J. E. King at the Baylor College of Medicine in the Center for Collaborative and Interactive Technologies, who contributed to


survey development and analysis, and some drafting of the manuscript, and Q. W. Smith, also at the Baylor College of Medicine in the Center for Collaborative and Interactive Technologies,


who contributed to literature searches and summaries, as well as some drafting and editing. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Paediatrics, Hematology–Oncology


Section, Texas Children's Cancer Center, Baylor College, One Baylor Plaza, Houston, 77030, TX, USA David G. Poplack & Marc E. Horowitz * Center for Collaborative and Interactive


Technologies, Baylor College of Medicine, One Baylor Plaza, Houston, 77030, TX, USA Michael Fordis * Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, 91010,


CA, USA Wendy Landier & Smita Bhatia * Cancer Survivorship Division, Departments of Oncology and Epidemiology, and Cancer Control, St Jude's Children's Research Hospital, 262


Danny Thomas Place, Memphis, 38105, TN, USA Melissa M. Hudson Authors * David G. Poplack View author publications You can also search for this author inPubMed Google Scholar * Michael Fordis


View author publications You can also search for this author inPubMed Google Scholar * Wendy Landier View author publications You can also search for this author inPubMed Google Scholar *


Smita Bhatia View author publications You can also search for this author inPubMed Google Scholar * Melissa M. Hudson View author publications You can also search for this author inPubMed 


Google Scholar * Marc E. Horowitz View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS D.G.P., M.F., S.B. and M.E.H. made substantial


contributions to researching data for the article. All authors contributed substantially to writing and review/editing of the manuscript before submission. D.G.P., M.F., and M.E.H.


contributed to discussion of content. CORRESPONDING AUTHOR Correspondence to David G. Poplack. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing financial interests.


SUPPLEMENTARY INFORMATION SUPPLEMENTARY BOX 1 Examples of barriers to effective care for the late effects of childhood cancer (DOC 59 kb) SUPPLEMENTARY BOX 2 Lessons learned from


implementing the PFC in oncology care settings serving childhood cancer survivors (DOC 42 kb) POWERPOINT SLIDES POWERPOINT SLIDE FOR FIG. 1 POWERPOINT SLIDE FOR FIG. 2 POWERPOINT SLIDE FOR


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survivor care: development of the Passport for Care. _Nat Rev Clin Oncol_ 11, 740–750 (2014). https://doi.org/10.1038/nrclinonc.2014.175 Download citation * Published: 28 October 2014 *


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