Setting the Standards for Life After Childhood Cancer


2009-04-17 20:07

The Aflac Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta further improves the quality of life and medical outcomes for childhood and adolescent cancer survivors through its Cancer Survivor program. The program aims to improve continued health care and survivor quality of life.

The Cancer Survivor Outlook
One in approximately 640 young adults in the United States todayis a survivor of pediatric cancer,and two-thirds to three-quarters of those survivors suffer from some type of significant adverse health outcome. Many pediatric and adolescent cancers today have a 75 percent to 80 percent cure rate. A recent study published in the New England Journal of Medicine suggests that almost 62 percent of adult survivors of pediatric cancer 30 years post-diagnosis had significant chronic health conditions such as osteoporosis, growth failure, delayed puberty, infertility, musculoskeletal problems, and cognitive and psychosocial dysfunction. Approximately 28 percent had severe, disabling or life-threatening health conditions such as second malignancy, congestive heart failure, pulmonary lung fibrosis, and complications to the liver, kidney and gastrointestinal organ systems.

First Statewide Effort
In 2001, the AflacCancerCenter established the Cancer Survivor program with only one physician, a pediatric oncology nurse practitioner and a program coordinator. Today, the program boasts a staff of nine who follow nearly 1,000 childhood and adolescent cancer survivors in search of ways to improve their continued health care and quality of life.

“Our first goal was to get every survivor treated within the Aflac Cancer Center enrolled into our survivorship program – and our second goal was to develop the Georgia Pediatric Alliance for Cancer Survivors,” said Lillian Meacham, M.D., Medical Director for the Aflac Cancer Center Cancer Survivor program, Professor of Pediatrics with Emory University School of Medicine and recipient of the Kathelen V. Amos Children's Chair for Cancer Survivorship.

Many survivors do not know they could have a concise, portable summary of their cancer care that includes recommendations for long-term follow-up. This summary is called a Survivor Healthcare Plan.

“It’s a tool that can significantly aid in their future medical care,” Meacham said. “In fact, many survivors and their families do not even know there is a field of medicine, called Cancer Survivorship, focused explicitly on their treatment experience and what they’re now going through later in life”

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In 2007, the AflacCancerCenter developed the Georgia Pediatric Alliance for Cancer Survivors (GPACS). Funded by the Georgia Cancer Coalition, GPACS is an independent nonprofit organization whose goals are to reduce the burden of cancer in Georgia. This was the first and only time anything like this has been done on a statewide basis in the United States. The goal of the collaborative effort is to eventually ensure that all pediatric cancer survivors receive the recommended survivor care and ultimately reduce the severity of resultant late effects of every childhood and adolescent cancer survivor in Georgia. Future plans include the utilization of a web-based system that would make Survivor Healthcare Plans always available to survivors, their families, and, with the survivor’s authorization, all physicians involved in their existing and future care. This is hoped to keep all healthcare providers informed and communicating about the survivor’s medical needs.

“Cancer survivor health care is a new and growing field of medicine,” said Ann Mertens, Ph.D., a childhood cancer epidemiologist who heads the research efforts for the Aflac Cancer Center Cancer Survivor program and a Professor of Pediatrics with EmoryUniversity.

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