TY - JOUR
T1 - Caring for survivors of childhood cancers: the size of the problem
AU - Curry, HL
AU - Parkes, SE
AU - Powell, Judith
AU - Mann, JR
PY - 2006/3/1
Y1 - 2006/3/1
N2 - Many survivors of childhood cancer have significant health problems due to their illness or treatment. This population-based study examines the number of long-term survivors, their disabilities and consequent long-term care needs. Survival rates for children diagnosed with cancer between 1960 and 1999 in the West Midlands, United Kingdom (UK), were used to estimate future long-term survivor numbers. Treatment and late effects data on a cohort of patients surviving for more than 5 years were used to consider continuing care needs. Between the 1960s and 1990s, 5-year survival increased from 23% to 70%. There were 98 5-year survivors in 1970, and numbers may exceed 2,100 by the end of 2005. Most (at least 61%) survivors in the West Midlands Region have one or more chronic medical problems and may require multidisciplinary care. We conclude that, in order to determine how to provide cost-effective care for this increasing population, protocol delivered management with audit is needed.
AB - Many survivors of childhood cancer have significant health problems due to their illness or treatment. This population-based study examines the number of long-term survivors, their disabilities and consequent long-term care needs. Survival rates for children diagnosed with cancer between 1960 and 1999 in the West Midlands, United Kingdom (UK), were used to estimate future long-term survivor numbers. Treatment and late effects data on a cohort of patients surviving for more than 5 years were used to consider continuing care needs. Between the 1960s and 1990s, 5-year survival increased from 23% to 70%. There were 98 5-year survivors in 1970, and numbers may exceed 2,100 by the end of 2005. Most (at least 61%) survivors in the West Midlands Region have one or more chronic medical problems and may require multidisciplinary care. We conclude that, in order to determine how to provide cost-effective care for this increasing population, protocol delivered management with audit is needed.
KW - paediatrics
KW - follow-up studies
KW - long-term survivors
KW - medical oncology
UR - http://www.scopus.com/inward/record.url?scp=32444441482&partnerID=8YFLogxK
U2 - 10.1016/j.ejca.2005.11.003
DO - 10.1016/j.ejca.2005.11.003
M3 - Article
C2 - 16406574
SN - 1879-0852
SN - 1879-2995
VL - 42
SP - 501
EP - 508
JO - European Journal of Cancer
JF - European Journal of Cancer
ER -