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MD Anderson Manual of Medical Oncology | Part XIII. Long-Term Survival > | Chapter 42. Pediatric Long-Term Follow-Up Sections: Later Effects of Childhood Cancer and Cancer Treatmentsa Guide for the Community Provider, Overview of Childhood Cancers, Overview of Surveillance, Summary, References. Topics Discussed: childhood cancer.
Excerpt:
"The community health care provider will at some point be faced
with caring for a survivor of childhood cancer. This may be episodic
care or follow-up care for the cancer and treatment. Approximately
1 of every 350 persons living in the United States today has been
diagnosed or will be diagnosed with cancer before the age of 20.
Prior to 1960, nearly all children diagnosed with cancer died of
their disease. Since 1960, however, due to innovative and combined
treatment modalities, the rate of survival for childhood cancers
has been climbing rapidly. Current estimates are that 75% of
all patients diagnosed with cancer who are less than 20 years of
age will now be cured (14). This represents a rapidly
growing group of individuals who have survived both their cancer
and their cancer treatment; currently it is estimated to comprise
270,000 individuals in the United States (14). Many of
these patients are followed in one of the 26 clinics, located in
18 states, identified by Nancy Keene, well-known patient advocate
and author of many books for families dealing with cancer and cancer
survivorship. However, the majority of the 270,000 living survivors
of childhood cancer are followed by pediatric practitioners, family..."
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