Patricia A. Ganz, MD; Jacqueline N. Casillas, MD, MSHS; Anne Coscarelli, PhD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-0265.
Requests for Single Reprints: Patricia A. Ganz, MD, Division of Cancer Prevention and Control, Research, Jonsson Comprehensive Cancer Center at University of California, Los Angeles, 650 Charles Young Drive South, Room A2-125, Center for the Health Sciences, Los Angeles, CA 90095-6900; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Ganz: Division of Cancer Prevention and Control, Research, Jonsson Comprehensive Cancer Center at University of California, Los Angeles, 650 Charles Young Drive South, Room A2-125, Center for the Health Sciences, Los Angeles, CA 90095-6900.
Dr. Casillas: Department of Pediatrics–Hematology/Oncology, University of California, Los Angeles, Box 951752, A2-410 Marion Davies Children's Center, Los Angeles, CA 90095-1752.
Dr. Coscarelli: Jonsson Comprehensive Cancer Center and Simms/Mann Center for Integrative Oncology at University of California, Los Angeles, Box 956934, Suite 502, 200 Medical Plaza, Los Angeles, CA 90095-6934.
Ganz PA, Casillas JN, Coscarelli A. Estimating the Human Costs of Cancer Survivorship in Children. Ann Intern Med. 2010;152:465-466. doi: 10.7326/0003-4819-152-7-201004060-00011
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Published: Ann Intern Med. 2010;152(7):465-466.
One of the most spectacular results of the federal war on cancer has been the high rate of cure achieved for children with cancer, with complete remission rates as high as 90% that often portend long-term cure (1, 2). However, the human costs of cure are high, including acute toxicities and life-threatening treatments, financial stresses, and ongoing psychosocial effects for the patient and family. The latter two are especially manifest during the transition period from acute treatment to follow-up after therapy, which is associated with ongoing surveillance for recurrence and retreatment as necessary and assessment for potential late effects of cancer treatment. This is the story for almost 300 000 long-term childhood cancer survivors, most of whom no longer receive care within a cancer center environment, but rather in the general medical community (3).
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Hematology/Oncology, Cancer Survivorship, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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