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Open Access 09-05-2024 | Review

Childhood cancer models of survivorship care: a scoping review of elements of care and reported outcomes

Authors: Natalie Bradford, Raymond Javan Chan, Xiomara Skrabal Ross, Carla Thamm, Erin Sharwood, Jason Pole, Christine Cashion, Larissa Nekhlyudov

Published in: Journal of Cancer Survivorship

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Abstract

Purpose

This study aimed to systematically map elements of care and respective outcomes described in the literature for different models of post-treatment care for survivors of childhood cancer.

Methods

MEDLINE, CINAHL, and Embase were searched with combinations of free text terms, synonyms, and MeSH terms using Boolean operators and are current to January 2024. We included studies that described post-treatment cancer survivorship models of care and reported patient or service level elements of care or outcomes, which we mapped to the Quality of Cancer Survivorship Care Framework domains.

Results

Thirty-eight studies with diverse designs were included representing 6101 childhood cancer survivors (or their parent/caregiver) and 14 healthcare professionals. A diverse range of models of care were reported, including paediatric oncologist-led long-term follow-up, multi-disciplinary survivorship clinics, shared-care, and primary care-led follow-up. Elements of care at the individual level most commonly included surveillance for cancer recurrence as well as assessment of physical and psychological effects. At the service level, satisfaction with care was frequently reported but few studies reported how treatment-related-late effects were managed. The evidence does not support one model of care over another.

Conclusions

Gaps in evidence exist regarding distal outcomes such as costs, health care utilization, and mortality, as well as understanding outcomes of managing chronic disease and physical or psychological effects. The findings synthesized in this review provide a valuable reference point for future service planning and evaluation.

Implications for Cancer Survivors

Decades of research highlight the importance of survivorship care for childhood cancer survivors who are at risk of serious treatment-related late effects. This review emphasizes there is no single, ‘one-size fits all’ approach for delivering such care to this vulnerable population.
Appendix
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Metadata
Title
Childhood cancer models of survivorship care: a scoping review of elements of care and reported outcomes
Authors
Natalie Bradford
Raymond Javan Chan
Xiomara Skrabal Ross
Carla Thamm
Erin Sharwood
Jason Pole
Christine Cashion
Larissa Nekhlyudov
Publication date
09-05-2024
Publisher
Springer US
Published in
Journal of Cancer Survivorship
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-024-01610-6