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APHA Scientific Session and Event Listing

Rhonda E. Miller, MPH and Mary Grace Pagaduan, MPH. Information Resource Center, The Leukemia and Lymphoma Society, 1311 Mamaroneck Avenue, Suite 310, White Plains, NY 10605, 914-821-8804, millerr@lls.org

With recent advances in treatment the five-year survival rate for childhood cancers has climbed to nearly 80%, creating a population of approximately 270,000 adolescent and adult survivors. Members of this rapidly-increasing population are often phased out of pediatric oncologic care without appropriate support services in place, while still remaining at risk for a host of late and long-term effects that require special care.

The United States Institute of Medicine estimates that as many as two-thirds of childhood cancer survivors are likely to experience one or more late effects, with perhaps one-quarter of these categorized as severe or life-threatening. Physical complaints range from sexual or gynecologic issues to growth abnormalities and secondary neoplasms. Language and memory deficits, attentional dysfunction and other behavioral effects are often noted, and in a study recently published in Cancer, 46% of parents of childhood cancer survivors reported significant difficulties with academic performance and social development.

This paper will focus on cognitive and physical effects, with an emphasis on transitioning from patient back to child while maintaining an appropriate level of health-related vigilance. Concerns facing childhood cancer survivors will be discussed, and we will explore various levels of solutions including expanded monitoring and the creation of more generalized and readily-available support services for patients and families. Participants will gain a better understanding of these issues and will be inspired through suggestions to improve screening and follow-up testing. The range of programs and support services created by the Leukemia & Lymphoma Society will be highlighted.

Learning Objectives: At the conclusion of the presentation, participants will

• Have a better understanding of the health concerns facing childhood cancer survivors.
• Identify at least three ways to address the cognitive, psychosocial and physical issues that require attention after treatment ends.
• Learn about the programs and services the Leukemia and Lymphoma Society offers to address this growing need.
• Become aware of other resources available for public health professionals.

Keywords: Cancer, Child Health

Related Web page: www.lls.org

Presenting author's disclosure statement:

Not Answered