European recommendations for short-term surveillance of health problems in childhood, adolescent and young adult cancer survivors from the end of treatment to 5 years after diagnosis: a PanCare guideline
Ismay A E de Beijer, Roderick Skinner, Riccardo Haupt, Desiree Grabow, Edit Bárdi, A Beccaria, Adela Cañete, Samira Essiaf, Anna‐Liesa Filbert, Hannah Gsell, Anita Kienesberger, Thorsten Langer, Patricia McColgan, Monica Muraca, Jelena Rascon, Ramona Tallone, Zuzana Tomášiková, Anne Uyttebroeck, Leontien C.M. Kremer, Helena J. H. van der Pal, Renée L. Mulder, Desiree Grabow, Anna‐Liesa Filbert, Dorothea Niehoff, Diana Walz, Friederike Erdmann, Claudia Spix, Riccardo Haupt, Monica Muraca, Simone Lightwood, Francesca Bagnasco, Giacomo Cavalca, Sara Oberti, Brigitte Nicolas, Ruth Ladenstein, Edit Bárdi, Vanessa Düster, Anne Uyttebroeck, Maria Van Helvoirt, Jurgen Lemiere, Marleen Renard, An Michiels, Thorsten Langer, Ann-Kristin Kock-Schoppenhauer, Lea Hildebrand, Anke Neumann Anne-Katrin Jahnke, Jelena Rascon, Justas Trinkūnas, Audronė Ciesiūniene, Paulius Ragauskas, Adela Cañete Nieto, Julia Balaguer Guill, María Teresa Tormo Alcañiz, Antonio Orduña Galan, Marisa Correcher Palau, L. Beltran, Vicente Pons Tamarit, Davide Saraceno, Alessandra Berti, Carlo Contino, Nikos Thomopulos, Giulia Stabile, Maria Franca Tomassi, Igor Zamberlan, Barbara Nichel, G. Schreier, Dieter Hayn, Karl Kreiner, Stefan Beyer, Catherine Chronaki, Giorgio Cangioli, Eliana Charalambous, Alexander Degelsegger-Márquez, Gerald Gredinger, Kathrin Trunner, Florian Trauner, Anja Laschkolnig, Leontien C.M. Kremer, Heleen van der Pal, Saskia M. F. Pluijm, Selina R. van den Oever, Ismay de Beijer, Jessica Trollip, Emma C Hardijzer, Heleen van der Pal, Jaap den Hartogh, Jeroen te Dorsthorst, Samira Essiaf, William Sciberras, Anita Kienesberger, Hannah Gsell, Carina Schneider, Zuzana Tomášiková
Abstract
PURPOSE: Childhood, adolescent and young adult (CAYA) cancer survivors require ongoing surveillance for health problems from the end of cancer treatment throughout their lives. There is a lack of evidence-based guidelines on optimal surveillance strategies for the period from the end of treatment to 5 years after diagnosis. We aimed to address this gap by developing recommendations for short-term surveillance of health problems based on existing long-term follow-up (LTFU) care guidelines. METHODS: The guideline working group, consisting of healthcare professionals, parents and survivor representatives from 10 countries, worked together to identify relevant health problems that may occur in survivors between the end of treatment and 5 years after diagnosis and to develop recommendations for short-term surveillance of health problems. The recommendations were drawn from existing LTFU guidelines and adapted where necessary based on clinical expertise. RESULTS: The working group developed 44 recommendations for short-term surveillance of health problems, which were divided into four categories based on the level of surveillance required: awareness only (n = 11), awareness, history and/or physical examination without surveillance test (n = 15), awareness, history and/or physical examination with potential surveillance test (n = 1) and awareness, history and/or physical examination with surveillance test (n = 17). CONCLUSION: The development of a guideline for short-term surveillance of health problems fills a critical gap in survivorship care for CAYA cancer survivors, providing much-needed support immediately after treatment up to 5 years after diagnosis. IMPLICATIONS FOR CANCER SURVIVORS: This guideline will support healthcare professionals to provide appropriate follow-up care and improve the quality of life of CAYA cancer survivors.