2023 Pasifika Grand Rounds | Long-Term Follow-Up Care for Childhood and AYA Cancer Survivors
As more and more young, middle age, and even senior adults are cancer survivors, many PCPs are unsure of what type of long-term follow-up care is necessary for these patients. Survivors of cancer may be at risk for treatment-related diseases and may require general health care screenings that are not typical for their current age. Examples are females that had radiation to their chests, should start annual breast cancer screening at age 25-years or 8-years after the radiation or whichever occurs last, instead of the standard age of 40 years. Both males and females who had abdominal radiation should start colon cancer screening at age 30 years or 5 years after the radiation or whichever occurs last, instead of standard screening at age 45 years.
There are multiple publications identifying risk factors in cancer survivors, but frequently they are in oncological journals, which a primary health care provider or even a subspecialist, such as a cardiologist, may not be aware of. It is imperative to increase awareness of the special needs a cancer survivor might have related to overall general health care, as well as the understanding of how both the physical and psychosocial impact of being a cancer survivor can influence how a person manages their current health. Lack of knowledge of risk factors for cancer survivors and obtaining insurance authorization for screening tests that are not typical for a person’s age are barriers that must be overcome. General education to both patients and providers of what should be part of routine health care based on an individual’s treatment-related risk factors is a step in the right direction, in an effort to find solutions of community-oriented approaches to overcoming obstacles to care.
The Children's Oncology Group (COG) has developed robust guidelines related to screening treatment-related risk factors that are available to practitioners and the general public. There are many grassroot patient, family and AYA organizations that provide education for patients about managing life after cancer. Targeted interventions are needed to improve long-term follow-up and improved patient outcomes.
Physicians and medical providers who serve Native Hawaiian/Pacific Islander (NH/PI) communities.
- Demonstrate knowledge of potential risk factors based on treatment.
- Identify the most common health care issues that a cancer survivor may be at risk for and how that impacts general health care and necessary screenings.
- Identify easily accessible resources to improve knowledge of cancer treatment-related risk factors and the appropriate screening for them.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Karla Wilson, RN, MSN, FNP-C, CPON Nurse Practitioner, Childhood and AYA Survivorship Program, City of Hope
Presenter: Karla Wilson has indicated that there are no relevant financial relationships.
Planner: Raynald Samoa, MD has indicated that there are no relevant financial relationships.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer no relevant financial relationships: Daneng Li, MD
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
- 1.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this 2023 Pasifika Grand Rounds | Long-Term Follow-Up Care for Childhood and AYA Cancer Survivors for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Attendance