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Roadmap for Care of Pediatric Cancer Survivors

AAP News

August 30, 2021

Melissa M. Hudson, M.D.,


Roadmap for care of cancer survivors: Joint report updates recommendations


The development of curative therapy for pediatric cancers represents a milestone in cancer advances of the last 50 years. Five-year survival rates now exceed 80% in high-income countries, with extended survival into adulthood anticipated for most children, adolescents and young adults diagnosed with cancer.


As the growing survivor population transitions from care provided at oncology centers, primary care professionals will be called on to participate in long-term follow-up care.

Thus, awareness of survivors’ physical and psychosocial morbidities is critical to assure access to care and services that address their unique health risks predisposed by cancer and its treatment.


The AAP clinical report Long-term Follow-up Care for Childhood, Adolescent and Young Adult Cancer Survivors has been updated based on the latest guidelines from the Children’s Oncology Group (COG). The report, from the Section on Hematology/Oncology, COG and the American Society of Pediatric Hematology/Oncology, is available at https://doi.org/10.1542/peds.2021-053127 and will be published in the September issue of Pediatrics.


Importance of care plan, challenges

Key facts highlighting the importance of survivorship care include the following:

  • Virtually all survivors experience persistent and long-term (late) effects of cancer.

  • Many health effects present years after cancer treatment.

  • Late effects contribute to excess morbidity and premature m