Summary
Purpose
Good news: Survival rates in childhood cancer have increased from 20% up to over 80% in Europe, depending on cancer type and country. Not so good news: This great success comes with the price that up to 60 to 70% of childhood cancer survivors suffer from cancer- and treatment-related long-term effects that need life-long follow-up care. Bad news: transition from paediatric health care to adult health care still poses a great problem for childhood cancer survivors due to the lack of adequate long-term care structures for adult survivors of childhood cancer.
Patients and methods
Ongoing initiatives and projects driven forward jointly by survivors, parents and health care professionals tackle this gap: Childhood Cancer International Europe (CCI-E) and its Survivors Network (CCI-ESN), the Pan-European Network for Care of Survivors after Childhood and Adolescent Cancer (PanCare) and the European Society for Paediatric Oncology (SIOP Europe) are working on and advocating for better long-term follow-up care structures across Europe.
Results
Three ongoing best practice projects are presented—each reflecting one important element in the delivery and provision of comprehensive long-term follow-up care: The PanCareFollowUp Project, the Survivorship-Passport and the ZONE-project.
Conclusion
The Childhood Cancer International Europe Survivors Network call for action: We need the support of politicians and our health care systems to make sure that every single survivor gets the long-term care that they need. So #RaiseYourHands4Survivors and help us close the gap!
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Notes
ZONE is the German acronym for the project “Centre for oncological follow-up of adult Survivors (of childhood cancer)”.
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C. Schneider, J. den Hartogh, K. Feckter, Z. Tomášiková, and A. Kienesberger declare that they have no competing interests.
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Schneider, C., den Hartogh, J., Feckter, K. et al. Cure is not enough! Why it is time to act and close the gap. memo 12, 265–268 (2019). https://doi.org/10.1007/s12254-019-0508-3
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DOI: https://doi.org/10.1007/s12254-019-0508-3