Surveillance for subsequent neoplasms of the CNS for childhood, adolescent, and young adult cancer survivors: a systematic review and recommendations from the International Late Effects of Childhood Cancer Guideline Harmonization Group
Autor: | Netteke Schouten-van Meeteren, Katrin Scheinemann, Ranjeev Bhangoo, Pieter M. Pretorius, Gregory T. Armstrong, Daniel C. Bowers, Riccardo Haupt, W. Hamish B. Wallace, Kevin C. Oeffinger, Andrew W. Walter, Antony Ng, Michael M. Hawkins, Raja B. Khan, Helen Jenkinson, Jop C Teepen, Raoul C. Reulen, Leontien C. M. Kremer, Noah D. Sabin, Elaine Sugden, Renée L. Mulder, Melissa M. Hudson, Paul Klimo, Helena J H van der Pal, Zsila Sadighi, Cécile M. Ronckers, Roderick Skinner, Louis S. Constine, Nicole J. Ullrich, Lisanne C Verbruggen |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Adolescent MEDLINE Psychological intervention Central Nervous System Neoplasms Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Cancer Survivors Survivorship curve medicine Humans 030212 general & internal medicine Young adult Child Intensive care medicine Early Detection of Cancer Cancer survivor business.industry Cancer Guideline medicine.disease Oncology 030220 oncology & carcinogenesis Practice Guidelines as Topic business |
Zdroj: | The Lancet Oncology. 22:e196-e206 |
ISSN: | 1470-2045 |
Popis: | Exposure to cranial radiotherapy is associated with an increased risk of subsequent CNS neoplasms among childhood, adolescent, and young adult (CAYA) cancer survivors. Surveillance for subsequent neoplasms can translate into early diagnoses and interventions that could improve cancer survivors' health and quality of life. The practice guideline presented here by the International Late Effects of Childhood Cancer Guideline Harmonization Group was developed with an evidence-based method that entailed the gathering and appraisal of published evidence associated with subsequent CNS neoplasms among CAYA cancer survivors. The preparation of these guidelines showed a paucity of high-quality evidence and highlighted the need for additional research to inform survivorship care. The recommendations are based on careful consideration of the evidence supporting the benefits, risks, and harms of the surveillance interventions, clinical judgment regarding individual patient circumstances, and the need to maintain flexibility of application across different health-care systems. Currently, there is insufficient evidence to establish whether early detection of subsequent CNS neoplasms reduces morbidity and mortality, and therefore no recommendation can be formulated for or against routine MRI surveillance. The decision to start surveillance should be made by the CAYA cancer survivor and health-care provider after careful consideration of the potential harms and benefits of surveillance for CNS neoplasms, including meningioma. |
Databáze: | OpenAIRE |
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