Models of care for survivors of childhood cancer from across the globe: Advancing survivorship care in the next decade

Research output: Contribution to journalReview article


With improvements in cancer treatment and supportive care, a growing population of survivors of childhood cancer at risk for significant and potentially life-threatening late effects has been identified. To provide a current snapshot of the models of care from countries with varying levels of resources and health care systems, stakeholders in childhood cancer survivorship clinical care and research were identified from 18 countries across five continents. Stakeholders responded to a survey and provided a brief narrative regarding the current state of survivorship care. Findings indicate that among pediatric-age survivors of childhood cancer (allowing for differences in age cutoffs across countries), resources are generally available, and a large proportion of survivors are seen by a physician familiar with late effects in most countries. After survivors transition to adulthood, only a minority are seen by a physician familiar with late effects. Despite the need to improve communication between pediatric oncology and primary care, only a few countries have existing national efforts to educate primary care physicians, although many more reported that educational programs are in development. These data highlight common challenges and potential solutions for the lifelong care of survivors of childhood cancer. Combining risk-based and patient-oriented solutions for this population is likely to benefit both providers and patients.


  • Emily S. Tonorezos
  • Dana Barnea
  • Richard J. Cohn
  • Monica S. Cypriano
  • Brice C. Fresneau
  • Riccardo Haupt
  • Lars Hjorth
  • Yasushi Ishida
  • Jarmila Kruseova
  • Claudia E. Kuehni
  • Purna A. Kurkure
  • Thorsten Langer
  • Paul C. Nathan
  • Jane E. Skeen
  • Roderick Skinner
  • Nurdan Tacyildiz
  • Marry M. Van Den Heuvel-Eibrink
  • Jeanette F. Winther
  • Melissa M. Hudson
  • Kevin C. Oeffinger
External organisations
  • Memorial Sloan-Kettering Cancer Center
  • Tel Aviv Sourasky Medical Center – Ichilov Hospital
  • University of New South Wales
  • Escola Paulista de Medicina
  • University of Paris-Sud
  • Skåne University Hospital
  • Charles University in Prague
  • University of Bern
  • Tata Memorial Hospital
  • University Medical Center Schleswig-Holstein Campus Lubeck
  • Hospital for Sick Children, Toronto
  • University of Newcastle upon Tyne
  • Ankara University
  • Aarhus University
  • St Jude Children´s Research Hospital, Memphis
  • Duke University
  • Gaslini Children's Hospital
  • Ehime Prefectural Central Hospital
  • Starship Children’s Hospital
  • Princess Maxima Center for Pediatric Oncology/Hematology
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy
Original languageEnglish
Pages (from-to)2223-2230
Number of pages8
JournalJournal of Clinical Oncology
Issue number21
Publication statusPublished - 2018 Jul 20
Publication categoryResearch