Joint Topic: Survivorship — Survivorship: Let's Not Be Lost in Transition (233-1)

2:15 – 3:15 pm Saturday, October 30

Childhood cancer cure rates have dramatically improved over the last 30 years, reaching approximately 85% (Chow et al., 2020). In total, approximately two-thirds of children diagnosed with cancer annually will survive for more than 5 years after diagnosis (Chow et al., 2020). But cure comes at a cost.

These childhood cancer survivors are at risk for chronic health conditions (73%) and secondary malignancies (30%) related to the cancer treatments received and require continued risk-based medical surveillance indefinitely (Rosenzweig et al., 2017; Mulder et al., 2016; Prasad et al., 2010). In addition, the potential psychosocial late effects related to the cancer diagnosis and treatment must also be included in survivorship follow-up care (Rosenzweig et al., 2017). Childhood cancer survivorship care ultimately requires transition of care from pediatric providers to adult providers. This transition in care often presents many challenges. Many factors, including transition barriers, transition readiness, and knowledge of self-care management, must be considered during transitions. Transition barriers and transition readiness are not only related to the survivor, but also the parent(s) and the pediatric oncology provider and treatment team (Mouw et al., 2017, Quillen et al, 2017). Transition barriers may prevent or delay successful transition care, which ultimately impacts the overall health and well-being of the survivor. The heart of pediatric nursing is growth and development. A successful transition in care recognizes this same growth and development as it relates to the readiness of all parties: the survivor, the parent, and the provider. All have played a part in the milestone that is survivorship. This educational session will discuss processes necessary for recognizing barriers and enhancing readiness for successful transition practices. Such processes are necessary so that our survivors do not “get lost in the transition” to successful lifelong survivorship care.