Strategies in Survivorship Care: Addressing Current Long-term Follow-up Surveillance Gaps Through Individualized Survivorship Care Plans And Specialty Survivorship Clinics (234) 

2:15 pm – 3:15 pm Saturday, September 17

With current 10-year survival rates greater than 80% for pediatric, adolescent, and young adult (AYA) cancer patients there exists and ever-increasing population of pediatric and AYA cancer survivors. Pediatric and AYA survivors who finish cancer-directed treatment are often burdened with significant risks for long-term complications. This includes risks of secondary cancers and accelerated development of usual age-related comorbid conditions such as heart failure, kidney disease and osteopenia. Given these risks, cancer survivors require specialized health care monitoring and surveillance. The Childhood Cancer Survivor Study has identified significant, suboptimal adherence to COG screening guidelines for secondary malignancies (breast, colorectal, and skin) and cardiac disease amongst this high-risk population. Many survivors and their caregivers also report that they feel uninformed yet worried about potential late effects. This current gap emphasizes the importance of individualized survivorship care post cancer treatment, both short and long term.

This interactive session will discuss the importance of the Advance Practice Provider (APP) role in addressing long-term follow-up surveillance gaps and health risks facing survivorship of childhood and AYA cancers. We will discuss program development of specialty survivorship clinics, specifically emphasizing a multi-provider approach (RN, LCSW, APP, and MD). We will discuss navigating resources available to create SCPs, including the COG long-term follow-up guidelines and Passport For Care®. Discussion will also include strategies for bridging the gap in care for transitioning patients who are 0-2 years post completion of cancer treatment, specifically recognizing and addressing physical and psychosocial needs. The APP plays a vital role in creating individualized, evidence-based survivorship care plans (SCPs) and providing a whole-person model of care that emphasizes patient and caregiver education and empowerment to identify and address modifiable risk factors and improve the overall well-being and happiness of childhood cancer survivors.

Stephanie Neerings MSN APRN FNP-BC
CNE Hours: