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Author Notes:

Jordan Gilleland Marchak, PhD, ABPP; Aflac Cancer and Blood Disorders Center, 2015 Uppergate Dr, Atlanta, Georgia, 30322, USA; Phone: +1-404-727-2293. Email: jgillel@emory.edu

We thank the survivors’ representatives Clarissa Schilstra (Australia), Michael S. Taccone (founder and survivor representative of Childhood Cancer Survivor Canada), and Jaap den Hartogh, Zuzana Tomášiková, and Carina Schneider from CCI Europe for their critical and valuable appraisal of the recommendations. Additionally, we would like to thank Kristen Coros for her support with the search update and Divine Kalenda for her support with manually searching the reference lists of included articles. We would also like to thank the complete IGHG psychological late effects group and Satomi Sato Funaki for their expert review of the recommendations.

We declare no conflicts of interest.

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Research Funding:

This work was supported by the Krebsliga Zentralschweiz, the Swiss National Science Foundation (Grant No. 10001C_182129/1 and 100019_153268 / 1) and the European Union’s Seventh Framework Programme for research, technological development, and demonstration, under grant agreement number 257505.

This work was supported (in part) by the Intramural Research Program of the NIH (LW). CW is supported by a Career Development Fellowship from the National Health and Medical Research Council of Australia (APP1143767).

The funding sources had no influence in the collection, analysis, and interpretation of the data, nor in the writing of the manuscript and in the decision to submit this paper for publication.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Oncology
  • BRIEF SYMPTOM INVENTORY-18
  • POSTTRAUMATIC STRESS SYMPTOMS
  • ACUTE LYMPHOBLASTIC-LEUKEMIA
  • BRAIN-TUMOR SURVIVORS
  • LONG-TERM SURVIVORS
  • DISTRESS THERMOMETER
  • FOLLOW-UP
  • PANCARELIFE CONSORTIUM
  • PSYCHOLOGICAL DISTRESS
  • FERTILITY PRESERVATION

Recommendations for the surveillance of mental health problems in childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group

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Journal Title:

LANCET ONCOLOGY

Volume:

Volume 23, Number 4

Publisher:

, Pages E184-E196

Type of Work:

Article | Post-print: After Peer Review

Abstract:

Survivors of childhood, adolescent, and young adult (diagnosed when <25 years of age) cancer are at risk of mental health problems. The aim of this clinical practice guideline is to harmonise international recommendations for mental health surveillance in survivors of childhood, adolescent, and young adult cancer. This guideline was developed by a multidisciplinary panel of experts under the sponsorship of the International Guideline Harmonization Group. We evaluated concordance among existing survivorship clinical practice guidelines and conducted a systematic review following evidence-based methods. Of 7249 studies identified, 76 articles from 12 countries met the inclusion criteria. Recommendations were formulated on the basis of identified evidence in combination with clinical considerations. This international clinical practice guideline strongly recommends mental health surveillance for all survivors of childhood, adolescent, and young adult cancers at every follow-up visit and prompt referral to mental health specialists when problems are identified. Overall, the recommendations reflect the necessity of mental health surveillance as part of comprehensive survivor-focused health care.

Copyright information:

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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