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KMID : 0191120230380290230
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Journal of Korean Medical Science
2023 Volume.38 No. 29 p.230 ~ p.230
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Current Status and Physicians’ Perspectives of Childhood Cancer Survivorship in Korea: A Nationwide Survey of Pediatric Hematologists/Oncologists
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Lee Ji-Won
Yeo Yo-Hwan
Ju Hee-Young
Cho Hee-Won
Yoo Keon-Hee
Sung Ki-Woong
Koo Hong-Hoe
Jeong Su-Min
Shin Dong-Wook
Baek Hee-Jo
Kook Hoon
Chung Nack-Gyun
Cho Bin
Kim Young-Ae
Park Hyeon-Jin
Song Yun-Mi
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Abstract
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Background : Data on the status of long-term follow-up (LTFU) care for childhood cancer survivors (CCSs) in Korea is lacking. This study was conducted to evaluate the current status of LTFU care for CCSs and relevant physicians’ perspectives.
Methods : A nationwide online survey of pediatric hematologists/oncologists in the Republic of Korea was undertaken.
Results : Overall, 47 of the 74 board-certified Korean pediatric hematologists/oncologists currently providing pediatric hematology/oncology care participated in the survey (response rate = 63.5%). Forty-five of the 47 respondents provided LTFU care for CCSs five years after the completion of primary cancer treatment. However, some of the 45 respondents provided LTFU care only for CCS with late complications or CCSs who requested LTFU care. Twenty of the 45 respondents oversaw LTFU care for adult CCSs, although pediatric hematologists/oncologists experienced more difficulties managing adult CCSs. Many pediatric hematologists/oncologists did not perform the necessary screening test, although CCSs had risk factors for late complications, mostly because of insurance coverage issues and the lack of Korean LTFU guidelines. Regarding a desirable LTFU care system for CCSs in Korea, 27 of the 46 respondents (58.7%) answered that it is desirable to establish a multidisciplinary CCSs care system in which pediatric hematologists/oncologists and adult physicians cooperate.
Conclusion : The LTFU care system for CCS is underdeveloped in the Republic of Korea. It is urgent to establish an LTFU care system to meet the growing needs of Korean CCSs, which should include Korean CCSs care guidelines, provider education plans, the establishment of multidisciplinary care systems, and a supportive national healthcare policy.
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KEYWORD
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Childhood Cancer Survivorship, Long-term Follow-up Care, Pediatric Hematologists/Oncologists
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