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  Vol. 297 No. 24, June 27, 2007 TABLE OF CONTENTS
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Childhood Cancer Survivors, Late Effects, and a New Model for Understanding Survivorship

Kevin C. Oeffinger, MD; Leslie L. Robison, PhD

JAMA. 2007;297:2762-2764.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In 1950, at a time when cancer remission was measured in days, Farber stated that "The use of chemotherapeutic agents now available . . . should do much to reduce the number of instances of ‘incurable cancer’ in infants and children."1 Today, in 2007, approximately 80% of children with cancer are cured.2

However, it gradually was realized that this cure had a cost; ie, the curative therapy could damage a child's developing organ systems. Some problems, such as cognitive deficits following cranial radiotherapy, were apparent soon after completion of therapy. However, many sequelae were not recognized until survivors were a decade or more beyond their cancer. In 1974, Meadows and D’Angio described different methods and approaches to "detect the late effects of cancer therapy"3; thus began the expansion of the concept of cure to include long-term outcomes.

In this issue of JAMA, Geenen and . . . [Full Text of this Article]

Author Affiliations: Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY (Dr Oeffinger); Department of Epidemiology and Cancer Control, St Jude Children's Research Hospital, Memphis, Tenn (Dr Robison).



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Medical Assessment of Adverse Health Outcomes in Long-term Survivors of Childhood Cancer
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JAMA. 2007;297(24):2705-2715.
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