Monitoring renal function and blood pressure (BP) in survivors of childhood cancer could help detect health problems at an early stage, say researchers. Knijnenburg and colleagues investigated renal outcomes and BP in 1,442 survivors of childhood cancer (median age 19.3 years, median time since cancer diagnosis 12.1 years). 28.1% of patients had at least one adverse renal outcome or elevated BP; 14.5% had albuminuria. Combined radiation therapy and nephrectomy was identified as a risk factor for elevated BP.