Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Opinion
  • Published:

Childhood cancer survivor care: development of the Passport for Care

Nature Reviews Clinical Oncology volume 11, pages 740–750 (2014)Cite this article

Subjects

Abstract

Survivors of childhood cancer are at risk of long-term adverse effects and late effects of the disease and/or its treatment. In response to national recommendations to improve evidence-based follow-up care, a web-based support system for clinical decision making, the Passport for Care (PFC), was developed for use at the point of care to produce screening recommendations individualized to the survivor. To date, the PFC has been implemented in over half of the nearly 200 clinics affiliated with the Children's Oncology Group across the USA. Most clinician users report that the PFC has been integrated into clinic workflows, and that it fosters improved conversations with survivors about the potential late effects a survivor might experience and about the screening and/or behavioural interventions recommended to improve health status. Furthermore, clinicians using the PFC have indicated that they adhered more closely to follow-up care guidelines. Perspectives on the challenges encountered and lessons learned during the development and deployment of the PFC are reviewed and contrasted with other nationwide approaches to the provision of guidance on survivor follow-up care; furthermore, the implications for the care of childhood cancer survivors are discussed.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Illustrative examples of PFC pages.
Figure 2: Growth in PFC enrolment.
Figure 3: Clinic respondent estimates of the percentage of cancer survivors for whom the PFC is used, based on a survey by the PFC developers (D. G. Poplack, unpublished data).
Figure 4: Breakdown of uses of the PFC.

Similar content being viewed by others

References

  1. Institute of Medicine (US) and National Research Council (US) National Cancer Policy Board (eds Hewitt, M., Weiner, S. L. & Simone, J. V.) Childhood Cancer Survivorship: Improving Care and Quality of Life (National Academies Press, 2003).

  2. Centers for Disease Control and Prevention. A National Action Plan for Cancer Survivorship: Advancing Public Health Strategies (The Centers for Disease Control and Prevention and The Lance Armstrong Foundation, 2004).

  3. President's Cancer Panel. 2003–2004 Annual Report (ed. Reuben, S.) 112 (NIH National Cancer Institute, 2004).

  4. National Cancer Policy Board (US) Committee on Cancer Survivorship: Improving Care and Quality of Life (eds Hewitt, M. E., Greenfield, S. & Stovall, E.). From Cancer Patient to Cancer Survivor: Lost in Transition (National Academies Press, 2006).

  5. Cantrell, M. A. & Conte, T. M. Between being cured and being healed: the paradox of childhood cancer survivorship. Qual. Health Res. 19, 312–322 (2009).

    Article  Google Scholar 

  6. Texas Children's Cancer and Hematology Centers. Passport for Care® Application [online], (2014).

  7. O'Leary, M., Krailo, M., Anderson, J. R., Reaman, G. H. ; Children's Oncology Group. Progress in childhood cancer: 50 years of research collaboration, a report from the Children's Oncology Group. Semin. Oncol. 35, 484–493 (2008).

    Article  Google Scholar 

  8. National Cancer Institute, Surveillance, Epidemiology, and End Results Program. SEER Cancer Statistics Review, 1975–2010 [online], (2013).

  9. National Cancer Institute, Surveillance, Epidemiology, and End Results (SEER). Section 28. Childhood Cancer by Site: Incidence, Survival and Mortality [online], (2013).

  10. Robison, L. L. & Hudson, M. M. Survivors of childhood and adolescent cancer: life-long risks and responsibilities. Nat. Rev. Cancer 14, 61–70 (2014).

    Article  CAS  Google Scholar 

  11. Kremer, L. C., van der Pal, H. J., Offringa, M., van Dalen, E. C. & Voute, P. A. Frequency and risk factors of subclinical cardiotoxicity after anthracycline therapy in children: a systematic review. Ann. Oncol. 13, 819–829 (2002).

    Article  CAS  Google Scholar 

  12. Travis, L. B. The epidemiology of second primary cancers. Cancer Epidemiol. Biomarkers Prev. 15, 2020–2026 (2006).

    Article  Google Scholar 

  13. Oeffinger, K. C. & Hudson, M. M. Long-term complications following childhood and adolescent cancer: foundations for providing risk-based health care for survivors. CA Cancer J. Clin. 54, 208–236 (2004).

    Article  Google Scholar 

  14. Oeffinger, K. C. et al. Chronic health conditions in adult survivors of childhood cancer. N. Engl. J. Med. 355, 1572–1582 (2006).

    Article  CAS  Google Scholar 

  15. Armstrong, G. T. et al. Aging and risk of severe, disabling, life-threatening, and fatal events in the childhood cancer survivor study. J. Clin. Oncol. 32, 1218–1227 (2014).

    Article  Google Scholar 

  16. Children's Oncology Group. Children's Oncology Group—The World's Childhood Cancer Experts: About Us [online], (2014).

  17. Landier, W. et al. Development of risk-based guidelines for pediatric cancer survivors: the Children's Oncology Group Long-Term Follow-Up Guidelines from the Children's Oncology Group Late Effects Committee and Nursing Discipline. J. Clin. Oncol. 22, 4979–4990 (2004).

    Article  Google Scholar 

  18. National Comprehensive Cancer Network. NCCN Categories of Evidence and Consensus [online], (2014).

  19. Winn, R. J. & Botnick, W. Z. The NCCN Guideline Program: a conceptual framework. Oncology (Williston Park) 11, 25–32 (1997).

    CAS  Google Scholar 

  20. Eshelman, D. et al. Facilitating care for childhood cancer survivors: integrating Children's Oncology Group Long-Term Follow-up Guidelines and Health Links in clinical practice. J. Pediatr. Oncol. Nurs. 21, 271–280 (2004).

    Article  Google Scholar 

  21. Children's Oncology Group. Long-Term Follow-Up Guidelines for Childhood, Adolescent & Young Adult Cancers [online], (2014).

  22. Kadan-Lottick, N. S. et al. Childhood cancer survivors' knowledge about their past diagnosis and treatment: Childhood Cancer Survivor Study. JAMA 287, 1832–1839 (2002).

    Article  Google Scholar 

  23. Bashore, L. Childhood and adolescent cancer survivors' knowledge of their disease and effects of treatment. J. Pediatr. Oncol. Nurs. 21, 98–102 (2004).

    Article  Google Scholar 

  24. Caprino, D., Wiley, T. J. & Massimo, L. Childhood cancer survivors in the dark. J. Clin. Oncol. 22, 2748–2750 (2004).

    Article  CAS  Google Scholar 

  25. Freyer, D. R. & Brugieres, L. Adolescent and young adult oncology: transition of care. Pediatr. Blood Cancer 50, 1116–1119 (2008).

    Article  Google Scholar 

  26. Eshelman-Kent, D. et al. Cancer survivorship practices, services, and delivery: a report from the Children's Oncology Group (COG) Nursing Discipline, Adolescent/Young Adult, and Late Effects Committees. J. Cancer Surviv. 5, 345–357 (2011).

    Article  Google Scholar 

  27. Freyer, D. R. Transition of care for young adult survivors of childhood and adolescent cancer: rationale and approaches. J. Clin. Oncol. 28, 4810–4818 (2010).

    Article  Google Scholar 

  28. Henderson, T. O., Friedman, D. L. & Meadows, A. T. Childhood cancer survivors: transition to adult-focused risk-based care. Pediatrics 126, 129–136 (2010).

    Article  Google Scholar 

  29. Henderson, T. O., Hlubocky, F. J., Wroblewski, K. E., Diller, L. & Daugherty, C. K. Physician preferences and knowledge gaps regarding the care of childhood cancer survivors: a mailed survey of pediatric oncologists. J. Clin. Oncol. 28, 878–883 (2010).

    Article  Google Scholar 

  30. Suh, E. et al. General internists' preferences and knowledge about the care of adult survivors of childhood cancer. Ann. Intern. Med. 160, 11–17 (2014).

    Article  Google Scholar 

  31. Sima, J. L., Perkins, S. M. & Haggstrom, D. A. Primary care physician perceptions of adult survivors of childhood cancer. J. Pediatr. Hematol. Oncol. 36, 118–124 (2014).

    Article  Google Scholar 

  32. Keegan, T. H. et al. Medical care in adolescents and young adult cancer survivors: what are the biggest access-related barriers? J. Cancer Surviv. 8, 282–292 (2014).

    Article  Google Scholar 

  33. Hudson, S. V. et al. Adult cancer survivors discuss follow-up in primary care: 'not what I want, but maybe what I need'. Ann. Fam. Med. 10, 418–427 (2012).

    Article  Google Scholar 

  34. Cheung, W. Y., Neville, B. A., Cameron, D. B., Cook, E. F. & Earle, C. C. Comparisons of patient and physician expectations for cancer survivorship care. J. Clin. Oncol. 27, 2489–2495 (2009).

    Article  Google Scholar 

  35. Absolom, K. et al. Follow-up care for cancer survivors: views of the younger adult. Br. J. Cancer 101, 561–567 (2009).

    Article  CAS  Google Scholar 

  36. Cheung, W. Y., Neville, B. A. & Earle, C. C. Associations among cancer survivorship discussions, patient and physician expectations, and receipt of follow-up care. J. Clin. Oncol. 28, 2577–2583 (2010).

    Article  Google Scholar 

  37. Mao, J. J. et al. Delivery of survivorship care by primary care physicians: the perspective of breast cancer patients. J. Clin. Oncol. 27, 933–938 (2009).

    Article  Google Scholar 

  38. de Bock, G. H. et al. Patient's needs and preferences in routine follow-up after treatment for breast cancer. Br. J. Cancer 90, 1144–1150 (2004).

    Article  CAS  Google Scholar 

  39. Burg, M. A., Lopez, E. D., Dailey, A., Keller, M. E. & Prendergast, B. The potential of survivorship care plans in primary care follow-up of minority breast cancer patients. J. Gen. Intern. Med. 24 (Suppl. 2), S467–S471 (2009).

    Article  Google Scholar 

  40. Grunfeld, E. et al. Evaluating survivorship care plans: results of a randomized, clinical trial of patients with breast cancer. J. Clin. Oncol. 29, 4755–4762 (2011).

    Article  Google Scholar 

  41. Blinder, V. S. et al. Patient perspectives on breast cancer treatment plan and summary documents in community oncology care: a pilot program. Cancer 119, 164–172 (2013).

    Article  Google Scholar 

  42. Sprague, B. L. et al. Patient satisfaction with breast and colorectal cancer survivorship care plans. Clin. J. Oncol. Nurs. 17, 266–272 (2013).

    Article  Google Scholar 

  43. Baravelli, C. et al. The views of bowel cancer survivors and health care professionals regarding survivorship care plans and post treatment follow up. J. Cancer Surviv. 3, 99–108 (2009).

    Article  Google Scholar 

  44. Faul, L. A. et al. Survivorship care planning in colorectal cancer: feedback from survivors & providers. J. Psychosoc. Oncol. 30, 198–216 (2012).

    Article  Google Scholar 

  45. Papadakos, J. et al. Informational needs of gynecologic cancer survivors. Gynecol. Oncol. 124, 452–457 (2012).

    Article  Google Scholar 

  46. Jones, J. M. et al. Experiences of care delivery: endometrial cancer survivors at end of treatment. Gynecol. Oncol. 124, 458–464 (2012).

    Article  Google Scholar 

  47. Brothers, B. M., Easley, A., Salani, R. & Andersen, B. L. Do survivorship care plans impact patients' evaluations of care? A randomized evaluation with gynecologic oncology patients. Gynecol. Oncol. 129, 554–558 (2013).

    Article  Google Scholar 

  48. Hewitt, M. E., Bamundo, A., Day, R. & Harvey, C. Perspectives on post-treatment cancer care: qualitative research with survivors, nurses, and physicians. J. Clin. Oncol. 25, 2270–2273 (2007).

    Article  Google Scholar 

  49. Mayer, D. K., Gerstel, A., Leak, A. N. & Smith, S. K. Patient and provider preferences for survivorship care plans. J. Oncol. Pract. 8, e80–e86 (2012).

    Article  Google Scholar 

  50. Salz, T., Oeffinger, K. C., McCabe, M. S., Layne, T. M. & Bach, P. B. Survivorship care plans in research and practice. CA Cancer J. Clin. http://dx.doi.org/10.3322/caac.20142 (2012).

  51. Kent, E. E. et al. Health information needs and health-related quality of life in a diverse population of long-term cancer survivors. Patient Educ. Couns. 89, 345–352.

    Article  Google Scholar 

  52. Spain, P. D. et al. Response to a treatment summary and care plan among adult survivors of pediatric and young adult cancer. J. Oncol. Pract. 8, 196–202 (2012).

    Article  Google Scholar 

  53. Bober, S. L. et al. Caring for cancer survivors: a survey of primary care physicians. Cancer 115, 4409–4418 (2009).

    Article  Google Scholar 

  54. Nissen, M. J. et al. Views of primary care providers on follow-up care of cancer patients. Fam. Med. 39, 477–482 (2007).

    PubMed  Google Scholar 

  55. Birken, S. A., Deal, A. M., Mayer, D. K. & Weiner, B. J. Determinants of survivorship care plan use in US cancer programs. J. Cancer Educ. http://dx.doi.org/10.1007/s13187-014-0660-8.

  56. Birken, S. A., Deal, A. M., Mayer, D. K. & Weiner, B. J. Following through: the consistency of survivorship care plan use in United States cancer programs. J. Cancer Educ. http://dx.doi.org/10.1007/s13187-014-0628-8.

  57. American College of Surgeons: Commission on Cancer. Cancer Program Standards 2012, Version 1.2.1: Ensuring Patient-Centered Care [online], (2014).

  58. Oeffinger, K. C. et al. Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr. Blood Cancer 56, 818–824 (2011).

    Article  Google Scholar 

  59. Horowitz, M., Fordis, M., Krause, S., McKellar, J. & Poplack, D. Passport for Care: implementing the survivorship care plan. J. Oncol. Prac. 5, 110–112 (2009).

    Article  Google Scholar 

  60. LIVESTRONG Care Plan. Penn Medicine's OncoLink [online], (2014).

  61. LiveStrong. LiveStrong Foundation: We're Grabbing Cancer by the Horns [online], (2014).

  62. The Perelman Center for Advanced Medicine, The University of Pennsylvania. OncoLink: Cancer Resources for Patients and Healthcare Professionals [online], (2014).

  63. National Coalition for Cancer Survivorship. About Journey Forward [online], (2014).

  64. National Coalition for Cancer Survivorship. Journey Forward: Frequently Asked Questions [online], (2014).

  65. Hausman, J., Ganz, P. A., Sellers, T. P. & Rosenquist, J. Journey forward: the new face of cancer survivorship care. J. Oncol. Pract. 7, e50s–e56s (2011).

    Article  Google Scholar 

  66. Hausman, J., Ganz, P. A., Sellers, T. P. & Rosenquist, J. Journey forward: the new face of cancer survivorship care. Am. J. Manag. Care 17, e187–e193 (2011).

    PubMed  Google Scholar 

  67. US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology. HITECH Act [online], (2013).

  68. Blumenthal, D. Health information technology: what is the federal government's role? (Commonwealth Fund, 2006).

  69. Sittig, D. F. & Singh, H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual. Saf. Health Care 19 (Suppl. 3), i68–i74 (2010).

    Article  Google Scholar 

  70. Osheroff, J. A. et al. Improving Outcomes with Clinical Decision Support: An Implementer's Guide, 2nd edn (HIMSS, 2012).

    Book  Google Scholar 

  71. US Department of Health and Human Services. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification Regulations [online], (2013).

  72. US Government Printing Office. Federal Information Security Management Act of 2002 [online], (2014).

  73. McCabe, M. S. et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J. Clin. Oncol. 31, 631–640 (2013).

    Article  Google Scholar 

  74. Nathan, P. C. et al. Medical care in long-term survivors of childhood cancer: a report from the childhood cancer survivor study. J. Clin. Oncol. 26, 4401–4409 (2008).

    Article  Google Scholar 

  75. Oeffinger, K. C. & Wallace, W. H. Barriers to follow-up care of survivors in the United States and the United Kingdom. Pediatr. Blood Cancer 46, 135–142 (2006).

    Article  Google Scholar 

  76. Landier, W. Survivorship care: essential components and models of delivery. Oncology (Williston Park) 23, 46–53 (2009).

    Google Scholar 

  77. Britto, M. T., Hesse, E. A., Kamdar, O. J. & Munafo, J. K. Parents' perceptions of a patient portal for managing their child's chronic illness. J. Pediatr. 163, 280–281.e1–e2 (2013).

    Article  Google Scholar 

  78. Kim, H. & Zhang, Y. in Proceedings of the 5th Information Interaction in Context Symposium 255–258 (ACM, 2014).

    Google Scholar 

  79. Williamson, R. et al. Predictors of successful use of a web-based healthcare document storage and sharing system for pediatric cancer survivors: Cancer SurvivorLink™. J. Cancer Surviv. 8, 355–363 (2014).

    Article  Google Scholar 

  80. Chou, W. Y., Liu, B., Post, S. & Hesse, B. Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003–2008. J. Cancer Surviv. 5, 263–270 (2011).

    Article  Google Scholar 

  81. Friedman, D. L., Freyer, D. R. & Levitt, G. A. Models of care for survivors of childhood cancer. Pediatr. Blood Cancer 46, 159–168 (2006).

    Article  Google Scholar 

  82. Viswanathan, M. et al. Models of Cancer Survivorship Care (Agency for Healthcare Research and Quality, 2014).

    Google Scholar 

  83. US Government Printing Office. Public Law 111–148: The Patient Protection and Affordable Care Act [online], (2010).

  84. Mueller, E. L., Park, E. R. & Davis, M. M. What the Affordable Care Act means for survivors of pediatric cancer. J. Clin. Oncol. 32, 615–617 (2014).

    Article  Google Scholar 

  85. American College of Surgeons. Commission on Cancer. Cancer Program Standards 2012: Ensuring Patient-Centered Care--Version 1.2.1. [online], (2012).

  86. International Guideline Harmonization Group for Late Effects of Childhood Cancer. A collaboration to optimize care for childhood, adolescent & young adult cancer survivors [online], (2014).

  87. Kremer, L. C. et al. A worldwide collaboration to harmonize guidelines for the long-term follow-up of childhood and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Pediatr. Blood Cancer 60, 543–549 (2013).

    Article  Google Scholar 

  88. Scottish Intercollaegiate Guidelines Network. SIGN 132—Long Term Follow Up of Survivors of Childhood Cancer: A National Clinical Guideline (Scottish Intercollaegiate Guidelines Network, 2013).

  89. Stichting Kinderoncologie Nederland (SKION). SKION: Over Ons [online], (2014).

  90. Children's Cancer and Leukaemia Group. Caring for Children: Curing Their Cancer [online], (2014).

  91. Children's Oncology Group. Long-term Follow-up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers, Version 3.0--October 2008; Appendix 1, Materials for Clinical Application of LTFU Guidelines Children's Oncology Group [online], (2008).

  92. AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual. Saf. Health Care 12, 18–23 (2003).

  93. Gibbons, R. J., Smith, S. & Antman, E. American College of Cardiology; American Heart Association. American College of Cardiology/American Heart Association clinical practice guidelines: part I: where do they come from? Circulation 107, 2979–2986 (2003).

    Article  Google Scholar 

  94. Atkins, D. et al. Grading quality of evidence and strength of recommendations. BMJ 328, 1490 (2004).

    Article  Google Scholar 

  95. Institute of Medicine (US). Committee on Standards for Developing Trustworthy Clinical Practice Guidelines (eds Graham, R. et al.) Clinical practice guidelines we can trust (National Academies Press, 2011).

  96. Children's Oncology Group; Children's Oncology Group Nursing Discipline Clinical Practice Subcommittee/Survivorship in collaboration with the Late Effects Committee (ed. Landier, W.) Establishing and Enhancing Services for Childhood Cancer Survivors: Long-Term Follow-Up Program Resource Guide (Children's Oncology Group, 2007).

  97. CMS, Centers for Medicare and Medicaid Services. Meaningful Use [online], (2013).

  98. Office of the National Coordinator for Health Information Technology. EHR Incentives & Certification: Meaningful Use Definition & Objectives [online], (2014).

  99. Office of the National Coordinator for Health Information Technology. EHR Incentives & Certification: How to Attain Meaningful Use [online], (2014).

  100. Wright, A. et al. Early results of the meaningful use program for electronic health records. N. Engl. J. Med. 368, 779–780 (2013).

    Article  Google Scholar 

  101. Office of the National Coordinator for Health Information Technology. Health Information Exchange (HIE): Standards & Interoperability [online], (2014).

  102. Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population; Board on Health Care Services; Institute of Medicine (eds Levit, L., Balogh, E., Nass, S. & Ganz, P. A.) Delivering High-quality Cancer Care: Charting a New Course for a System in Crisis (The National Academies Press, 2013).

  103. Burton, L. C., Anderson, G. F. & Kues, I. W. Using electronic health records to help coordinate care. Milbank Q. 82, 457–481 (2004).

    Article  Google Scholar 

  104. O'Malley, A. S. Tapping the unmet potential of health information technology. N. Engl. J. Med. 364, 1090–1091 (2011).

    Article  CAS  Google Scholar 

  105. Cimino, J. J., Jing, X. & Del Fiol, G. Meeting the electronic health record “meaningful use” criterion for the HL7 infobutton standard using OpenInfobutton and the Librarian Infobutton Tailoring Environment (LITE). AMIA Annu. Symp. Proc. 2012, 112–120 (2012).

    PubMed  PubMed Central  Google Scholar 

  106. Mandl, K. D. & Kohane, I. S. Escaping the EHR trap—the future of health IT. N. Engl. J. Med. 366, 2240–2242 (2012).

    Article  CAS  Google Scholar 

  107. Miriovsky, B. J., Shulman, L. N. & Abernethy, A. P. Importance of health information technology, electronic health records, and continuously aggregating data to comparative effectiveness research and learning health care. J. Clin. Oncol. 30, 4243–4248 (2012).

    Article  Google Scholar 

  108. Cimino, J. J. et al. Practical choices for infobutton customization: experience from four sites. AMIA Annu. Symp. Proc. 2013, 236–245 (2013).

    PubMed  PubMed Central  Google Scholar 

  109. King, J. et al. Evaluating the clinical utility of the Passport for Care, an online decision-support system for managing survivors of childhood cancer [online], (2012).

    Google Scholar 

Download references

Acknowledgements

D.G.P., M.F., and M.E.H. acknowledge funding support from the Cancer Prevention and Research Institute of Texas (CPRIT; grants PP100090 and PP130070 to D.G.P., PP100090 and PP130070 to M.F., and PP100090 and PP130070 to M.E.H.), the Alex's Lemonade Stand Foundation, the Ronald McDonald House Charities (RMHC), and the Lance Armstrong Foundation, Young Texans Against Cancer, and SurvivorVision. The work of W.L. and M.M.H. is funded in part by grants from the NIH National Cancer Institute (NCI; U10 CA098543 to W.L. and U10 CA098543 to M.M.H.). In addition, the involvement of W.L. and M.M.H. in the Children's Oncology Group (COG) Long-Term Follow-Up Guidelines is partially supported by the NCI COG Chair's Grant (U10 CA098543; Principal Investigator: P. C. Adamson). The authors wish to acknowledge J. E. King at the Baylor College of Medicine in the Center for Collaborative and Interactive Technologies, who contributed to survey development and analysis, and some drafting of the manuscript, and Q. W. Smith, also at the Baylor College of Medicine in the Center for Collaborative and Interactive Technologies, who contributed to literature searches and summaries, as well as some drafting and editing.

Author information

Authors and Affiliations

  1. Department of Paediatrics, Hematology–Oncology Section, Texas Children's Cancer Center, Baylor College, One Baylor Plaza, Houston, 77030, TX, USA

    David G. Poplack & Marc E. Horowitz

  2. Center for Collaborative and Interactive Technologies, Baylor College of Medicine, One Baylor Plaza, Houston, 77030, TX, USA

    Michael Fordis

  3. Department of Population Sciences, City of Hope, 1500 East Duarte Road, Duarte, 91010, CA, USA

    Wendy Landier & Smita Bhatia

  4. Cancer Survivorship Division, Departments of Oncology and Epidemiology, and Cancer Control, St Jude's Children's Research Hospital, 262 Danny Thomas Place, Memphis, 38105, TN, USA

    Melissa M. Hudson

Authors
  1. David G. Poplack
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michael Fordis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wendy Landier
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Smita Bhatia
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Melissa M. Hudson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marc E. Horowitz
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

D.G.P., M.F., S.B. and M.E.H. made substantial contributions to researching data for the article. All authors contributed substantially to writing and review/editing of the manuscript before submission. D.G.P., M.F., and M.E.H. contributed to discussion of content.

Corresponding author

Correspondence to David G. Poplack.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Supplementary information

Supplementary Box 1

Examples of barriers to effective care for the late effects of childhood cancer (DOC 59 kb)

Supplementary Box 2

Lessons learned from implementing the PFC in oncology care settings serving childhood cancer survivors (DOC 42 kb)

PowerPoint slides

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Poplack, D., Fordis, M., Landier, W. et al. Childhood cancer survivor care: development of the Passport for Care. Nat Rev Clin Oncol 11, 740–750 (2014). https://doi.org/10.1038/nrclinonc.2014.175

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrclinonc.2014.175

This article is cited by

Search

Advanced search

Quick links

Nature Briefing: Cancer

Sign up for the Nature Briefing: Cancer newsletter — what matters in cancer research, free to your inbox weekly.

Get what matters in cancer research, free to your inbox weekly. Sign up for Nature Briefing: Cancer