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Only more recently has it been realized that the intense effort to
care for and cure a child with cancer does not end with survival.
Continued surveillance and a variety of interventions may, in many
cases, be needed to identify and care for consequences of treatment
that can appear early or only after several decades and impair
survivors' health and quality of life. The more than two-thirds of
childhood cancer survivors who experience late effects-that is,
complications, disabilities, or adverse outcomes-as a result of
their disease, its treatment, or both, are the focus of this report
which outlines a comprehensive policy agenda that links improved
health care delivery and follow-up, investments in education and
training for health care providers, and expanded research to
improve the long-term outlook for this growing population now
exceeding 270,000 Americans. Table of Contents Front Matter Summary
1. Introduction 2. The Epidemiology of Childhood Cancer 3. The
Trajectory of Childhood Cancer Care 4. Late Effects of Childhood
Cancer 5. Delivering Survivorship Care 6. Assuring Appropriate
Educational Support Services 7. Employment, Insurance, and Economic
Issues 8. Research Issues 9. Findings and Recommendations
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