{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T09:49:54Z","timestamp":1716284994883},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>\n            Sp\u00e4tfolgen einer Krebserkrankung In den letzten Jahrzehnten hat\n      sich das Langzeit\u00fcberleben nach einer Krebserkrankung im Kindes-\/Jugendalter stetig verbessert\n      und liegt mittlerweile entit\u00e4ten\u00fcbergreifend bei ca. 80%. In zahlreichen Studien konnte\n      gezeigt werden, dass \u00fcber zwei Drittel dieser Langzeit\u00fcberlebenden Jahre bis Jahrzehnte nach\n      Ende der Krebstherapie neue Erkrankungen, sogenannte Sp\u00e4tfolgen, entwickeln. Um diese\n      rechtzeitig diagnostizieren und behandeln zu k\u00f6nnen, werden risikoadaptierte\n      Vorsorgeuntersuchungen empfohlen, die aufgrund des breiten Spektrums an m\u00f6glichen\n      Folgeerkrankungen von interdisziplin\u00e4ren Nachsorge-Teams angeboten werden.<\/jats:p><jats:p>\n            Neue Nachsorge-Empfehlungen Aufgrund eines erh\u00f6hten\n      Brustkrebsrisikos sollten Patientinnen nach thorakaler Radiatio in intensivierte\n      Vorsorgeprogramme eingeschlossen werden. Dies schlie\u00dft nun auch Patientinnen ab einer\n      Strahlendosis von 10 Gray ein. Verschiedene Krebstherapien erh\u00f6hen das Risiko f\u00fcr eine\n      niedrige Knochendichte. Daher sollten diese Patient*innen fr\u00fchzeitig eine\n      Knochendichte-Messung erhalten. Psychische Erkrankungen k\u00f6nnen auch Jahre bis Jahrzehnte nach\n      einer Krebserkrankung auftreten und sollten in der Nachsorge regelhaft adressiert\n      werden.<\/jats:p><jats:p>\n            Wie sollte die optimale Langzeitnachsorge aussehen? Im\n      Mittelpunkt der Nachsorge steht ein Kernteam aus Internist*innen, p\u00e4diatrischen Onkolog*innen,\n      psychosozialen Mitarbeiter*innen und Case Manager*innen. Alle ehemaligen Patient*innen sollten\n      sp\u00e4testens nach Abschluss der regul\u00e4ren onkologischen Nachsorge, im Gespr\u00e4ch mit den\n      betreuenden Kinderonkolog*innen \u00fcber Sp\u00e4tfolgen und Langzeitnachsorge aufgekl\u00e4rt werden, \u00fcber\n      Bed\u00fcrfnisse und Bedenken zum Thema Nachsorge sprechen k\u00f6nnen und einen individuellen\n      Nachsorgeplan nach Risikostratifizierung erhalten.<\/jats:p>","DOI":"10.1055\/a-2055-7388","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T22:46:05Z","timestamp":1685573165000},"page":"731-736","source":"Crossref","is-referenced-by-count":1,"title":["Late Effects: Auf welche potentiellen Folgen einer Krebstherapie im Kindesalter m\u00fcssen wir bei Erwachsenen achten?"],"prefix":"10.1055","volume":"148","author":[{"given":"Jana","family":"Vachek","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kinder- und Jugendmedizin, Bereich P\u00e4diatrische H\u00e4matologie 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