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Hypothalamic–pituitary and growth disorders in survivors of childhood cancer : An endocrine society* clinical practice guideline

Sklar, Charles A. ; Antal, Zoltan ; Chemaitilly, Wassim ; Cohen, Laurie E. ; Follin, Cecilia LU ; Meacham, Lillian R. and Hassan Murad, M. (2018) In Journal of Clinical Endocrinology and Metabolism 103(8). p.2761-2784
Abstract

Objective: To formulate clinical practice guidelines for the endocrine treatment of hypothalamic–pituitary and growth disorders in survivors of childhood cancer. Participants: An Endocrine Society–appointed guideline writing committee of six medical experts and a methodologist. Conclusions: Due to remarkable improvements in childhood cancer treatment and supportive care during the past several decades, 5-year survival rates for childhood cancer currently are .80%. However, by virtue of their disease and its treatments, childhood cancer survivors are at increased risk for a wide range of serious health conditions, including disorders of the endocrine system. Recent data indicate that 40% to 50% of survivors will develop an endocrine... (More)

Objective: To formulate clinical practice guidelines for the endocrine treatment of hypothalamic–pituitary and growth disorders in survivors of childhood cancer. Participants: An Endocrine Society–appointed guideline writing committee of six medical experts and a methodologist. Conclusions: Due to remarkable improvements in childhood cancer treatment and supportive care during the past several decades, 5-year survival rates for childhood cancer currently are .80%. However, by virtue of their disease and its treatments, childhood cancer survivors are at increased risk for a wide range of serious health conditions, including disorders of the endocrine system. Recent data indicate that 40% to 50% of survivors will develop an endocrine disorder during their lifetime. Risk factors for endocrine complications include both host (e.g., age, sex) and treatment factors (e.g., radiation). Radiation exposure to key endocrine organs (e.g., hypothalamus, pituitary, thyroid, and gonads) places cancer survivors at the highest risk of developing an endocrine abnormality over time; these endocrinopathies can develop decades following cancer treatment, underscoring the importance of lifelong surveillance. The following guideline addresses the diagnosis and treatment of hypothalamic–pituitary and growth disorders commonly encountered in childhood cancer survivors.

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publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Clinical Endocrinology and Metabolism
volume
103
issue
8
pages
2761 - 2784
publisher
Oxford University Press
external identifiers
  • pmid:29982476
  • scopus:85055212388
ISSN
0021-972X
DOI
10.1210/jc.2018-01175
language
English
LU publication?
no
id
d500076e-3bd4-4e18-b6ce-6a0e2d86e752
date added to LUP
2018-12-07 15:23:30
date last changed
2024-07-23 04:49:39
@article{d500076e-3bd4-4e18-b6ce-6a0e2d86e752,
  abstract     = {{<p>Objective: To formulate clinical practice guidelines for the endocrine treatment of hypothalamic–pituitary and growth disorders in survivors of childhood cancer. Participants: An Endocrine Society–appointed guideline writing committee of six medical experts and a methodologist. Conclusions: Due to remarkable improvements in childhood cancer treatment and supportive care during the past several decades, 5-year survival rates for childhood cancer currently are .80%. However, by virtue of their disease and its treatments, childhood cancer survivors are at increased risk for a wide range of serious health conditions, including disorders of the endocrine system. Recent data indicate that 40% to 50% of survivors will develop an endocrine disorder during their lifetime. Risk factors for endocrine complications include both host (e.g., age, sex) and treatment factors (e.g., radiation). Radiation exposure to key endocrine organs (e.g., hypothalamus, pituitary, thyroid, and gonads) places cancer survivors at the highest risk of developing an endocrine abnormality over time; these endocrinopathies can develop decades following cancer treatment, underscoring the importance of lifelong surveillance. The following guideline addresses the diagnosis and treatment of hypothalamic–pituitary and growth disorders commonly encountered in childhood cancer survivors.</p>}},
  author       = {{Sklar, Charles A. and Antal, Zoltan and Chemaitilly, Wassim and Cohen, Laurie E. and Follin, Cecilia and Meacham, Lillian R. and Hassan Murad, M.}},
  issn         = {{0021-972X}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{2761--2784}},
  publisher    = {{Oxford University Press}},
  series       = {{Journal of Clinical Endocrinology and Metabolism}},
  title        = {{Hypothalamic–pituitary and growth disorders in survivors of childhood cancer : An endocrine society* clinical practice guideline}},
  url          = {{http://dx.doi.org/10.1210/jc.2018-01175}},
  doi          = {{10.1210/jc.2018-01175}},
  volume       = {{103}},
  year         = {{2018}},
}