Organizing long-term follow-up care for pediatric cancer survivors: a socio-ecological approach

This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners’ Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals across Germany, we aimed to identify challenges and facilita...

Full description

Saved in:

Bibliographic Details
Published in:	Frontiers in public health Vol. 13; p. 1524310
Main Authors:	Aleshchenko, Ekaterina, Langer, Thorsten, Calaminus, Gabriele, Gebauer, Judith, Swart, Enno, Baust, Katja
Format:	Journal Article
Language:	English
Published:	Switzerland Frontiers Media S.A 03.03.2025
Subjects:	Adolescent Aftercare - organization & administration Cancer Survivors - psychology cancer survivorship Child childhood cancer Continuity of Patient Care - organization & administration ecological systems theory Female Focus Groups Follow-Up Studies Germany Humans long-term follow-up studies Male Neoplasms - therapy Public Health Qualitative Research Germany ecological systems theory childhood cancer cancer survivorship long-term follow-up studies focus groups
ISSN:	2296-2565, 2296-2565
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Abstract	This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners’ Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals across Germany, we aimed to identify challenges and facilitators in care provision. Data were gathered during four focus groups, each consisting of 5–9 participants. A multimethods approach was used, employing both inductive and deductive thematic analysis. Results indicated key challenges such as fragmented care during transitions and insufficient offer of psychological support. The application of EST revealed the importance of coordinating care across multiple system levels: microsystem (direct care), mesosystem (coordination between care settings), exosystem (healthcare policies), and macrosystem (cultural attitudes). The study proposes strategies to improve care, such as implementing case managers and introducing culturally sensible long-term follow-up protocols. These findings highlight the complexity of survivorship care and the need for a more integrated approach to meet the evolving needs of survivors after childhood and adolescent cancer.
AbstractList	This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners' Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals across Germany, we aimed to identify challenges and facilitators in care provision. Data were gathered during four focus groups, each consisting of 5-9 participants. A multimethods approach was used, employing both inductive and deductive thematic analysis. Results indicated key challenges such as fragmented care during transitions and insufficient offer of psychological support. The application of EST revealed the importance of coordinating care across multiple system levels: microsystem (direct care), mesosystem (coordination between care settings), exosystem (healthcare policies), and macrosystem (cultural attitudes). The study proposes strategies to improve care, such as implementing case managers and introducing culturally sensible long-term follow-up protocols. These findings highlight the complexity of survivorship care and the need for a more integrated approach to meet the evolving needs of survivors after childhood and adolescent cancer. This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners' Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals across Germany, we aimed to identify challenges and facilitators in care provision. Data were gathered during four focus groups, each consisting of 5-9 participants. A multimethods approach was used, employing both inductive and deductive thematic analysis. Results indicated key challenges such as fragmented care during transitions and insufficient offer of psychological support. The application of EST revealed the importance of coordinating care across multiple system levels: microsystem (direct care), mesosystem (coordination between care settings), exosystem (healthcare policies), and macrosystem (cultural attitudes). The study proposes strategies to improve care, such as implementing case managers and introducing culturally sensible long-term follow-up protocols. These findings highlight the complexity of survivorship care and the need for a more integrated approach to meet the evolving needs of survivors after childhood and adolescent cancer.This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners' Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals across Germany, we aimed to identify challenges and facilitators in care provision. Data were gathered during four focus groups, each consisting of 5-9 participants. A multimethods approach was used, employing both inductive and deductive thematic analysis. Results indicated key challenges such as fragmented care during transitions and insufficient offer of psychological support. The application of EST revealed the importance of coordinating care across multiple system levels: microsystem (direct care), mesosystem (coordination between care settings), exosystem (healthcare policies), and macrosystem (cultural attitudes). The study proposes strategies to improve care, such as implementing case managers and introducing culturally sensible long-term follow-up protocols. These findings highlight the complexity of survivorship care and the need for a more integrated approach to meet the evolving needs of survivors after childhood and adolescent cancer.
Author	Gebauer, Judith Langer, Thorsten Calaminus, Gabriele Swart, Enno Baust, Katja Aleshchenko, Ekaterina
AuthorAffiliation	3 Department of Pediatric Hematology and Oncology, University Hospital Bonn , Bonn , Germany 1 Faculty of Medicine, Institute of Social Medicine and Health Systems Research, Otto von Guericke University , Magdeburg , Germany 2 University Hospital of Schleswig-Holstein , Lübeck , Germany
AuthorAffiliation_xml	– name: 2 University Hospital of Schleswig-Holstein , Lübeck , Germany – name: 1 Faculty of Medicine, Institute of Social Medicine and Health Systems Research, Otto von Guericke University , Magdeburg , Germany – name: 3 Department of Pediatric Hematology and Oncology, University Hospital Bonn , Bonn , Germany
Author_xml	– sequence: 1 givenname: Ekaterina surname: Aleshchenko fullname: Aleshchenko, Ekaterina – sequence: 2 givenname: Thorsten surname: Langer fullname: Langer, Thorsten – sequence: 3 givenname: Gabriele surname: Calaminus fullname: Calaminus, Gabriele – sequence: 4 givenname: Judith surname: Gebauer fullname: Gebauer, Judith – sequence: 5 givenname: Enno surname: Swart fullname: Swart, Enno – sequence: 6 givenname: Katja surname: Baust fullname: Baust, Katja
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/40098799$$D View this record in MEDLINE/PubMed
BookMark	eNp9kkFv1DAQhSNUREvpH-CAcuSSZWzHScwFoaqFSpV6gbM1sSdZV9442NlF8Ovxdreo5YBsyfZ43vck-70uTqYwUVG8ZbASolMfhnnbr1ccuFwxyWvB4EVxxrlqKi4befJkf1pcpHQPAAxEDZy9Kk5rANW1Sp0V-i6OOLnfbhpLH6axWihuyiF4H35W27k0GCkfYzmTdbhEZ3JpMhTLtI07twsxfSyxTMG4UJEJPozOoC9xnmNAs35TvBzQJ7o4rufF9-urb5dfq9u7LzeXn28rI5RaKmptb5mUDe_zFIwG5FziYIFMrcBCK4YaoeM4CE55gJS9skg1dEBWiPPi5sC1Ae_1HN0G4y8d0OmHQoijxrg440lLUNTWIuu7uu6BdZxJ7G0vrewUa5rM-nRg5SfekDU0LRH9M-jzm8mt9Rh2mjHFGGtkJrw_EmL4saW06I1LhrzHicI2acHajmd7Cbn13VOzvy6PX5QbukODiSGlSIM2bsHFhb2385qB3gdCPwRC7wOhj4HIUv6P9JH-H9EfHJS7Gw
CitedBy_id	crossref_primary_10_3390_curroncol32080427
Cites_doi	10.1016/j.ejca.2024.114029 10.1001/jama.297.24.2762 10.6004/jnccn.2020.7552 10.1001/jamapediatrics.2023.2162 10.1007/978-1-4419-1695-2_13 10.1002/pbc.24598 10.1007/s11764-023-01351-y 10.4159/9780674028845 10.1016/B978-3-437-22061-6.50447-X 10.1038/s41598-024-84156-y 10.1097/COC.0000000000000153 10.1016/j.ejon.2022.102165 10.5334/ijic.5518 10.1089/jayao.2016.0041 10.1111/ecc.13257 10.1111/j.1365-2214.2011.01282.x 10.1530/EC-22-0083 10.1002/pbc.27668 10.2147/CMAR.S197644 10.1186/s12885-024-11857-y 10.1177/1609406919887274 10.2307/3341515 10.1007/s00108-018-0496-0 10.1002/pon.1823 10.1002/pon.4819 10.1007/s11764-020-00920-9 10.1200/JCO.2017.76.4431 10.1186/s12913-022-08549-3 10.1007/s11764-019-00795-5 10.1002/pon.6128 10.1159/000504200 10.1136/bmjopen-2023-072860 10.1016/j.ejca.2015.01.001 10.1037/0012-1649.22.6.723 10.1159/000500818 10.1136/bmjopen-2024-087343 10.1136/adc.2006.095513 10.1089/jayao.2022.0064
ContentType	Journal Article
Copyright	Copyright © 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust. Copyright © 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust. 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust
Copyright_xml	– notice: Copyright © 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust. – notice: Copyright © 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust. 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust
DBID	AAYXX CITATION CGR CUY CVF ECM EIF NPM 7X8 5PM DOA
DOI	10.3389/fpubh.2025.1524310
DatabaseName	CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals
DatabaseTitle	CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic
DatabaseTitleList	MEDLINE CrossRef MEDLINE - Academic
Database_xml	– sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Public Health
EISSN	2296-2565
ExternalDocumentID	oai_doaj_org_article_509e7435b9844b018215abdb5d589166 PMC11911165 40098799 10_3389_fpubh_2025_1524310
Genre	Journal Article
GeographicLocations	Germany
GeographicLocations_xml	– name: Germany
GroupedDBID	53G 5VS 9T4 AAFWJ AAYXX ACGFO ACGFS ADBBV ADRAZ AFPKN ALMA_UNASSIGNED_HOLDINGS AOIJS BAWUL BCNDV CITATION DIK EMOBN GROUPED_DOAJ GX1 HYE KQ8 M~E OK1 RNS RPM ACXDI CGR CUY CVF ECM EIF IPNFZ M48 NPM RIG 7X8 5PM
ID	FETCH-LOGICAL-c399t-e7dbd15562b62b31efa225afd0ec490d073f4a082af32e2e2055b9dae4080ed33
IEDL.DBID	DOA
ISICitedReferencesCount	4
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001445669300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	2296-2565
IngestDate	Fri Oct 03 12:47:15 EDT 2025 Thu Aug 21 18:33:42 EDT 2025 Fri Sep 05 07:17:38 EDT 2025 Fri May 16 02:48:34 EDT 2025 Tue Nov 18 21:23:09 EST 2025 Sat Nov 29 08:14:37 EST 2025
IsDoiOpenAccess	true
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Keywords	ecological systems theory childhood cancer cancer survivorship long-term follow-up studies focus groups
Language	English
License	Copyright © 2025 Aleshchenko, Langer, Calaminus, Gebauer, Swart and Baust. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c399t-e7dbd15562b62b31efa225afd0ec490d073f4a082af32e2e2055b9dae4080ed33
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Reviewed by: Stefanie Plage, The University of Queensland, Australia Edited by: Momcilo Jankovic, Fondazione MBBM, Italy Donatella Fraschini, San Gerardo Hospital, Italy
OpenAccessLink	https://doaj.org/article/509e7435b9844b018215abdb5d589166
PMID	40098799
PQID	3178298450
PQPubID	23479
ParticipantIDs	doaj_primary_oai_doaj_org_article_509e7435b9844b018215abdb5d589166 pubmedcentral_primary_oai_pubmedcentral_nih_gov_11911165 proquest_miscellaneous_3178298450 pubmed_primary_40098799 crossref_citationtrail_10_3389_fpubh_2025_1524310 crossref_primary_10_3389_fpubh_2025_1524310
PublicationCentury	2000
PublicationDate	2025-03-03
PublicationDateYYYYMMDD	2025-03-03
PublicationDate_xml	– month: 03 year: 2025 text: 2025-03-03 day: 03
PublicationDecade	2020
PublicationPlace	Switzerland
PublicationPlace_xml	– name: Switzerland
PublicationTitle	Frontiers in public health
PublicationTitleAlternate	Front Public Health
PublicationYear	2025
Publisher	Frontiers Media S.A
Publisher_xml	– name: Frontiers Media S.A
References	Fidler (ref4) 2019; 66 Adler (ref27) 2019; 18 Yeom (ref43) 2022; 59 Rosenberg (ref40) 2023; 177 Aleshchenko (ref29) Bronfenbrenner (ref22) 1986; 22 Schwartz (ref20) 2011; 37 Hutchison (ref17) 2011 Ekaterina (ref15) 2025; 15 Polit (ref28) 2017 Johannsdottir (ref6) 2017; 6 Otth (ref32) 2021; 15 Wong (ref37) 2024; 14 Gebauer (ref14) 2020; 43 Karam (ref34) 2021; 21 Demoor-Goldschmidt (ref39) 2024; 24 Park (ref7) 2018; 27 Aleshchenko (ref25) 2024; 14 Michel (ref36) 2019; 13 Jain (ref38) 2019; 11 Miller (ref1) 2015; 38 Oeffinger (ref3) 2007; 297 Michel (ref16) 2011; 20 Barrett (ref2) 2020; 29 Marchak (ref33) 2023; 17 Signorelli (ref35) 2020; 18 Lund (ref5) 2015; 51 Bulmer (ref30) 2001; 26 Matsui (ref42) 2023; 12 Vygotsky (ref18) 1978 Schröder (ref12) 2015 Deegan (ref41) 2023; 32 Rossig (ref11) 2013; 60 Gebauer (ref23) 2019; 42 Bronfenbrenner (ref21) 1979 Nathan (ref8) 2018; 36 Aleshchenko (ref24) 2022; 22 Bryman (ref26) 2015 Gebauer (ref10) 2022; 11 Skinner (ref9) 2007; 92 Gebauer (ref13) 2018; 59 Bronfenbrenner (ref19) 2009 Filbert (ref31) 2024; 202
References_xml	– volume-title: Nursing research: Generating and assessing evidence for nursing practice year: 2017 ident: ref28 – volume: 202 start-page: 114029 year: 2024 ident: ref31 article-title: Scaling up and implementing the digital survivorship passport tool in routine clinical care - the European multidisciplinary PanCareSurPass project publication-title: Eur J Cancer doi: 10.1016/j.ejca.2024.114029 – volume: 297 start-page: 2762 year: 2007 ident: ref3 article-title: Childhood cancer survivors, late effects, and a new model for understanding survivorship publication-title: JAMA doi: 10.1001/jama.297.24.2762 – volume: 18 start-page: 1067 year: 2020 ident: ref35 article-title: Re-engage: a novel nurse-led program for survivors of childhood cancer who are disengaged from cancer-related care publication-title: J Natl Compr Cancer Netw doi: 10.6004/jnccn.2020.7552 – volume: 177 start-page: 758 year: 2023 ident: ref40 article-title: Poor mental health among survivors of childhood cancer-risk factors and a call for intervention publication-title: JAMA Pediatr doi: 10.1001/jamapediatrics.2023.2162 – start-page: 1586 volume-title: Encyclopedia of adolescence year: 2011 ident: ref17 article-title: Life course theory doi: 10.1007/978-1-4419-1695-2_13 – volume: 60 start-page: 1574 year: 2013 ident: ref11 article-title: Effective childhood cancer treatment: the impact of large scale clinical trials in Germany and Austria publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.24598 – volume: 17 start-page: 342 year: 2023 ident: ref33 article-title: Transition practices for survivors of childhood cancer: a report from the children's oncology group publication-title: J Cancer Surviv doi: 10.1007/s11764-023-01351-y – volume-title: The ecology of human development: experiments by nature and design year: 1979 ident: ref21 doi: 10.4159/9780674028845 – start-page: L.17 volume-title: Leitlinien Kinder- und Jugendmedizin year: 2015 ident: ref12 article-title: L - Psychosoziale versorgung in der pädiatrischen onkologie und hämatologie (S3) doi: 10.1016/B978-3-437-22061-6.50447-X – ident: ref29 article-title: Case study in VersKiK: a methodological approach for studying pediatric cancer survivors’ pathways publication-title: BMC Med Res Methodol – volume: 15 start-page: 972 year: 2025 ident: ref15 article-title: Follow-up care needs and motivational factors for childhood cancer survivors and their parents in Germany publication-title: Sci Rep doi: 10.1038/s41598-024-84156-y – volume: 38 start-page: 627 year: 2015 ident: ref1 article-title: Cancer survivorship and models of survivorship care: a review publication-title: Am J Clin Oncol doi: 10.1097/COC.0000000000000153 – volume: 59 start-page: 102165 year: 2022 ident: ref43 article-title: Cultural factors affecting the self-care of cancer survivors: an integrative review publication-title: Eur J Oncol Nurs doi: 10.1016/j.ejon.2022.102165 – volume: 21 start-page: 16 year: 2021 ident: ref34 article-title: Nursing care coordination for patients with complex needs in primary healthcare: a scoping review publication-title: Int J Integr Care doi: 10.5334/ijic.5518 – volume: 6 start-page: 120 year: 2017 ident: ref6 article-title: Prescriptions of antidepressants to survivors of cancer in childhood, adolescence, and young adulthood: a population-based study publication-title: J Adolesc Young Adult Oncol doi: 10.1089/jayao.2016.0041 – volume: 29 start-page: e13257 year: 2020 ident: ref2 article-title: Enduring psychological impact of childhood cancer on survivors and their families in Ireland: a national qualitative study publication-title: Eur J Cancer Care (Engl) doi: 10.1111/ecc.13257 – volume-title: Mind in society: development of higher psychological processes year: 1978 ident: ref18 – volume: 37 start-page: 883 year: 2011 ident: ref20 article-title: A social-ecological model of readiness for transition to adult-oriented care for adolescents and young adults with chronic health conditions publication-title: Child Care Health Dev doi: 10.1111/j.1365-2214.2011.01282.x – volume: 11 year: 2022 ident: ref10 article-title: The chance of transition: strategies for multidisciplinary collaboration publication-title: Endocr Connect doi: 10.1530/EC-22-0083 – volume: 66 start-page: e27668 year: 2019 ident: ref4 article-title: Challenges and opportunities in the care of survivors of adolescent and young adult cancers publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.27668 – volume: 11 start-page: 3411 year: 2019 ident: ref38 article-title: The crucial role of primary care providers in the long-term follow-up of adult survivors of childhood cancer publication-title: CMAR doi: 10.2147/CMAR.S197644 – volume: 24 start-page: 130 year: 2024 ident: ref39 article-title: A software tool to support follow-up care in a French childhood cancer cohort: construction and feasibility publication-title: BMC Cancer doi: 10.1186/s12885-024-11857-y – volume: 18 start-page: 1609406919887274 year: 2019 ident: ref27 article-title: Focus group interviews in child, youth, and parent research: an integrative literature review publication-title: Int J Qual Methods doi: 10.1177/1609406919887274 – volume: 26 start-page: 125 year: 2001 ident: ref30 article-title: Sociological practice: linking theory and social research publication-title: Can J Sociol doi: 10.2307/3341515 – volume: 59 start-page: 1157 year: 2018 ident: ref13 article-title: Spätfolgen einer Krebsbehandlung im Kindes- und Jugendalter: Eine Herausforderung für die Transitionsmedizin publication-title: Internist (Berl) doi: 10.1007/s00108-018-0496-0 – volume: 20 start-page: 1034 year: 2011 ident: ref16 article-title: Can health beliefs help in explaining attendance to follow-up care? The Swiss childhood cancer survivor study publication-title: Psychooncology doi: 10.1002/pon.1823 – volume: 27 start-page: 2257 year: 2018 ident: ref7 article-title: School performance of childhood cancer survivors in Korea: a multi-institutional study on behalf of the Korean Society of Pediatric Hematology and Oncology publication-title: Psycho-Oncology doi: 10.1002/pon.4819 – volume: 15 start-page: 151 year: 2021 ident: ref32 article-title: Transition from pediatric to adult follow-up care in childhood cancer survivors-a systematic review publication-title: J Cancer Surviv doi: 10.1007/s11764-020-00920-9 – volume: 36 start-page: 2198 year: 2018 ident: ref8 article-title: Financial hardship and the economic effect of childhood cancer survivorship publication-title: J Clin Oncol doi: 10.1200/JCO.2017.76.4431 – volume: 22 start-page: 1176 year: 2022 ident: ref24 article-title: Long-term care, care needs and wellbeing of individuals after cancer in childhood or adolescence (VersKiK): study protocol of a large scale multi-methods non-interventional study publication-title: BMC Health Serv Res doi: 10.1186/s12913-022-08549-3 – volume-title: Social research methods year: 2015 ident: ref26 – volume: 13 start-page: 759 year: 2019 ident: ref36 article-title: Evidence-based recommendations for the organization of long-term follow-up care for childhood and adolescent cancer survivors: a report from the PanCareSurFup guidelines working group publication-title: J Cancer Surviv doi: 10.1007/s11764-019-00795-5 – volume: 32 start-page: 819 year: 2023 ident: ref41 article-title: Social support and childhood cancer survivors: a systematic review (2006-2022) publication-title: Psycho-Oncology doi: 10.1002/pon.6128 – volume-title: Ecology of human development: experiments by nature and design year: 2009 ident: ref19 – volume: 43 start-page: 61 year: 2020 ident: ref14 article-title: Guidelines for long-term follow-up after childhood cancer: practical implications for the daily work publication-title: Oncol Res Treat doi: 10.1159/000504200 – volume: 14 start-page: e072860 year: 2024 ident: ref25 article-title: VersKiK qualitative study design: actual follow-up needs of paediatric cancer survivors, their informal caregivers and follow-up stakeholder perceptions in Germany publication-title: BMJ Open doi: 10.1136/bmjopen-2023-072860 – volume: 51 start-page: 675 year: 2015 ident: ref5 article-title: Increased risk of antidepressant use in childhood cancer survivors: a Danish population-based cohort study publication-title: Eur J Cancer (Oxford, England: 1990) doi: 10.1016/j.ejca.2015.01.001 – volume: 22 start-page: 723 year: 1986 ident: ref22 article-title: Ecology of the family as a context for human development: research perspectives publication-title: Dev Psychol doi: 10.1037/0012-1649.22.6.723 – volume: 42 start-page: 21 year: 2019 ident: ref23 article-title: Neue Strukturen in der Betreuung und Nachsorge junger Krebspatienten publication-title: Oncol Res Treat doi: 10.1159/000500818 – volume: 14 start-page: e087343 year: 2024 ident: ref37 article-title: Care coordination models for transition and long-term follow-up among childhood cancer survivors: a scoping review publication-title: BMJ Open doi: 10.1136/bmjopen-2024-087343 – volume: 92 start-page: 257 year: 2007 ident: ref9 article-title: Long-term follow-up of children treated for cancer: why is it necessary, by whom, where and how? publication-title: Arch Dis Child doi: 10.1136/adc.2006.095513 – volume: 12 start-page: 503 year: 2023 ident: ref42 article-title: Role of peer support in posttraumatic growth among adolescent and young adult cancer patients and survivors publication-title: J Adolesc Young Adult Oncol doi: 10.1089/jayao.2022.0064
SSID	ssj0001034021
Score	2.3116012
Snippet	This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners’ Ecological Systems Theory... This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners' Ecological Systems Theory...
SourceID	doaj pubmedcentral proquest pubmed crossref
SourceType	Open Website Open Access Repository Aggregation Database Index Database Enrichment Source
StartPage	1524310
SubjectTerms	Adolescent Aftercare - organization & administration Cancer Survivors - psychology cancer survivorship Child childhood cancer Continuity of Patient Care - organization & administration ecological systems theory Female Focus Groups Follow-Up Studies Germany Humans long-term follow-up studies Male Neoplasms - therapy Public Health Qualitative Research
Title	Organizing long-term follow-up care for pediatric cancer survivors: a socio-ecological approach
URI	https://www.ncbi.nlm.nih.gov/pubmed/40098799 https://www.proquest.com/docview/3178298450 https://pubmed.ncbi.nlm.nih.gov/PMC11911165 https://doaj.org/article/509e7435b9844b018215abdb5d589166
Volume	13
WOSCitedRecordID	wos001445669300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2296-2565 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001034021 issn: 2296-2565 databaseCode: DOA dateStart: 20130101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2296-2565 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0001034021 issn: 2296-2565 databaseCode: M~E dateStart: 20130101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1NT9wwEB0V1EMlhGgpZYEiI_VWWTiOs4m5AQJxaFEPFO3NcmIHkFbJKrsLN347M06y2q0QvaCNVsqXYs2zPW8SzxuAHzqOrNDWcVmKgqvIRzyXash9ITNHqY0iFIO5_ZVeX2ejkf6zVOqL1oS18sCt4Y7RoXn0ckmuM6VygXQ4Smzu8sRRPbxhENtG1rMUTIW3KyLGwChqs2QwCtPHlG5FHx9kQiV_0G2KFU8UBPtfY5n_LpZc8j6XW7DZ0UZ22jb3M3zw1RfYaN-5sTaVaBtMl1iJ3oiN6-qO07TLSkS6fuLzCaNVXrjbsElfnwMPIegNm85xxnism-kJs4zwqtGM_bTIet3xr_D38uLm_Ip3BRR4gbxjxn3qcoeEYShz3OLIlxaHry2d8IXSwuHwLpVFEmDLWHr8iQTt7KxXaFHv4ngH1qu68rvAYi9Ja0ognxPKS6dtkjmL4U6C0Mg0H0DUG9MUnbo4FbkYG4wyCAATADAEgOkAGMDPxT2TVlvjzavPCKPFlaSLHQ5gbzFdbzH_6y0DOOoRNjiO6OOIrXw9nxrkUZnEuxJ80LcW8cWjFKmuploPIFvpCyttWT1TPdwHrW7SzyOFo733aP0-fCKLhCVw8QGsz5q5_w4fi8fZw7Q5hLV0lB2GcYD_v58vXgCbAwu-
linkProvider	Directory of Open Access Journals
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Organizing+long-term+follow-up+care+for+pediatric+cancer+survivors%3A+a+socio-ecological+approach&rft.jtitle=Frontiers+in+public+health&rft.au=Aleshchenko%2C+Ekaterina&rft.au=Langer%2C+Thorsten&rft.au=Calaminus%2C+Gabriele&rft.au=Gebauer%2C+Judith&rft.date=2025-03-03&rft.issn=2296-2565&rft.eissn=2296-2565&rft.volume=13&rft.spage=1524310&rft_id=info:doi/10.3389%2Ffpubh.2025.1524310&rft.externalDBID=NO_FULL_TEXT
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2296-2565&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2296-2565&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2296-2565&client=summon