TY - CHAP M1 - Book, Section TI - Cancer Survivorship and the Long-Term Impact of Cancer and Its Treatment A1 - Roschewski, Mark A1 - Longo, Dan L. A2 - Loscalzo, Joseph A2 - Fauci, Anthony A2 - Kasper, Dennis A2 - Hauser, Stephen A2 - Longo, Dan A2 - Jameson, J. Larry Y1 - 2022 N1 - T2 - Harrison's Principles of Internal Medicine, 21e AB - The impact of cancer extends well past initial diagnosis. Patients are significantly affected by cancer and treatment-related toxicities often extending beyond the initial treatment period. Adult survivors of childhood, adolescent, and young adult cancer face special health consequences of cancer treatment related to premature physiologic aging and frailty. More than 40% of these patients will experience a severe, disabling, or life-threatening condition or die of a chronic condition. Long-term effects include toxicities that emerge during therapy and continue beyond treatment, while late effects include toxicities that may not emerge for months or years after treatment. Significant improvements in cancer treatments have enabled more people to survive once-deadly diseases, leading to more cancer survivors subjected to the potential long-term impact of cancer treatment (Table 95-1 lists potential long-term and late effects of cancer therapy by organ system). The direct causality of emerging treatments may not be immediately evident, and pharmacovigilance remains critical after treatments first become approved. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1190481752 ER -