TY - JOUR AU - Denzler, Sibylle AU - Otth, Maria AU - Scheinemann, Katrin PY - 2020 DA - 2020/8/26 TI - Aftercare of Childhood Cancer Survivors in Switzerland: Protocol for a Prospective Multicenter Observational Study JO - JMIR Res Protoc SP - e18898 VL - 9 IS - 8 KW - childhood cancer survivors KW - long-term follow-up care KW - transition KW - Switzerland AB - Background: Most children and adolescents diagnosed with cancer become long-term survivors. For most of them, regular follow-up examinations to detect and treat late effects are necessary, especially in adulthood. The transition from pediatric to adult-focused follow-up care is a critical moment for childhood cancer survivors (CCSs); a substantial proportion of CCSs are lost to follow-up in this transition process and do not attend follow-up care in adulthood. This can have serious effects on survivors’ health if late effects are not discovered in a timely fashion. Objective: In this study, we primarily assess the current follow-up situation, related needs, and knowledge of adolescent and young adult CCSs who have transitioned from pediatric to adult-focused follow-up care. As secondary objectives, we evaluate transition readiness, identify facilitating factors of transition and adherence to long-term follow-up (LTFU) care, and compare three different transition models. Methods: The Aftercare of Childhood Cancer Survivors (ACCS) Switzerland study is a prospective, multicenter, observational study that was approved by the ethics committee in February 2019. We are recruiting CCSs from three pediatric oncology centers and using questionnaires to answer the study questions. Results: To date, we have recruited 58 participants. The study is ongoing, and recruitment of participants will continue until January 2021. Conclusions: The ACCS study will provide information on CCSs’ preferences and expectations for follow-up care and their transition into the adult setting. The results will help improve the LTFU care and cancer knowledge of CCSs and subsequently enhance adherence to follow-up care and reduce loss to follow-up in adulthood. Trial Registration: ClinicalTrials.gov NCT04284189; https://clinicaltrials.gov/ct2/show/NCT04284189?id=NCT04284189 International Registered Report Identifier (IRRID): PRR1-10.2196/18898 SN - 1929-0748 UR - http://www.researchprotocols.org/2020/8/e18898/ UR - https://doi.org/10.2196/18898 UR - http://www.ncbi.nlm.nih.gov/pubmed/32845247 DO - 10.2196/18898 ID - info:doi/10.2196/18898 ER -