Development of a Primary Care-Based Clinic to Support Adults With a History of Childhood Cancer: The Tactic Clinic

Published:August 13, 2015DOI:https://doi.org/10.1016/j.pedn.2015.05.023

      Highlights

      • Adults with a history of pediatric cancer have unique long-term health care needs.
      • Primary care-based resources can be leveraged to support ongoing care after transition.
      • The TACTIC clinic model can serve as a model for other care disciplines.
      • Adult primary care providers can be actively engaged in survivorship care planning.
      • Adult primary care providers are a necessary stakeholder in the transition process.

      Purpose

      Describe the development and evolution of a primary-care-based, multidisciplinary clinic to support the ongoing care of adult survivors of childhood cancer.

      Methods

      A consultative clinic for adult survivors of childhood cancer has been developed that is located in an adult, academic internal medicine setting and is based on a long-term follow-up clinic model available at Children's Hospital Colorado.

      Results

      The clinic opened in July 2008. One hundred thirty-five patients have been seen as of April 2014. Referrals and clinic capacity have gradually increased over time, and a template has been developed in the electronic medical record to help facilitate completion of individualized care plan letters.

      Conclusions

      A primary care-based, multidisciplinary consultative clinic for adults with a history of childhood cancer survivor is feasible and actively engages adult primary care resources to provide risk-based care for long-term pediatric cancer survivors. This model of care planning can help support adult survivors of pediatric cancer and their primary care providers in non-academic, community settings as well.

      Key words

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