Suggested risk stratification of levels of follow-up for 5-year childhood cancer survivors after completion of treatment (reproduced from SIGN 132: Long term follow up of survivors of childhood cancer by kind permission)8
| Level | Treatment | Follow-up | Frequency | Examples |
|---|---|---|---|---|
| 1 | Surgery alone Low-risk chemotherapy | Postal/ telephone | 1–2 yearly | Survivors of Wilms’ tumour stage I/II Langerhans cell histiocytosis (single system disease) Germ cell tumours (surgery only) |
| 2 | Chemotherapy Cranial radiotherapy ≤24 Gy | Nurse/primary care-led | 1–2 yearly | Majority of survivors |
| 3 | Any other radiotherapy (cranial radiotherapy >24 Gy) Megatherapy (ie, high-dose chemotherapy) | Medically supervised dedicated long-term follow-up clinic | Annually | Survivors of Any brain tumour Bone marrow transplantation Stage 4 patients of any tumour type |
SIGN, Scottish Intercollegiate Guidelines Network.