Figure 3.

The continuum of childhood cancer survivor care delivery.

“Cancer center” model: care provided within the cancer center, either by the primary oncology or dedicated survivorship teams. “Shared-care” model: care initially provided in the cancer center, with later transfer to community providers with ongoing communication and specialty support from the cancer center. “Disease-specific” model: cancer center-based survivorship clinics designed to specifically address the needs of a particular at-risk population (e.g. central nervous system tumor survivors). “Risk-stratified” model: stratified care is provided based on risk categorization, with survivors at higher risk of late effects being seen at more comprehensive centers and those with lower risk cared for in the community. “Consult-based” model: care administered in the community care provider’s office (i.e. the general pediatric or adult medicine provider) with consultation for specific late effects obtained as needed without ongoing specialty involvement unless clinically indicated.