Mirror Therapy for Phantom Limb Pain at a Pediatric Oncology Institution.

Background And Purpose/objective: Mirror therapy has not been reported for phantom limb pain (PLP) in pediatric oncology. Our aims are to describe the incidence and duration of PLP post-amputation, the duration of follow-up, pain scores and pain medications, and the differences between a group that received mirror therapy (MT) in addition to the standard treatment and a group that received only the standard treatment (non-MT).

Methods: A retrospective review of patients' medical records from June 2009 to March 2015 was completed.

Factors supporting cardiomyopathy screening among at-risk adult survivors of pediatric malignancies.

Purpose: Anthracyclines and chest irradiation place adult survivors of childhood cancer at risk of cardiomyopathy; many survivors do not obtain the recommended screening. Based on our recent clinical trial, the addition of telephone counseling to a printed survivorship care plan more than doubled survivors' risk-based screening. Here, we sought to measure the impact of specific factors targeted in the intervention for their impact on survivors' screening participation.

Prospective study of neuropathic pain after definitive surgery for extremity osteosarcoma in a pediatric population.

Background: Neuropathic pain (NP) after definitive surgery for extremity osteosarcoma (OS) has not been previously characterized. This study prospectively investigates the incidence, duration, and treatment of NP in limb sparing surgery and amputation groups.

Procedure: In patients treated for OS on a chemotherapy and definitive surgery (limb sparing vs.

Methadone prolongs cardiac conduction in young patients with cancer-related pain.

Objective: Methadone prolongs cardiac conduction, from mild corrected QT (QTc) prolongation to torsades de pointes and ventricular fibrillation, in adults. However, methadone use for pain and its effects on cardiac conduction have not been investigated in pediatric populations.

Methods: A retrospective review of QTc intervals in patients receiving methadone analgesia was conducted.

Increasing cardiomyopathy screening in at-risk adult survivors of pediatric malignancies: a randomized controlled trial.

Purpose: To determine whether the addition of advanced-practice nurse (APN) telephone counseling to a printed survivorship care plan (SCP) significantly increases the proportion of at-risk survivors who complete cardiomyopathy screening.

Patients And Methods: Survivors age ≥ 25 years participating in the Childhood Cancer Survivor Study who received cardiotoxic therapy and reported no history of cardiomyopathy screening in the previous 5 years were eligible for enrollment. The 472 participants (mean age, 40.

Survivor typologies predict medical surveillance participation: the childhood cancer survivor study.

Background: Adult survivors of childhood cancer adhere poorly to recommended medical surveillance. We sought to identify modifiable factors that contribute to non-adherence.

Methods: Latent class analysis categorized survivors (ages 18-52 years) at risk of cardiac, breast, or bone late sequelae on the basis of their health-related concerns, fears, and motivation.

Survivor profiles predict health behavior intent: the Childhood Cancer Survivor Study.

Objectives: To determine whether unique groups of adult childhood cancer survivors could be defined on the basis of modifiable cognitive, affective, and motivation indicators. Secondary objectives were to examine to what extent group membership co-varied with more static variables (e.g.

Supporting breast self-examination in female childhood cancer survivors: a secondary analysis of a behavioral intervention.

Purpose/objectives: To identify intervention targets that will increase the frequency of breast self-examination (BSE) in female survivors of childhood cancer.

Design: Secondary data analysis of longitudinal clinical trial data.

Setting: Outpatient clinic in a children's research hospital.

Predicting and modifying substance use in childhood cancer survivors: application of a conceptual model.

Purpose/objectives: To identify factors that predict or modify substance use in childhood cancer survivors and to describe how a risk-counseling intervention reduced young survivors' substance use.

Design: Secondary analysis of clinical trial data and primary analysis of medical record data.

Setting: Outpatient clinic.

Adolescent survivors: a secondary analysis of a clinical trial targeting behavior change.

Background: The late effects of radiation and chemotherapy increase childhood cancer survivors' risk of chronic health problems. Survivors' behavior is important in modifying this risk, yet adolescent and young adult survivors fail to engage in important health-promoting behaviors and frequently practice high-risk behaviors. This secondary analysis re-evaluated a multi-component behavior-change intervention that had previously demonstrated no impact in adolescent survivors of childhood cancer.