Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children’s Oncology Group

Maki Okada, Marilyn J. Hockenberry, Chester J. Koh, Kathleen A. Meeske, Kasey E. Rangan, Cheryl Rodgers, Yael Rosenthal, Kathleen S. Ruccione, David R. Freyer

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Although traditional recommendations for mononephric childhood cancer survivors are to avoid contact sports in order to protect the remaining kidney, review of available evidence suggests that the majority of renal loss is caused by accidents not involving sports. An interdisciplinary team performed a review of the English literature published from 1999 to 2012 within the PubMed, Cochrane, Google Scholar, and National Guidelines Clearinghouse databases. The level of evidence and proposed recommendations were graded according to an established rubric and GRADE criteria. Our review found that kidney loss is most commonly caused by nonsports activities such as motor vehicle accidents and falls, implying that restrictions on sports-related activity in mononephric pediatric survivors are not well supported. This favors encouraging ordinary sports and related activities without restriction in mononephric childhood cancer survivors because the known benefits of exercise outweigh the exceedingly low risk of renal loss. Accordingly, activity recommendations for mononephric patients have been revised in the most current version of the Children’s Oncology Group Long-term Follow-Up Guidelines for Survivors of Childhood, Adolescent and Young Adult Cancers. This has important implications for this and similar populations who may now undertake individual and organized sports without undue regard for their mononephric status.

Original languageEnglish (US)
Pages (from-to)306-313
Number of pages8
JournalJournal of Pediatric Oncology Nursing
Volume33
Issue number4
DOIs
StatePublished - Jul 1 2016

Keywords

  • late effects of cancer
  • oncology
  • pediatric

ASJC Scopus subject areas

  • Pediatrics
  • Oncology(nursing)

Fingerprint Dive into the research topics of 'Reconsidering Physical Activity Restrictions for Mononephric Survivors of Childhood Cancer: A Report From the Children’s Oncology Group'. Together they form a unique fingerprint.

Cite this