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Journal of Pediatric Psychology 2005 30(1):41-45; doi:10.1093/jpepsy/jsi014
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Journal of Pediatric Psychology vol. 30 no. 1 © Society of Pediatric Psychology 2005; all rights reserved.

Commentary: Contexts and Challenges in Pediatric Psychosocial Oncology Research: Chasing Moving Targets and Embracing "Good News" Outcomes

Sean Phipps, PhD

St. Jude Children’s Research Hospital, Memphis, Tennessee

All correspondence should be sent to Sean Phipps, PhD, Division of Behavioral Medicine, St. Jude Children’s Research Hospital, 332 N. Lauderdale, Memphis, TN 38105–2794. E-mail: sean.phipps@stjude.org.

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Pediatric oncology provided one of the most impressive medical success stories of the latter half of the twentieth century. As recently as the mid-1960s, malignant diseases such as acute lymphocytic leukemia (ALL) were still almost universally fatal. For the parents of a child diagnosed with ALL, doctors could offer little more than palliative measures, and the tragic end often came quickly. By the early 1990s, an initial remission was obtainable for virtually all children with ALL, who now had a 75–80% chance of long-term survival. As we follow this story, we can only marvel, applaud, and be thankful. This incredible progress was achieved through a focused national effort and through the establishment of cooperative groups that allowed for treating nearly all children with cancer via large-scale clinical trials. Someone entering the field today might have a hard time appreciating just how rapid and dramatic such progress has been and, although . . . [Full Text of this Article]


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