Table 2

Care coordination models for childhood cancer survivors’ transition and LTFU included in this review

Model	Settings	Structure of the model	Main care tasks	Evaluation
The TACTIC Clinic Model	Long term follow-up through to young adulthood	Multidisciplinary team (general internist, clinical health psychologist, an oncology survivorship nurse educator) and clinic nurse coordinator	History and physical exams Psychological assessment Appropriate lab work/tests Preventive care/recommendations Cancer-based risk assessment Specialty and primary care referrals (if needed) Educational and informational resources	Patients’ response rate and Clinical referrals
The Innovative Clinic Model	Transition from hospital to medical centre	Nurse navigator and a primary care physician in the adult setting and paediatric survivorship workgroup (paediatric and adult oncologists, internal medicine physicians, specialists, administrators, psychosocial and supportive care providers and organisations, and clinical researchers)	Consultative survivorship care/both primary and survivorship care Providing educational materials Information delivery through mass media	Patient-reported outcomes (access to services, satisfaction with care, patient distress and patient access to treatment) and clinical outcomes (referral, patients’ adherence, length of waiting time)
The St. Jude Model of Long-Term Survivor Care (ACT Clinic intervention)	Transition from paediatric oncology to community providers	Nurse practitioner and social worker and clinic nurse and Subspecialty provider and Physician	Review of comprehensive health questionnaire Psychosocial assessment Education about self-examination Consultant assessment Comprehensive risk-based clinical assessment Health counselling	Not report
The Multidisciplinary Model of Care	Long-term follow-up	Subspecialists (oncology, endocrinology, cardiology, pulmonology, psychology, cardiology, nutrition) and nursing roles (nurse coordinator, outpatient clinic nurse, advanced practice nurse, research nurse)	Late effects visit: treatment history physical exam risk-based screening and counselling Specialist visits: oncology, endocrinology, cardiology, pulmonology, psychology, cardiology, nutrition	Patient (access to services) and Healthcare provider (efficiency and effectiveness of services) and Institution (referrals, patients’ satisfaction)
The Long-Term Follow-Up Programme	Long-term follow-up	Multidisciplinary team: physician, nurse coordinator, medical social worker and other subspecialists	Services to address the psychological implications of cancer for survivors and their families Educational support through school transition programmes Personnel to assist with insurance and employment challenges A plan to facilitate the transition of grown childhood cancer survivors into adult systems of care	Not report
The Personalised Cancer Survivorship Care Model	Regular long-term follow-up	Survivorship clinic/coordination and medical expert team and psychosocial expert team and consultants	Transition to the survivor care clinic Two-way sharing of information Clinic visit for screening, health promotion Disease prevention Risk stratification Multidisciplinary shared care	Patient (health outcomes, satisfaction) and clinic (cost-effectiveness)
The Re-Engage Model	Long-term follow-up	A distance-delivered live intervention: including a clinical nurse consultant, a specially constituted MDT (including paediatric and adult oncologists, nurse, GP, psychologist, social worker)	Online/telehealth consultation A personalised follow-up plan	Survivors’ health-related self-efficacy, health behaviours, information needs, satisfaction with care and emotional well-being

GP, general practitioner; MDT, multidisciplinary team.