Purpose: The long-term management of childhood cancer survivors is complex. Electronic health (eHealth) technology has the potential to significantly improve the management of late effects for childhood cancer survivors and assist their General Practitioners (GP) to coordinate their care. We assessed the acceptability of and perceived benefits and barriers to eHealth use amongst survivors, parents, and GPs. Methods: We conducted semi-structured telephone interviews with survivors of childhood cancer, parents of childhood cancer survivors and their nominated GP. We described a hypothetical eHealth tool and asked participants how likely they would use the tool to manage their survivorship care and their perceived benefits and concerns for use of the tool. We used content analysis to synthesise the data using QSR NVivo12. Results: We interviewed 31 survivors (mean age: 27.0), 29 parents (survivors’ mean age: 12.6) and 51 GPs (mean years practising: 28.2). Eighty-five percent of survivors and parents (n=51), and 75% of GPs (n=38) indicated that they would be willing to use an eHealth tool. Survivors and parents reported that an eHealth tool would increase their confidence in their ability, and their GP’s ability, to manage their survivorship care. GPs agreed that an eHealth tool would provide easier access to survivors’ medical information and increase their capacity to provide support during survivorship. 7% of GPs (n= 4) and 43% of survivors (n=26) reported being hesitant to use eHealth tools due to privacy/security concerns. Conclusion: Overall, eHealth tools were reported to be acceptable to childhood cancer survivors, their parents, and their GPs.

Background: Reproductive complications for cancer survivors are identified as one of the top unmet needs. Current models of care do not routinely incorporate reproductive follow-up for cancer patients. The Kids Cancer Centre have had a one stop survivorship clinic which includes a gynecologist and fertility specialist. Methodology: To inform the future development of our reproductive survivorship care we audited this service over a twelve-year period reviewing who used the service and their gonadotoxic risk, their reproductive needs and concerns. Main results: 278 patients were seen (397 consultations), including 189 female patients (68.0%). Median age at follow up was 25.0 years (range=6-50) and they were 19.2 years from their primary diagnosis (range=3-46). We identified 10 themes of reproductive need. Patients had on average 2.5 reproductive concerns documented per consultation (range 1-5). The three most commonly documented concerns at initial consultation related to fertility status (43.9%), endocrine dysfunction (35.3%), and contraception advice (32.4%). In patients younger than 25 years discussions were predominately about endocrine dysfunction, fertility status and contraception, while dominant themes for 26-35 years olds were fertility status, reproductive-related health prevention strategies, contraception and endocrine dysfunction. Survivors aged 36-45 prioritised fertility status, pregnancy, and contraception. Fertility preservation (p=0.05), preventative health strategies (p=0.001), and contraception advice (p<0.001) were more commonly discussed by females than males. Conclusion: Longitudinal reproductive follow up care is important, as patients have a number of ongoing reproductive concerns which change over time. Our data can assist in informing the model of care.