Li-Fraumeni Syndrome Pediatric to Adult Healthcare Transition Tool Results
1. LFS Diagnosis
Question: Can you explain your diagnosis (including LFS and any cancer diagnoses) to your medical provider in a few sentences?
Your Answer: No, but I know where to find information and I plan to work on this before my next appointment.
Resources
- See below for an example of what you could say to your providers. If having it written out is helpful, consider saving it in your phone so you can easily pull it up at medical appointments.
- Example: I have a history of [insert any cancer history]. I have a genetic condition called Li-Fraumeni syndrome, which increases my risk for brain, muscle, bone, [female breast] and other cancers. I need screening for these cancers. I can pass LFS onto my children.
- These other resources may be helpful to help your provider or others quickly understand a bit more about LFS.
- LFS Fact Sheet for medical providers: https://www.lfsassociation.org/wp-content/uploads/2024/01/LFS-Fact-Sheet-for-Medical-Providers.pdf
- Patient fact sheet: https://www.lfsassociation.org/wp-content/uploads/2024/04/LFS-Fact-Sheet.pdf
2. LFS Cancer Screening
Question: Do you know what LFS cancer screening is recommended for you and how it changes after you turn 18?
Your Answer: I’m not sure, but I know I can ask my provider or look it up online.
Resources
- Talk to your LFS provider about what tests you should get, what age to start, and how often to get them done. The cancer screening recommendations may be modified for you, depending on your personal and family history
- LFSA Resources:
- Treatment and Preventative Screening: https://www.lfsassociation.org/treatment-and-preventative-screening/
- Fact Sheet for medical providers: https://www.lfsassociation.org/wp-content/uploads/2024/01/LFS-Fact-Sheet-for-Medical-Providers.pdf
3. Genetic Counselor/Genetics Provider
Question: Genetics providers (like a genetic counselor or doctor with expertise in genetics) know a lot about LFS if you have questions – do you have access to one?
Your Answer: Yes, I have access to one.
4. LFS Care
Question: Does your provider know enough about LFS?
Your Answer: Yes, I see a pediatric provider who knows enough about LFS to take good care of me.
Resources
- If you are seeing a pediatric provider, you may want to start making a plan for transition to adult care. More on this later in the quiz!
- If you are seeing a provider who is not familiar with LFS, it can be beneficial to find a provider with specific expertise in LFS. You can switch to a specialist or the LFS specialist can work with your personal provider. You can find information below to see if there are any LFS specialists or centers in your area:
- LFSA Information on Where to get care: https://www.lfsassociation.org/where-to-get-lfs-care/
- If you are seeing a local provider who is not familiar with LFS, you can give them the LFS Fact Sheet for medical providers: https://www.lfsassociation.org/wp-content/uploads/2024/01/LFS-Fact-Sheet-for-Medical-Providers.pdf
5. LFS Transition
Question: Do you feel prepared to transition to adult care for LFS?
Your Answer: I’m not sure, I’ve started thinking about it but I’m not sure what my next steps should be.
Resources
- If you haven’t started yet or aren’t sure about next steps, bring this up with your LFS provider at your next visit. Some things you can ask about are:
- When you should plan to transition care and options for adult LFS providers to which you can transition care.
- If there are any resources at your current hospital or medical center to help with transition of care.
- One important step you can take is making sure you have access to your patient portal where you can view your health care information, clinic notes and test results.
- You can ask your provider or contact registration at your hospital to get access.
- Ask about how and when you can share access between you and your parent/guardian(s), as rules are different across hospitals.
- MyChart Proxy: https://www.mychart.org/Help/proxy
- Keep in mind your future plans, such as going to college or getting a job. If your plans require moving, you may need to find an LFS provider in another city or state. If your insurance is going to change, this is also something to consider when changing providers to find out if they accept your new insurance.
- Make sure to take the Got Transition quiz and review the information and resources available at gottransition.org!
- GotTransition: https://www.gottransition.org/youth-and-young-adults/
- Adolescent Health Transition Project: https://depts.washington.edu/healthtr/
6. Health Insurance
Question: How much do you know about health insurance coverage of LFS and cancer care?
Your Answer: I don’t know anything about this topic.
Resources
The following resources include insurance and other financial information:
- LFSA Insurance basics: https://www.lfsassociation.org/insurance-basics-for-individuals-with-li%e2%80%91fraumeni-syndrome-lfs/
- LFSA Financial concerns: https://www.lfsassociation.org/financial-concerns/
- Other resources for cancer patients/survivors:
- Track Care Costs: https://www.cancer.gov/about-cancer/managing-care/track-care-costs
- Financial and Insurance Matters: https://www.cancer.org/cancer/financial-insurance-matters.html
- Triage Cancer: https://triagecancer.org/cancer-resources-and-educational-information
7. Financial Assistance
Question: Do you know that if you’re struggling with financial concerns because of high medical bills or problems with your career due to cancer or LFS there are resources that can help?
Your Answer: I am not having issues right now, but am interested in knowing about those resources.
Resources
The following resources can help provide financial assistance or answer questions about financial assistance
- Resources, help videos, and free financial navigators: https://triagecancer.org/
- Financial resources for families experiencing cancer: https://familyreach.org/
- Free counseling to help you access hospital charity care to pay medical bills: https://dollarfor.org/
- Resource navigation for people with cancer: https://www.cancercare.org/
- Financial assistance and practical help for people with cancer: https://www.cancerfac.org/
- Navigating legal challenges due to cancer: https://thedrlc.org/cancer-justice/
8. LFS Inheritance & Family Planning
Question: Do you know how LFS is inherited and the paths to parenthood for people with LFS?
Your Answer: Yes, I understand, but I am not planning on having children in the future so the information is not relevant to me.
9. Fertility Preservation
Question: Do you know that cancer treatment can sometimes impact fertility and that there are steps you can take to protect your fertility and ability to have biological children in the future (if you want that)?
Your Answer: I have heard that, but I would still like more information on this.
10. Lifestyle
Question: Do you know about lifestyle behaviors linked to lower cancer risk and better overall health?
Your Answer: Yes, I am practicing lifestyle behaviors linked to lower cancer risk.
11. Mental Health
Question: Take a moment to check in with yourself and how you’ve been feeling lately. Mental health struggles can include any of the following: feelings of distress, anxiety, depression or grief, difficulty meeting basic hygiene needs, not performing well at work/school, or isolating yourself. Do you think you could benefit from any mental health support?
Your Answer: No, I have been having some issues with my mental health but I have taken steps to address them and they’re working for me.
Great! If that ever changes in the future know that there are several resources you could tap into:
Resources
The following resources include LFSA mental health content plus general mental health support and providers:
- Mental health providers quick reference: https://www.lfsassociation.org/wp-content/uploads/2024/01/Quick-Reference-Resource-for-Mental-Health-Providers.pdf
- LFSA Webinar: a Path Towards Resilience & Cultivating Greater Happiness: https://youtu.be/QU7DYDD4JwU
- Substance Abuse and Mental Health Services Administration: https://www.samhsa.gov
- Find a Psychologist: https://findapsychologist.org/
- Suicidal Crisis Support: https://www.iasp.info/suicidalthoughts/
- Find help and treatment for mental health: https://www.samhsa.gov/find-help
12. Survivorship
Question: If you have had cancer, have you been provided with resources for living well after a cancer diagnosis?
Your Answer: I have not had cancer.
The format of this quiz was adapted from the Got Transition Youth and Young Adults Health Care Transition Quiz. We encourage you to take this quiz to help you consider topics that many teens and young adults face in this process.




