Barriers and facilitators of risk-based health care for adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study Journal Article
| Authors: | Ford, J. S.; Tonorezos, E. S.; Mertens, A. C.; Hudson, M. M.; Casillas, J.; Foster, B. M.; Moskowitz, C. S.; Smith, S. M.; Chou, J. F.; Buchanan, G.; Robison, L. L.; Oeffinger, K. C. |
| Article Title: | Barriers and facilitators of risk-based health care for adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study |
| Abstract: | Background: Optimal risk-based survivor health care includes surveillance for late effects and education targeted at reducing or preventing risky health behaviors. Understanding the reasons for a lack of risk-based follow-up care is essential. Methods: Adult participants from the Childhood Cancer Survivor Study were surveyed about having a cancer-related visit in the past 2 years and the likelihood of having a cancer-related visit in the future. Additional factors thought to be related to the primary outcomes were also assessed. Results: Nine hundred seventy-five survivors completed the survey. Twenty-seven percent (95% confidence interval [CI], 24%-30%) had a cancer-related medical visit in the previous 2 years, and 41% (95% CI, 38%-44%) planned to have such a visit within the next 2 years. The likelihood of having had a cancer-related visit within the last 2 years was higher among survivors assigning greater importance to these visits (relative risk [RR], 1.2; 95% CI, 1.1-1.3), perceiving greater susceptibility to health problems (RR, 1.2; 95% CI, 1.1-1.3), having a moderate to life-threatening chronic health problem related to their cancer (RR, 2.1; 95% CI, 1.7-2.7), seeing a primary care provider for a cancer-related problem (RR, 1.3; 95% CI, 1.0-1.6), having a cancer treatment summary (RR, 1.3; 95% CI, 1.0-1.6), and endorsing greater confidence in physicians' abilities to address questions and concerns (RR, 1.2; 95% CI, 1.0-1.3). Conclusions: Educational interventions improving awareness of treatment history and susceptibility to cancer-related late effects and corresponding risk-based care are likely to be beneficial for survivors of childhood cancers. © 2019 American Cancer Society |
| Keywords: | adolescent; adult; major clinical study; follow up; cohort analysis; health survey; retrospective study; cancer therapy; prediction; risk factor; childhood cancer; cancer survivor; chronic disease; health care; questionnaire; physician attitude; disease predisposition; awareness; general practitioner; health education; clinical outcome; barriers; childhood cancer survivor; human; male; female; priority journal; article; apparent life threatening event; disease risk assessment; risk-based care; self administration test |
| Journal Title: | Cancer |
| Volume: | 126 |
| Issue: | 3 |
| ISSN: | 0008-543X |
| Publisher: | Wiley Blackwell |
| Date Published: | 2020-02-01 |
| Start Page: | 619 |
| End Page: | 627 |
| Language: | English |
| DOI: | 10.1002/cncr.32568 |
| PUBMED: | 31626337 |
| PROVIDER: | scopus |
| PMCID: | PMC6980215 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 3 February 2020 -- Source: Scopus |
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