Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan Journal Article
| Authors: | Oeffinger, K. C.; Hudson, M. M.; Mertens, A. C.; Smith, S. M.; Mitby, P. A.; Eshelman-Kent, D. A.; Ford, J. S.; Jones, J. K.; Kamani, S.; Robison, L. L. |
| Article Title: | Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan |
| Abstract: | Background: Hodgkin lymphoma (HL) survivors face substantially elevated risks of breast cancer and cardiovascular disease. They and their physicians are often unaware of these risks and surveillance recommendations. +Procedure: A prospective one-arm study was conducted among a random sample of 72 HL survivors, ages 27-55 years, participating in the Childhood Cancer Survivor Study (CCSS) who were at increased risk for breast cancer and/or cardiomyopathy and had not had a screening mammogram or echocardiogram, respectively, within the prior 2 years. A one-page survivorship care plan with recommendations for surveillance was mailed to participants. In addition, survivors' primary physicians were contacted and provided patient-specific information and a web-based Virtual Information Center was made available for both survivors and physicians. Outcomes were assessed by telephone 6 months after the intervention. +Results: The survivor participation (62/72; 86%) and 6-month retention (56/61; 92%) rates were high. Tension and anxiety, measured by the Profile of Mood States, did not increase following risk notification; 91% of survivors described their reactions to receiving the information in positive terms. At 6 months, 41% of survivors reported having completed the recommended mammogram; 20% reported having an echocardiogram (females 30%, males 10%). Only 29% of survivors visited the website. Nine physicians enrolled, and none used the study resources. +Conclusion: A mailed, personalized survivorship care plan was effective in communicating risk and increasing compliance with recommended medical surveillance. Internet- and telephone-based strategies to communicate risk were not utilized by survivors or physicians. © 2011 Wiley-Liss, Inc. |
| Keywords: | adult; aged; major clinical study; cancer risk; prospective study; breast cancer; heart disease; cancer screening; childhood cancer; hodgkin disease; late effects; cancer survivor; mammography; anxiety disorder; physician; echocardiography; health care planning; cardiomyopathy; survivorship care plan; profile of mood states |
| Journal Title: | Pediatric Blood and Cancer |
| Volume: | 56 |
| Issue: | 5 |
| ISSN: | 1545-5009 |
| Publisher: | Wiley Periodicals, Inc |
| Date Published: | 2011-05-01 |
| Start Page: | 818 |
| End Page: | 824 |
| Language: | English |
| DOI: | 10.1002/pbc.22696 |
| PROVIDER: | scopus |
| PUBMED: | 21370417 |
| PMCID: | PMC3749088 |
| DOI/URL: | |
| Notes: | --- - "Export Date: 23 June 2011" - "CODEN: PBCEA" - "Source: Scopus" |
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