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Cited by 425

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

Medical Care in Long-Term Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study

Open access
Nathan, Paul C., Greenberg, Mark L., Ness, Kirsten K., Hudson, Melissa M., Mertens, Ann C., Mahoney, Martin C., Gurney, James G., Donaldson, Sarah S., Leisenring, Wendy M., Robison, Leslie L., Oeffinger, Kevin C.·2008·Journal of Clinical Oncology

Abstract

Purpose: To evaluate whether childhood cancer survivors receive regular medical care focused on the specific morbidities that can arise from their therapy. Patients and Methods: We conducted a cross-sectional survey of health care use in 8,522 participants in the Childhood Cancer Survivor Study, a multi-institutional cohort of childhood cancer survivors. We assessed medical visits in the preceding 2 years, whether these visits were related to the prior cancer, whether survivors received advice about how to reduce their long-term risks, and whether screening tests were discussed or ordered. Completion of echocardiograms and mammograms were assessed in patients at high risk for cardiomyopathy or breast cancer. We examined the relationship between demographics, treatment, health status, chronic medical conditions, and health care use. Results: Median age at cancer diagnosis was 6.8 years (range, 0 to 20.9 years) and at interview was 31.4 years (range, 17.5 to 54.1 years). Although 88.8% of survivors reported receiving some form of medical care, only 31.5% reported care that focused on their prior cancer (survivor-focused care), and 17.8% reported survivor-focused care that included advice about risk reduction or discussion or ordering of screening tests. Among survivors who received medical care, those who were black, older at interview, or uninsured were less likely to have received risk-based, survivor-focused care. Among patients at increased risk for cardiomyopathy or breast cancer, 511 (28.2%) of 1,810 and 169 (40.8%) of 414 had undergone a recommended echocardiogram or mammogram, respectively. Conclusion: Despite a significant risk of late effects after cancer therapy, the majority of childhood cancer survivors do not receive recommended risk-based care.

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Metadata

Authors
Nathan, P. C., Greenberg, M. L., Ness, K. K., Hudson, M. M., Mertens, A. C., Mahoney, M. C., Gurney, J. G., Donaldson, S. S., Leisenring, W. M., Robison, L. L., & Oeffinger, K. C.
Venue
Journal of Clinical Oncology
Published
2008-09-20
Volume
26
Issue
27
Pages
4401-4409
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2153787064
Cited by
425
References
28
FWCI
18.97
Type
journal article
Language
en
Open access
bronze

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The paper
Nathan, P. C., Greenberg, M. L., Ness, K. K., Hudson, M. M., Mertens, A. C., Mahoney, M. C., Gurney, J. G., Donaldson, S. S., Leisenring, W. M., Robison, L. L., & Oeffinger, K. C. (2008). Medical Care in Long-Term Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2008.16.9607

Data sources

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.