Identifying Predictors of Longitudinal Decline in the Level of Medical Care Received by Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor Study

Jacqueline Casillas, Department of Pediatrics, University of California, Los Angeles, CA.Follow
Kevin C. Oeffinger, Department of Medicine and Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY.
Melissa M. Hudson, Departments of Oncology and Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN.
Mark L. Greenberg, Department of Paediatrics, The Hospital for Sick Children and the University of Toronto, Toronto, ON, Canada.
Mark W. Yeazel, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN.Follow
Kirsten K. Ness, Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN.
Tara O. Henderson, The University of Chicago Medicine Comer Children's Hospital, Chicago, IL.
Leslie L. Robison, Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN.
Gregory T. Armstrong, Departments of Oncology and Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN.Follow
Qi Liu, Department of Public Health Sciences, University of Alberta, Edmonton, AB, Canada.
Wendy Leisenring, Cancer Prevention and Biostatistics Programs, Fred Hutchinson Cancer Research Center, Seattle, WA.
Yutaka Yasui, Department of Public Health Sciences, University of Alberta, Edmonton, AB, Canada.Follow
Paul C. Nathan, Department of Paediatrics, The Hospital for Sick Children and the University of Toronto, Toronto, ON, Canada.

Abstract

OBJECTIVES: Characterize longitudinal changes in the use of medical care in adult survivors of childhood cancer. DATA SOURCES: The Childhood Cancer Survivor Study, a retrospective cohort study of 5+ year survivors of childhood cancer. STUDY DESIGN: Medical care was assessed at entry into the cohort (baseline) and at most recent questionnaire completion. Care at each time point was classified as no care, general care, or survivor-focused care. DATA COLLECTION: There were 6,176 eligible survivors. Multivariable models evaluated risk factors for reporting survivor-focused care or general medical care at baseline and no care at follow-up; and survivor-focused care at baseline and general care at follow-up. PRINCIPAL FINDINGS: Males (RR, 2.3; 95 percent CI 1.8-2.9), earning <$20,000/year (RR, 1.6; 95 percent CI 1.2-2.3) or ≤ high school education (RR, 2.5; 95 percent CI 1.6-3.8 and RR 2.0; 95 percent CI 1.5-2.7 for

Publication Title

Health services research

Link to Full Text

Share

COinS