TY - JOUR
T1 - Predictors of Suboptimal Follow-up in Pediatric Cancer Survivors
AU - May, Leana
AU - Schwartz, David D.
AU - Frugé, Ernest
AU - Laufman, Larry
AU - Holm, Suzanne
AU - Kamdar, Kala
AU - Harris, Lynnette
AU - Brackett, Julienne
AU - Unal, Sule
AU - Tanyildiz, Gulsah
AU - Bryant, Rosalind
AU - Suzawa, Hilary
AU - Dreyer, Zoann
AU - Okcu, M. Fatih
N1 - Funding Information:
L.M. was supported by a cancer prevention fellowship funded by/ through NCI training grant R25 CA57730, Robert M. Chamberlain, PhD, Principal Investigator, The University of Texas MD Anderson Cancer Center.
Publisher Copyright:
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Attendance to follow-up care after completion of cancer treatment is an understudied area. We examined demographic, clinical, and socioeconomic predictors of follow-up by pediatric cancer patients at a large center in 442 newly diagnosed patients using multivariable logistic regression analyses. Patients who did not return to clinic for at least 1000 days were considered lost to follow-up. Two hundred forty-two (54.8%) patients were lost. In multivariable analyses, the following variables were independent predictors of being lost to follow-up: treatment with surgery alone (odds ratio [OR]=6.7; 95% confidence interval [CI], 3.1-14.9), older age at diagnosis (reference, 0 to 4; ages, 5 to 9: OR=1.8, 95% CI, 1.1-3; ages, 10 to 14: OR=3.3; CI, 1.8-6.1; and ages, 15 and above: OR=4.8; CI, 2.1-11.7), lack of history of stem cell transplantation (OR=2, 95% CI, 1.04-3.7) and lack of insurance (OR=3.4; CI, 1.2-9.2). Hispanic patients had the best follow-up rates (53.7%) compared to whites and blacks (P=0.03). Attendance to long-term follow-up care is suboptimal in childhood cancer survivors. Predictors that were associated with nonattendance can be used to design targeted interventions to improve follow-up care for survivors of pediatric cancer.
AB - Attendance to follow-up care after completion of cancer treatment is an understudied area. We examined demographic, clinical, and socioeconomic predictors of follow-up by pediatric cancer patients at a large center in 442 newly diagnosed patients using multivariable logistic regression analyses. Patients who did not return to clinic for at least 1000 days were considered lost to follow-up. Two hundred forty-two (54.8%) patients were lost. In multivariable analyses, the following variables were independent predictors of being lost to follow-up: treatment with surgery alone (odds ratio [OR]=6.7; 95% confidence interval [CI], 3.1-14.9), older age at diagnosis (reference, 0 to 4; ages, 5 to 9: OR=1.8, 95% CI, 1.1-3; ages, 10 to 14: OR=3.3; CI, 1.8-6.1; and ages, 15 and above: OR=4.8; CI, 2.1-11.7), lack of history of stem cell transplantation (OR=2, 95% CI, 1.04-3.7) and lack of insurance (OR=3.4; CI, 1.2-9.2). Hispanic patients had the best follow-up rates (53.7%) compared to whites and blacks (P=0.03). Attendance to long-term follow-up care is suboptimal in childhood cancer survivors. Predictors that were associated with nonattendance can be used to design targeted interventions to improve follow-up care for survivors of pediatric cancer.
KW - childhood cancer
KW - clinic attendance
KW - late effects
KW - survivorship
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UR - http://www.scopus.com/inward/citedby.url?scp=85006274244&partnerID=8YFLogxK
U2 - 10.1097/MPH.0000000000000723
DO - 10.1097/MPH.0000000000000723
M3 - Article
C2 - 27984354
AN - SCOPUS:85006274244
SN - 1077-4114
VL - 39
SP - e143-e149
JO - Journal of Pediatric Hematology/Oncology
JF - Journal of Pediatric Hematology/Oncology
IS - 3
ER -