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Barriers and facilitators of risk-based healthcare for adult survivors of childhood cancer: A report from the Childhood Cancer Survivor Study

Cancer Jan 29, 2020

Ford JS, Tonorezos ES, Mertens AC, et al. - Given that surveillance for late effects and education targeted at reducing or preventing risky health behaviors are included in optimal risk-based survivor healthcare, researchers ought to understand the reasons for a lack of risk-based follow-up care among adult participants from the Childhood Cancer Survivor Study. They obtained data from 975 survivors regarding having a cancer-related visit in the past 2 years and the likelihood of having a cancer-related visit in the future. In the previous 2 years, a cancer-related medical visit was made by 27%, and there were 41% who planned to have such a visit within the next 2 years. Survivors assigning greater importance to these visits, perceiving greater susceptibility to health problems, having a moderate to life-threatening chronic health problem linked to their cancer, seeing a primary care provider for a cancer-related problem, having a cancer treatment summary, and endorsing greater confidence in physicians' abilities to address questions and concerns exhibited higher likelihood of having had a cancer-related visit within the last 2 years. Findings here suggest that survivors of childhood cancer may benefit from educational interventions enhancing awareness of treatment history and susceptibility to cancer-related late effects and corresponding risk-based care.
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