A comparison of two models of follow-up care for adult survivors of childhood cancer

Autor: Yvonne Brandelli, Janine Giese-Davis, M Disciglio, Kathleen Reynolds, Y Li, Roger C. Anderson, Maria Spavor, Fiona Schulte, Linda E. Carlson, C Kwok, Paul E. Grundy
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cancer Survivorship. 13:547-557
ISSN: 1932-2267
1932-2259
DOI: 10.1007/s11764-019-00774-w
Popis: Few studies have compared follow-up-care models for adult survivors of childhood cancer (ASCCs), though choice of model could impact medical test adherence, and health-related quality of life (QOL). This study compared two follow-up-care models, cancer-center-based versus community-based, for ASCCs in Alberta, Canada, to determine which model would demonstrate greater ASCC adherence to guideline-recommended medical screening tests for late effects, QOL, physical symptoms, and adherence to yearly follow-up. ASCC discharged to a community model (over 15 years) and those with comparable birth years (1973–1993) currently followed in a cancer center model were recruited via direct contact or multimedia campaign. Chart review identified chemotherapeutic and radiation exposures, and required medical late effect screening tests. ASCCs also completed questionnaires assessing QOL, physical symptoms, and follow-up behavior. One hundred fifty-six survivors participated (community (n = 86); cancer center (n = 70)). Primary analysis indicated that cancer center ASCCs guideline-recommended total test adherence percentage (Mdn = 85.4%) was significantly higher than the community model (Mdn = 29.2%, U = 3996.50, p
Databáze: OpenAIRE
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