ArticleCancer2011
Impact of insurance type on survivor-focused and general preventive health care utilization in adult survivors of childhood cancer: the Childhood Cancer Survivor Study (CCSS).
Article in Cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04520061 (Developing a Health Insurance Navigation Program for Survivors of Childhood Cancer), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Developing a Health Insurance Navigation Program for Survivors of Childhood Cancer
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Disparities in pediatric cancer survivorship care: A systematic review.Cancer medicine · 2023Pooled it
- Clinical Trial Enrollment is Associated With Improved Follow-up Rates Among Survivors of Childhood Cancer.Journal of pediatric hematology/oncology · 2019Trial
- Changes in Medicaid Enrollment Among Adult Survivors of Childhood Cancer After Medicaid Expansion: A Report From the Childhood Cancer Survivor Study.JCO oncology practice · 2026Article
- Characteristics of childhood cancer survivors attending a specialized survivorship clinic in the Deep South.Journal of cancer survivorship : research and practice · 2026Article
- Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors.Health education & behavior : the official publication of the Society for Public Health Education · 2025Article
- Health Insurance Status and Access to Healthcare Among Young Adults with Congenital Heart Disease: from the Congenital Heart Survey To Recognize Outcomes, Needs and Well-beinG (CH STRONG), 2016-2019.Pediatric cardiology · 2024Article
- Regression analysis of general mixed recurrent event data.Lifetime data analysis · 2023Article
- Prevalence and correlates of skin examination among ethnically diverse young adult survivors of childhood cancer.Cancer medicine · 2023Article
- Forgoing needed medical care among long-term survivors of childhood cancer: racial/ethnic-insurance disparities.Journal of cancer survivorship : research and practice · 2022Article
- Primary and mental health service use in community health center patients before and after cancer diagnosis.Cancer medicine · 2022Article
- Insurance coverage change and survivorship care among young adult survivors of childhood cancer.Health services research · 2022Article
- Impact of the model of long-term follow-up care on adherence to guideline-recommended surveillance among survivors of adolescent and young adult cancers.Cancer medicine · 2021Article
- Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings.International journal of environmental research and public health · 2020Article
- Survivor clinic attendance among pediatric- and adolescent-aged survivors of childhood cancer.Journal of cancer survivorship : research and practice · 2019Article
- Insurance, chronic health conditions, and utilization of primary and specialty outpatient services: a Childhood Cancer Survivor Study report.Journal of cancer survivorship : research and practice · 2018Article
- Psychological Symptoms, Social Outcomes, Socioeconomic Attainment, and Health Behaviors Among Survivors of Childhood Cancer: Current State of the Literature.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018Review
- Factors influencing risk-based care of the childhood cancer survivor in the 21st century.CA: a cancer journal for clinicians · 2018Review
- Geographic Access to Cancer Care and Mortality Among Adolescents.Journal of adolescent and young adult oncology · 2018Article
- In Low-Income Latino Patients, Post-Affordable Care Act Insurance Disparities May Be Reduced Even More than Broader National Estimates: Evidence from Oregon.Journal of racial and ethnic health disparities · 2017Article
- Health insurance coverage, care accessibility and affordability for adult survivors of childhood cancer: a cross-sectional study of a nationally representative database.Journal of cancer survivorship : research and practice · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundLack of health insurance is a key barrier to accessing care for chronic conditions and cancer screening. The influence of insurance type (private, public, none) on survivor-focused and general preventive health care in adult survivors of childhood cancer was examined.
methodsThe Childhood Cancer Survivor Study is a retrospective cohort study of childhood cancer survivors diagnosed between 1970 and 1986. Among 8425 adult survivors, the relative risk (RR) and 95% confidence interval (CI) of receiving survivor-focused and general preventive health care were estimated for uninsured (n = 1390) and publicly insured (n = 640), compared with for the privately insured (n = 6395)
resultsUninsured survivors were less likely than those privately insured to report a cancer-related visit (adjusted RR, 0.83; 95% CI, 0.75-0.91) or a cancer center visit (adjusted RR, 0.83; 95% CI, 0.71-0.98). Uninsured survivors had lower levels of utilization in all measures of care in comparison with privately insured. In contrast, publicly insured survivors were more likely to report a cancer-related visit (adjusted RR, 1.22; 95% CI, 1.11-1.35) or a cancer center visit (adjusted RR, 1.41; 95% CI, 1.18-1.70) than were privately insured survivors. Although publicly insured survivors had similar utilization of general health examinations, they were less likely to report a Papanicolaou test or a dental examinations
conclusionsAmong this large, socioeconomically diverse cohort, publicly insured survivors utilize survivor-focused health care at rates at least as high as survivors with private insurance. Uninsured survivors have lower utilization of both survivor-focused and general preventive health care.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.