Evidence map›Paper›PMID 26833205›Full record

ArticleJournal of cancer survivorship : research and practice2016

Adult childhood cancer survivors' narratives of managing their health: the unexpected and the unresolved.

A Fuchsia Howard, Karen Goddard, Jason Tan de Bibiana, Sheila Pritchard, Robert Olson, Arminee Kazanjian

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Hodgkin lymphoma survivor perspectives on their engagement in treatment decision-making and discussion of late effects.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  8. Identifying and exploring the self-management strategies used by childhood cancer survivors.Journal of cancer survivorship : research and practice · 2021
    Article
  9. Facing the unknown: uncertain fertility in young adult survivors of childhood cancer.Journal of cancer survivorship : research and practice · 2021
    Article
  10. Article
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  14. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

A Fuchsia HowardSchool of Nursing, The University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada. fuchsia.howard@ubc.ca.
Karen GoddardDepartment of Radiation Oncology, BC Cancer Agency, Vancouver, BC, Canada.
Jason Tan de BibianaCentre for Research on Inner City Health, St. Michael's Hospital, Toronto, ON, Canada.
Sheila PritchardDivision of Hematology/Oncology, BC Children's Hospital, Vancouver, BC, Canada.
Robert OlsonDepartment of Surgery, The University of British Columbia, Vancouver, BC, Canada.
Arminee KazanjianSchool of Population and Public Health, The University of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CABC Cancer Agency · CABC Children's Hospital · CASt. Michael's Hospital · CA

Funding

CIHR AQC83559
6 · The paper itself

Abstract

purposeCurrently, 80 % of children diagnosed with cancer will be cured. However, many of these survivors go on to develop long-term health problems or late effects related to their previous cancer and therapy and require varying degrees of lifelong follow-up care. The purpose of this study was to identify the different ways that adult survivors of childhood cancer manage their medical and psychological challenges.

methodsData from in-depth interviews with 30 adult survivors of a childhood cancer (9 to 38 years after diagnosis, currently 22 to 43 years of age, 60 % women) were analyzed using qualitative, thematic narrative analysis methods.

resultsThe survivors had not expected the medical, psychological, and social challenges that arose over time and that often remained unresolved. Five narrative themes revealed distinct ways that survivors managed their health challenges: (1) trying to forget cancer, (2) trusting the system to manage my follow-up care, (3) being proactive about my health, (4) stumbling from one problem to the next, and (5) struggling to find my way.

conclusionsVariation exists in the ways in which childhood cancer survivors frame their health, their perceived significance of health challenges, strategies used to manage health, interactions with healthcare professionals and the health system, and parental involvement. IMPLICATIONS FOR CANCER SURVIVORS: This research provides novel insights that can be used to inform the development of patient-centered health services that promote the assessment and tailoring of care to the diverse ways survivors enact their agency, as well as their psychoeducational coping styles, therapeutic relationship needs, and information needs.

Indexed as

AdultFemaleHumansMaleNeoplasmsSurvivorsYoung AdultChildhood cancer survivorHealth servicesNarrative researchPatient perspectiveQualitative

Identifiers

PMID26833205
PMCPMC4920835
OpenAlexW2336932653

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.