Evidence map›Paper›PMID 27463688›Full record

ArticlePediatric blood & cancer2017

Transition and transfer of childhood cancer survivors to adult care: A national survey of pediatric oncologists.

Lisa B Kenney, Patrice Melvin, Laurie N Fishman, Joanne O'Sullivan-Oliveira, Gregory S Sawicki, Sonja Ziniel, Lisa Diller, Susan M Fernandes

Abstract read
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In one paragraph

Article in Pediatric blood & cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. The pivotal role of neurosurgeons in transitional care: A comprehensive tertiary healthcare institution's experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
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  11. Health Care Transitions Among Adolescents and Young Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
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  20. Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lisa B KenneyDana-Farber Children's Cancer and Blood Disorders Center, Boston, Massachusetts.
Patrice MelvinBoston Children's Hospital, Boston, Massachusetts.
Laurie N FishmanBoston Children's Hospital, Boston, Massachusetts.
Joanne O'Sullivan-OliveiraBoston Children's Hospital, Boston, Massachusetts.
Gregory S SawickiBoston Children's Hospital, Boston, Massachusetts.
Sonja ZinielBoston Children's Hospital, Boston, Massachusetts.
Lisa DillerDana-Farber Children's Cancer and Blood Disorders Center, Boston, Massachusetts.
Susan M FernandesLucile Packard Children's Hospital at Stanford, Palo Alto, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric oncologists are responsible for ensuring that adolescent and young adult (AYA) childhood cancer survivors have the knowledge and skills necessary to manage their follow-up care in adult healthcare systems. PROCEDURES: To describe transition practices and barriers to transfer, we electronically surveyed U.S. Children's Oncology Group members: 507/1449 responded (35%) and 347/507 (68%) met eligibility criteria.

resultsOf 347 respondents, 50% are male, median years in practice 10 (range 5-22), 37% practice in freestanding children's hospitals. Almost all care for survivors up to age 21 years (96%), 42% care for survivors over age 25 years, and only 16% over age 30 years. While 66% of oncologists reported providing transition education to their patients, very few (8%) reported using standardized transition assessments. The most frequent barriers to transfer were perceived attachment to provider (91%), lack of adult providers with cancer survivor expertise (86%), patient's cognitive delay (81%), or unstable social situation (80%). Oncologists who continue to care for patients older than 25 years are more likely to perceive parents' attachment to provider (P = 0.037) and patients' social situation as barriers to transfer (P = 0.044).  Four themes emerged from a content analysis of 75 respondents to the open-ended question inviting comments on transition/transfer practices: desire for flexible transfer criteria; providers as barriers; provider lack of transition knowledge, skills, and resources; and desire for collaboration.

conclusionsAlthough most pediatric oncologists reported transferring AYA cancer survivors to adult care and providing some transition education, they endorse deficits in transition skills, emotional readiness, and institutional resources.

Indexed as

OncologistsPatient Care PlanningSurvivorsAdolescentAdultAge FactorsContinuity of Patient CareFemaleFollow-Up StudiesHumansMaleNeoplasmsPediatricsPhysiciansPractice Patterns, Physicians'Prognosisadolescents/young adultschildhood cancer survivorstransitioning

Identifiers

PMID27463688

What OpenQuestion holds

Textmetadata
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Registered trials

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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.