Evidence map›Paper›PMID 31250352›Full record

ArticleJournal of cancer survivorship : research and practice2019

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

K Reynolds, M Spavor, Y Brandelli, C Kwok, Y Li, M Disciglio, L E Carlson, F Schulte, R Anderson, P Grundy and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

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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

11 authors at 6 institutions in 1 country.

K ReynoldsLong Term Survivor's Clinic, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail NW, Calgary, Alberta, T3B 6A8, Canada.
M SpavorNorthern Alberta Childhood Cancer Survivor Program, 4E2, Stollery Children's Hospital, 8440 112th Street, Edmonton, Alberta, T6G 2B7, Canada. maria.spavor@ahs.ca.ORCID http://orcid.org/0000-0002-4307-6289
Y BrandelliDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
C KwokDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
Y LiDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
M DisciglioNorthern Alberta Childhood Cancer Survivor Program, 4E2, Stollery Children's Hospital, 8440 112th Street, Edmonton, Alberta, T6G 2B7, Canada.
L E CarlsonDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
F SchulteDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
R AndersonAlberta Children's Hospital, Calgary, Alberta, Canada.
P GrundyNorthern Alberta Childhood Cancer Survivor Program, 4E2, Stollery Children's Hospital, 8440 112th Street, Edmonton, Alberta, T6G 2B7, Canada.
J Giese-DavisDepartment of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, Alberta, Canada.
Alberta Health Services · CAUniversity of Calgary · CAAlberta Children's Hospital · CAStollery Children's Hospital · CAUniversity of Alberta · CAUniversity of Alberta Hospital · CA

Funding

Kids Cancer Care Foundation of Alberta Chair in Pediatric Oncology n/aUniversity of Alberta Department of Pediatrics and the Stollery Children's Hospital Foundation (Hair Massacure Grant) n/a
6 · The paper itself

Abstract

purposeFew 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.

methodsASCC 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.

resultsOne 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 < 0.0001). There was no significant difference in QOL for cancer center ASCCs (M = 83.85, SD = 20.55 versus M = 77.50, SD = 23.94; t (154) = 1.77, p = 0.078) compared to community-based ASCCs. Cancer center-based ASCCs endorsed from 0.4-7.1% fewer physical symptom clusters, and higher adherence to follow-up behavior in comparisons using effect sizes without p values.

conclusionThis study highlights the cancer center model's superiority for adherence to exposure-based medical late effect screening guidelines, cancer-specific follow-up behaviors, and the reporting of fewer physical complaints in ASCCs. IMPLICATIONS FOR CANCER SURVIVORS: ASCCs followed in a cancer center model likely benefit from earlier late-effects detection and opportunities for early intervention.

Indexed as

Cancer SurvivorsModels, OrganizationalAdolescentAdultAftercareCanadaChildChild, PreschoolCohort StudiesFemaleHumansMaleMiddle AgedNeoplasmsPatient ComplianceQuality of LifeChildhood cancerCOG guideline adherenceLate effectsModels of careQuality of lifeSurvivorship

Identifiers

PMID31250352
OpenAlexW2953992768

What OpenQuestion holds

Textmetadata
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.