Evidence map›Paper›PMID 32458248›Full record

ArticleJournal of cancer survivorship : research and practice2020

Influence of provider recommendations to restart vaccines after childhood cancer on caregiver intention to vaccinate.

Echo L Warner, Perla L Vaca Lopez, Deanna Kepka, Karely Mann, Heydon K Kaddas, Douglas Fair, Mark Fluchel, Elizabeth D Knackstedt, Samantha T Pannier, Laura Martel and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Splenic function post radiation therapy in childhood cancer survivors.Clinical and translational radiation oncology · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Drivers of COVID-19 Vaccine Intent Among Survivors of Adolescent and Young Adult Cancer: a Mixed Method Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  10. Article
  11. Article
  12. Article
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 4 institutions in 1 country.

Echo L WarnerUniversity of Arizona Cancer Center, 3838 N Campbell Ave, Tucson, AZ, 85719, USA. echowarner@email.arizona.edu.ORCID 0000-0002-5998-9744
Perla L Vaca LopezCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Deanna KepkaCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Karely MannCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Heydon K KaddasCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Douglas FairDepartment of Pediatrics, Division of Pediatric Hematology/Oncology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Mark FluchelDepartment of Pediatrics, Division of Pediatric Hematology/Oncology, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Elizabeth D KnackstedtDepartment of Pediatrics, Division of Pediatric Infectious Diseases, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA.
Samantha T PannierCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Laura MartelUtah AIDS Education and Training Center, School of Medicine, University of Utah, 30 N 1990 E, Salt Lake City, UT, 84132, USA.
Anne C KirchhoffCancer Control and Population Sciences, Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, Utah, 84112, USA.
Huntsman Cancer Institute · USUniversity of Utah · USIntermountain Healthcare · USUniversity of Arizona · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Cancer Prevention and Control Health Disparities Training ProgramT32CA078447 · NCI · UNIVERSITY OF ARIZONA · PI ALBERTS, DAVID SAMUEL, HARRIS, ROBIN B · 2016 to 2020
$1.2M
The role of social media in social support acquisition for young adult informal cancer caregivers: A mixed-methods studyF31CA221000 · NCI · UNIVERSITY OF UTAH · PI WARNER, ECHO · 2017 to 2019
$110k
NCI NIH HHS F31 CA221000NCI NIH HHS P30 CA042014NCI NIH HHS T32 CA078447
6 · The paper itself

Abstract

purposeWe studied the influence of oncology and primary care provider (PCP) recommendations on caregiver intentions to restart vaccines (e.g., catch-up or boosters) after cancer treatment.

methodsWe surveyed primary caregivers ages 18 or older with a child who had completed cancer treatment 3-36 months prior (N = 145) about demographics, child's vaccination status, and healthcare factors (e.g., provider recommendations, barriers, preferences for vaccination). We compared these factors by caregiver's intention to restart vaccines ("vaccine intention" vs. "no intent to vaccinate") using bivariate and multivariable analyses.

resultsCaregivers were primarily ages 30-39 years (54.9%), mothers (80.6%), college graduates (44.4%), non-Hispanic (89.2%), and married (88.2%). Overall, 34.5% of caregivers did not know which vaccines their child needed. However, 65.5% of caregivers reported vaccine intention. Fewer caregivers with no intention to vaccinate believed that vaccinating their child helps protect others (85.4 vs. 99.0%, p < 0.01), that vaccines are needed when diseases are rare (83.7 vs. 100.0%, p < 0.01), and that vaccines are safe (80.4 vs. 92.6%, p = 0.03) and effective (91.5 vs. 98.9%, p = 0.04) compared with vaccine intention caregivers, respectively. Provider recommendations increased caregivers' likelihood of vaccine intention (oncologist RR = 1.65, 95% CI 1.27-2.12, p < 0.01; PCP RR = 1.51, 95% CI 1.19-1.94, p < 0.01).

conclusionsProvider recommendations positively influence caregivers' intention to restart vaccines after childhood cancer. Guidelines are needed to support providers in making tailored vaccine recommendations. IMPLICATIONS FOR CANCER SURVIVORS: Timely vaccination after childhood cancer protects patients against vaccine-preventable diseases during survivorship. Caregivers may benefit from discussing restarting vaccinations after cancer with healthcare providers.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAttitude of Health PersonnelCancer SurvivorsChildChild, PreschoolFemaleHealth PersonnelHumansInfantInfant, NewbornIntentionMaleMiddle AgedNeoplasmsVaccinesCaregiverChildhoodImmunizationProvider recommendationSurvivorship care

Identifiers

PMID32458248
PMCPMC7505103
OpenAlexW3029914000

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.