Evidence map›Paper›PMID 36870037›Full record

ArticleJournal of cancer survivorship : research and practice2023

Transition practices for survivors of childhood cancer: a report from the Children's Oncology Group.

Jordan Gilleland Marchak, Karim T Sadak, Karen E Effinger, Regine Haardörfer, Cam Escoffery, Karen E Kinahan, David R Freyer, Eric J Chow, Ann Mertens

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
13.2field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. The Impact of Social Determinants on Healthcare Transition Readiness Among Adolescent and Young Adult Childhood Cancer Survivors: A Mixed Methods Systematic Review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  4. Quantifying Survival and Mortality in Childhood Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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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

9 authors at 6 institutions in 1 country.

Jordan Gilleland MarchakEmory University School of Medicine, Atlanta, GA, USA. jgillel@emory.edu.
Karim T SadakUniversity of Minnesota Masonic Children's Hospital and Cancer Center, Minneapolis, MN, USA.
Karen E EffingerAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, 2015 Uppergate Dr, GA, Atlanta, 30322, USA.
Regine HaardörferRollins School of Public Health, Emory University, Atlanta, GA, USA.
Cam EscofferyRollins School of Public Health, Emory University, Atlanta, GA, USA.
Karen E KinahanRobert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA.
David R FreyerChildren's Center for Cancer and Blood Disorders, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Eric J ChowFred Hutchinson Cancer Center, Seattle Children's Hospital, Seattle, WA, USA.
Ann MertensEmory University School of Medicine, Atlanta, GA, USA.
Emory University · USChildren's Healthcare of Atlanta · USChildren's Hospital of Los Angeles · USFred Hutch Cancer Center · USNorthwestern University · USUniversity of Minnesota Children's Hospital · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
Towards a preventive cancer vaccine for children with constitutional mismatch repair deficiencyUG1CA189955 · NCI · PUBLIC HEALTH INSTITUTE · PI BRAD H POLLOCK, Michael E. Roth · 2014 to 2026
$62.5M
SurvivorLink: Scalability of an Electronic Personal Health Record for Cancer Survivors and Caregivers at Pediatric Cancer Centers.R01CA218389 · NCI · EMORY UNIVERSITY · PI ESCOFFERY, NGOC-CAM, MERTENS, ANN C · 2018 to 2022
$3.1M
NCI NIH HHS R01 CA218389NCI NIH HHS U10 CA180886NCI NIH HHS UG1 CA189955
6 · The paper itself

Abstract

purposePediatric healthcare systems must support childhood cancer survivors to optimize their transition to adult care. This study aimed to assess the state of healthcare transition services provided by Children's Oncology Group (COG) institutions.

methodsA 190-question online survey was distributed to 209 COG institutions to assess survivor services, including transition practices, barriers, and implementation of services aligned with the six core elements of Health Care Transition 2.0 from the US Center for Health Care Transition Improvement.

resultsRepresentatives from 137 COG sites reported on institutional transition practices. Two-thirds (66.4%) of site discharge survivors to another institution for cancer-related follow-up care in adulthood. Transfer to primary care (33.6%) was a commonly reported model of care for young adult-aged survivors. Site transfer at ≤ 18 years (8.0%), ≤ 21 years (13.1%), ≤ 25 years (7.3%), ≥ 26 years (12.4%), or when survivors are "ready" (25.5%). Few institutions reported offering services aligned with the structured transition process from the six core elements (Median = 1, Mean = 1.56, SD = 1.54, range: 0-5). The most prevalent barriers to transitioning survivors to adult care were perceived lack of late-effects knowledge among clinicians (39.6%) and perceived lack of survivor desire to transfer care (31.9%).

conclusionsMost COG institutions transfer adult-aged survivors of childhood cancer elsewhere for survivor care, yet few programs report delivering recognized standards for quality healthcare transition programming to support survivors. IMPLICATIONS FOR CANCER SURVIVORS: Development of best practices for survivor transition is needed to help promote increased early detection and treatment of late effects among adult survivors of childhood cancer.

Indexed as

Cancer SurvivorsNeoplasmsTransition to Adult CareAgedChildDelivery of Health CareDisease ProgressionHumansSurvivorsYoung AdultLate effects servicesPediatric cancerSurvivorshipTransition to adult care

Identifiers

PMID36870037
PMCPMC9984742
OpenAlexW4323066794

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.