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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Attendance at survivorship clinics in relation to Hodgkin lymphoma survivor and treatment characteristics.

Eline M J Lammers, Berthe M P Aleman, Michael Schaapveld, Josée M Zijlstra, Cécile P M Janus, Roel J de Weijer, Maaike G A Schippers, Rinske S Boersma, Saskia S Gommers, Mirjam Kappert and 3 more

Abstract readMulticenter Study
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

13 authors.

Eline M J LammersDepartment of Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-7345-3500
Berthe M P AlemanDepartment of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2306-6590
Michael SchaapveldDepartment of Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-4390-7182
Josée M ZijlstraDepartment of Hematology, Amsterdam UMC, Location Vrije Universiteit, Cancer Center Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-1074-5922
Cécile P M JanusDepartment of Radiation Oncology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-3860-8698
Roel J de WeijerDepartment of Hematology, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID http://orcid.org/0000-0002-1936-2437
Maaike G A SchippersDepartment of Radiation Oncology, Verbeeten Institute, Tilburg, the Netherlands.
Rinske S BoersmaDepartment of Hematology, Amphia Hospital, Breda, the Netherlands.ORCID http://orcid.org/0000-0003-1713-8666
Saskia S GommersDepartment of Hematology, Haaglanden Medical Center Location Antoniushove, Leidschendam, the Netherlands.
Mirjam KappertDepartment of Hematology, Gelre Hospitals, Apeldoorn and Zutphen, Zutphen, the Netherlands.
Adriaantje C KroezeDepartment of Hematology, Meander Medical Center, Amersfoort, the Netherlands.
Flora E van LeeuwenDepartment of Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-5871-1484
Annelies NijdamDepartment of Epidemiology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, the Netherlands. a.nijdam@nki.nl.

Funding

the Netherlands Organization for Health Research and Development 10330022010009
6 · The paper itself

Abstract

purposeParticipation rates in cancer survivorship care (CSC) programs are suboptimal and reasons for non-attendance are poorly understood. To identify possible improvements of the Dutch CSC for Hodgkin lymphoma (HL) survivors, we aimed to (1) identify survivor and treatment characteristics associated with non-attendance at Dutch CSC clinics for HL survivors and (2) evaluate reasons for non-attendance.

methodsIn a retrospective multicenter cohort study, we assessed attendance among 516 adult HL survivors invited to eight CSC clinics from 2013 to 2024. The associations between sex, socio-economic status, age at CSC invitation, HL treatment category, history of cardiovascular disease, history of subsequent malignancy, time since HL diagnosis, and non-attendance were assessed in multivariable logistic regression analysis. Reasons for non-attendance were retrieved from a survey sent to all non-attenders.

resultsCSC attendance was 70% (n = 363). In multivariable analysis, male sex was associated with higher odds of non-attendance compared to female sex (odds ratio (OR) 1.61, 95% confidence interval (CI) 1.01-2.56) while a history of subsequent malignancy was associated with lower odds of non-attendance (OR 0.41, 95% CI 0.19-0.89). Of all non-attenders, 44 (28.8%, of whom 45.5% male) responded to the survey. Frequently reported reasons for non-attendance were surveillance or treatment for late effects elsewhere (n = 17) and emotional burden of clinic visit (n = 15).

conclusionOur findings inform attempts to improve attendance at Dutch CSC clinics for HL survivors. Active involvement of healthy (male) survivors in improvement of the survivorship program is key to its success.

Indexed as

Cancer SurvivorsHodgkin DiseaseNo-Show PatientsSurvivorshipAdolescentAdultAgedFemaleHumansMaleMiddle AgedNetherlandsRetrospective StudiesSex FactorsYoung AdultAttendanceCancer survivorship careHodgkin lymphomaScreeningUptake

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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.