Evidence map›Paper›PMID 40676480›Full record

ArticleJournal of cancer survivorship : research and practice2025

Healthcare utilization among survivors of childhood and adolescent cancer: a population-based study.

Grace H Tang, Rinku Sutradhar, Wing C Chan, Sumit Gupta, Monika Krzyzanowska, Petros Pechlivanoglou, Paul C Nathan

Abstract read
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Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Grace H TangInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada. grace.tang@unityhealth.to.
Rinku SutradharInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.
Wing C ChanICES, Toronto, ON, Canada.
Sumit GuptaInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.
Monika KrzyzanowskaInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.
Petros PechlivanoglouInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.
Paul C NathanInstitute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Toronto, ON, M5T 3M6, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurvivors of childhood and adolescent cancers are at increased risk for late effects. Few studies have investigated if this translates into increased healthcare utilization during survivorship. We compared rates of healthcare utilization between survivors of childhood and adolescent cancer and matched cancer-free controls.

methodsThis was a population-based matched cohort study using administrative databases in Ontario, Canada. The survivor cohort included individuals diagnosed with cancer ≤ 21 years old who had survived ≥ 5 years from their primary cancer diagnosis or relapse/recurrence during childhood/adolescence. Each survivor was matched to 5 controls based on year of birth, sex, and geographic location. Andersen-Gill recurrent event regression models were used to evaluate the association between survivorship and the rates of hospitalization, surgeries, diagnostic imaging, visits to the emergency department (ED), primary care physician (PCP), and sub-specialists. Models were adjusted for income quintile and comorbidity.

resultsWe identified 8090 survivors and 40,450 matched controls. Median follow-up time from index was 9 years. Compared to controls, survivors had higher rates of hospitalizations (adjusted relative rate (aRR) 1.82, 95% confidence interval [CI] 1.68-1.96), surgeries (aRR, 1.26; 95%CI, 1.20-1.32), sub-specialist visits (aRR, 1.55; 95%CI, 1.50-1.61), and diagnostic imaging (aRR, 1.48; 95%CI, 1.44-1.52). Rates of PCP and ED visits did not differ.

conclusionsCancer survivors have higher rates of healthcare use compared to matched cancer-free controls in a publicly funded healthcare system. IMPLICATIONS FOR CANCER SURVIVORS: Our findings suggest survivors do not receive additional care from their PCPs or visits to the ED. Future research is needed from other jurisdictions to supplement our findings.

Indexed as

Childhood cancerHealthcare servicesHealthcare utilizationSurvivorship

Identifiers

PMID40676480

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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.