Evidence map›Paper›PMID 40878971›Full record

ArticleCancer medicine2025

Cardiomyopathy Screening Adherence Among Medicaid-Enrolled Long-Term Survivors of Childhood Cancer.

Xin Hu, Sharon M Castellino, Deo Kumar Srivastava, Paul C Nathan, Gregory T Armstrong, Claire Snyder, Anne C Kirchhoff, Xu Ji

Abstract read
In one paragraph

Article in Cancer medicine, 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

8 authors.

Xin HuDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-1097-3300
Sharon M CastellinoDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Deo Kumar SrivastavaBiostatistics Department, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Paul C NathanThe Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Claire SnyderDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Anne C KirchhoffDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Xu JiDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-3025-3984

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
Advancing novel therapeutics and translational science to close the survivorship gap in pediatric, adolescent and young adult (AYA) lymphomaR50CA285492 · NCI · EMORY UNIVERSITY · PI SHARON MARIE CASTELLINO · 2024 to 2026
$537k
Disparities in Quality Healthcare Among Childhood Cancer Survivors: Role of MedicaidK01MD018637 · NIMHD · EMORY UNIVERSITY · PI Xu Ji · 2023 to 2026
$521k
Understanding the impact of the Affordable Care Act on healthcare coverage, utilization, and outcomes for childhood cancer survivorsR03CA267456 · NCI · EMORY UNIVERSITY · PI JI, XU · 2022 to 2023
$170k
CDC HHS SIP 20-004NCI NIH HHS P30 CA021765NCI NIH HHS R03 CA267456NCI NIH HHS R50 CA285492NCI NIH HHS U24 CA055727NIH HHS K01MD018637NIH HHS R03CA267456NIH HHS R50CA285492NIMHD NIH HHS K01 MD018637
6 · The paper itself

Abstract

backgroundChildhood cancer survivors face increased risks of adverse cardiovascular outcomes due to treatment exposures. National guidelines recommend periodic cardiomyopathy screening for survivors exposed to anthracyclines or radiation. We examined the receipt of and the adherence to guideline-recommended cardiomyopathy testing (echocardiogram, multigated acquisition scan, magnetic resonance imaging) among Medicaid-enrolled childhood cancer survivors.

methodUsing data from the Childhood Cancer Survivor Study linked to administrative Medicaid claims, we analyzed 1062 at-risk survivors aged 18-64 years who were continuously enrolled in Medicaid each year throughout 2015-2019.

resultsWe found that 26.8% received any cardiomyopathy test, and 9.6% adhered to guidelines. Residence in Medicaid expansion (vs. non-expansion) states was associated with 6.9% points (95% CI = 0.7-13.1) higher likelihood of receiving any cardiomyopathy test and 4.2% points (95% CI = 0.4-7.9) higher likelihood of adherence.

conclusionsThese findings suggest low receipt and poor adherence to guideline-recommended cardiomyopathy screening among long-term survivors of childhood cancer. Our data further underscore the critical role of Medicaid programs in supporting access to quality survivorship care for this vulnerable population.

Indexed as

Cancer SurvivorsCardiomyopathiesGuideline AdherenceMass ScreeningMedicaidNeoplasmsAdolescentAdultAnthracyclinesFemaleHumansMaleMiddle AgedUnited StatesYoung AdultAnthracyclines

Identifiers

PMID40878971
PMCPMC12322921

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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.