Evidence map›Paper›PMID 41264205›Full record

ArticleJournal of cancer survivorship : research and practice2025

Age-appropriate needs-based care in an onco-primary care survivorship program for survivors of childhood, adolescent and young adult, and adult cancers.

Rebecca Eary, Andrea C Betts, Amy Hughes, Stephanie Lawrence, Ksenya Shliakhtsitsava, Bhaskar Thakur, Esther Ho, Bijal A Balasubramanian, Sarah Woods, L Aubree Shay and 1 more

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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. 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. Review
  2. Knowledge gaps among adult Hodgkin lymphoma survivors: implications for risk‑based care.Journal of cancer survivorship : research and practice · 2026
    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.

Rebecca Eary *UT Southwestern Medical Center, Department of Family and Community Medicine, 5939 Harry Hines Blvd, Suite 303, Dallas, TX, 7539, USA. rebecca.eary@utsouthwestern.edu.
Andrea C Betts *Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Dallas, TX, USA.
Amy HughesUT Southwestern Peter O'Donnell School of Public Health, Department of Epidemiology, Dallas, TX, USA.
Stephanie LawrenceUT Southwestern Moncrief Cancer Institute, Fort Worth, TX, USA.
Ksenya ShliakhtsitsavaHarold C Simmons Comprehensive Cancer Center, Dallas, TX, USA.
Bhaskar ThakurUT Southwestern Medical Center, Department of Family and Community Medicine, 5939 Harry Hines Blvd, Suite 303, Dallas, TX, 7539, USA.
Esther HoUT Southwestern Medical Center, Department of Family and Community Medicine, 5939 Harry Hines Blvd, Suite 303, Dallas, TX, 7539, USA.
Bijal A BalasubramanianDepartment of Epidemiology, UTHealth Houston School of Public Health, Houston, TX, USA.
Sarah WoodsUT Southwestern Medical Center, Department of Family and Community Medicine, 5939 Harry Hines Blvd, Suite 303, Dallas, TX, 7539, USA.
L Aubree ShayDepartment of Health Promotion and Behavioral Science, UTHealth Houston School of Public Health, San Antonio, TX, USA.
Brittany HallUT Southwestern Moncrief Cancer Institute, Fort Worth, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRoutine assessment of cancer survivors' needs is inconsistently performed in both primary care and oncology. Age influences survivorship needs, with younger survivors facing prolonged symptom burden and late effects, and older survivors experiencing compounded aging-related issues. We describe age-appropriate needs-based care in a university onco-primary care survivorship clinic serving adult survivors of childhood and adult cancers.

methodsBetween November 1, 2022, and May 31, 2023, the clinic administered age-appropriate assessments during routine visits (ages ≤ 39 years: Adolescent and Young Adult Psycho-Oncology Screening Tool for Survivorship [AYA-SPOST]; ≥ 40 years: NCCN Distress Thermometer and Problem List [NCCN DTPL]). Survivors prioritized their top three concerns, and clinicians addressed them in the visit. Descriptive statistics were used to summarize priority concerns.

resultsTwo hundred and twenty-eight patients (100%) completed age-appropriate assessments (AYA-SPOST: 112; NCCN DTPL: 116) and prioritized their concerns at their clinic visit. Leukemia (21%) and lymphoma (18%) were the most common diagnoses. Survivors ≤ 39 years old prioritized anxiety/fear (21%), sleep disturbances (14%), and worry about long-term effects (12%), while those ≥ 40 years old prioritized pain (40%), fatigue (28%), and worry/anxiety (23%). Clinicians discussed survivors' concerns with them and made 74 referrals to supportive services.

conclusionsWe implemented age-appropriate needs-based care in an onco-primary care clinic as part of standard care. Patients' priority concerns helped drive clinical visits to ensure patient-centered care. IMPLICATIONS FOR CANCER SURVIVORS: Routine use of age-appropriate assessments for different stages of adulthood, with opportunities for survivors to prioritize their concerns, allows clinicians to take immediate action to help address those concerns.

Indexed as

AYA cancerChildhood cancerOnco-primary carePrimary careSurvivorship

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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.