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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Post-traumatic growth related to long-term follow up in survivors of childhood cancer: a national qualitative study.

Kyle Mendonça, Sharon H J Hou, Holly Wright, Brianna Henry, Rachelle Drummond, Caitlin Forbes, Iqra Rahamatullah, Jenny Duong, Craig Erker, Michael S Taccone and 6 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. 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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0citing papers 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

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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

16 authors.

Kyle MendonçaCancerCare Manitoba, Winnipeg, MB, Canada.
Sharon H J HouFaculty of Education, Simon Fraser University, Burnaby, BC, Canada.
Holly WrightDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Brianna HenryDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Rachelle DrummondDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Caitlin ForbesDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Iqra RahamatullahDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Jenny DuongDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Craig ErkerDepartment of Pediatrics, Dalhousie University, Halifax, NS, Canada.
Michael S TacconeChildhood Cancer Survivor Canada, Toronto, ON, Canada.
Liam SutherlandDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Paul C NathanDepartment of Pediatrics and Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Maria SpavorDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Karen GoddardDepartment of Surgery, The University of British Columbia, Vancouver, BC, Canada.
Kathleen ReynoldsDepartment of Family Medicine, University of Calgary, Calgary, AB, Canada.
Fiona S M SchulteDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada. fsmschul@ucalgary.ca.ORCID http://orcid.org/0000-0002-3076-9676

Funding

Strategy for Patient-Oriented Research 425051
6 · The paper itself

Abstract

purposeImproved survival rates for childhood cancer have resulted in survivors experiencing increased physical and psychosocial late effects. Post-traumatic growth (PTG) refers to positive psychosocial changes in response to trauma, in this case, cancer diagnosis and treatment. The role of PTG in long-term follow-up care (LTFU) is unknown. The aim of this study was to examine the lived experiences of PTG in survivors of childhood cancer, specifically in the context of LTFU.

methodsWe completed an exploratory qualitative study using patient-oriented research methods. Eligible participants were Canadian adult survivors of childhood cancer, at least 5 years post-diagnosis or 2 years post-treatment. Demographic data were gathered by digital survey and summarized using descriptive statistics. Virtual focus transcripts were analyzed using reflexive thematic analysis.

resultsTwenty-two survivors of childhood cancer (mean age 29.2 years, predominantly female and white) participated across five virtual focus groups, with 4 to 6 participants per group. Four key themes emerged: Life Perspectives, Self-Advocacy/Empowerment, Career Choices, and Sharing the Lived Experience. Participants reported shifts in life outlook and priorities, with many pursuing health-related careers. Self-advocacy skills were gained from their cancer experiences, which were felt to be required in the LTFU setting. Finally, survivors valued and gained meaning from sharing their lived experiences.

conclusionThe PTG themes of Self-Advocacy/Empowerment and Sharing the Lived Experience are novel contributions to the literature. PTG may offer an avenue to improve patient engagement and adherence with LTFU, and future interventions should encourage its incorporation.

Indexed as

Cancer SurvivorsNeoplasmsPosttraumatic Growth, PsychologicalAdaptation, PsychologicalAdolescentAdultCanadaChildFemaleFocus GroupsFollow-Up StudiesHumansMaleMiddle AgedPsychological GrowthQualitative ResearchAftercareOncology survivorshipPost-traumatic growthPTGPTSDPTSS

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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.