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Preferences for long-term follow-up care in childhood cancer survivors

Authors: Michel, G; Gianinazzi, M E; Eiser, C; Bergstraesser, E; Vetsch, J; von der Weid, N; Kuehni, C E; +2 Authors

Preferences for long-term follow-up care in childhood cancer survivors

Abstract

Follow-up care is important for childhood cancer survivors to facilitate early detection and treatment of late-effects. We aimed to describe preferences for different organisational aspects and models of followup care among Swiss childhood cancer survivors, and characteristics associated with preferences for different models. We contacted 720 survivors aged 18+ years, diagnosed with cancer after 1990 (age 0-16 years), registered in the Swiss Childhood Cancer Registry (SCCR), and Swiss resident, who previously participated in a baseline survey. They received questionnaires to assess attendance and preferences for follow-up (rated on 4 point scales, 0-3). Clinical information was available from the SCCR. Survivors (n=314: response rate 43.6%; 47.8% still attended follow-up) rated clinical reasons for follow-up higher than supportive reasons (p<0.001). They rated checking for cancer recurrence (mean=2.78, SD=0.53) and knowing about risks for my children most important (mean=2.22, SD=0.83). They preferred to attend a children's hospital (mean=1.94, SD=1.11), adult hospital (mean=1.86, SD=0.98) or general practitioner (mean=1.86, SD=1.01) rather than a central specialised late effects clinic (mean=1.25, SD=1.06, p<0.001), and be seen by paediatric (mean=2.24, SD=0.72) or medical oncologist (mean=2.17, SD=0.69). Survivors preferred decentralised clinic-based follow-up, rather than one central specialised late effects clinic. Survivors' preferences should be considered to ensure future attendance.

+ ID der Publikation: unilu_11258 + Sprache: Deutsch + Letzte Aktualisierung: 2018-12-28 10:07:10

Countries
Switzerland, United Kingdom
Keywords

Adult, Male, Adult Survivors of Child Adverse Events/psychology, organisation, Aftercare, 610 Medicine & health, 618, Neoplasms, Surveys and Questionnaires, Neoplasms/psychology/therapy, Humans, Survivors, Child, Aged, survivors, Patient Preference, Professional-Patient Relations, Middle Aged, organization, Adult Survivors of Child Adverse Events, 10036 Medical Clinic, oncology, Stress, Psychological/etiology, 2730 Oncology, Female, Stress, Psychological, aftercare, patient preference, ddc: ddc:618

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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