Impact of Tailored Education on Awareness of Personal Risk for Therapy-Related Complications Among Childhood Cancer Survivors

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Wendy LandierSmita Bhatia

Abstract

Survivors of childhood cancer carry a substantial burden of long-term morbidity; personal risk awareness is critical to ensure survivors' engagement in early detection/management of complications. The impact of education provided in survivorship clinics on survivors' understanding of their personal health risks is unclear. Patients diagnosed with cancer at age 21 years or younger and at 2 or more years off therapy completed questionnaires about awareness of personal risk for therapy-related complications at T0 (first survivorship clinic visit) and at T1 to T5 (subsequent visits). After questionnaire completion at each clinic visit, survivors received education tailored to personal risk. A total of 369 survivors completed 1,248 visits (median, three visits; range, one to six visits). The median age at cancer diagnosis was 11 years (range, 0 to 21 years); the median age at T0 was 24 years (range, 5 to 57 years); 38% were white; 45% had leukemia; and 34% received hematopoietic cell transplantation. The cohort was at risk for a median of six (range, one to nine) complications. Awareness increased from 38.6% at T0 to 66.3% at T3. Generalized estimating equations (that adjusted for diagnosis, hematopoietic cell transplantation, race/...Continue Reading

References

Mar 1, 1989·Annals of Internal Medicine·J ByrneJ J Mulvihill
Jan 1, 1993·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·W L Hobbie, P J Hollen
Mar 21, 1996·The New England Journal of Medicine·S BhatiaA T Meadows
Apr 1, 1997·Pediatric Clinics of North America·C A Sklar
Feb 24, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·S BhatiaS J Forman
Apr 10, 2002·JAMA : the Journal of the American Medical Association·Nina S Kadan-LottickAnn C Mertens
May 16, 2003·Current Problems in Cancer·Kevin C Oeffinger
Dec 4, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Smita BhatiaUNKNOWN Late Effects Study Group
Apr 1, 2004·Annals of Family Medicine·Kevin C OeffingerLeslie L Robison
May 6, 2004·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Lisa Bashore
Aug 7, 2004·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Melissa M HudsonStuart Kaplan
Sep 24, 2004·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Debra EshelmanMelissa M Hudson
Oct 4, 2005·The Cancer Journal·Smita Bhatia, Wendy Landier
Nov 3, 2005·Annals of Internal Medicine·Kirsten K NessJames G Gurney
Dec 22, 2005·Pediatric Blood & Cancer·Wendy LandierMelissa M Hudson
Oct 13, 2006·The New England Journal of Medicine·Kevin C OeffingerUNKNOWN Childhood Cancer Survivor Study
Jan 12, 2008·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Claire A CarlsonJill P Ginsberg
Jan 12, 2008·Pediatrics·Sadhna M ShankarUNKNOWN Cardiovascular Disease Task Force of the Children's Oncology Group
Aug 5, 2008·Pediatric Blood & Cancer·Deborah P JonesUNKNOWN Children's Oncology Group
Sep 20, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Paul C NathanKevin C Oeffinger
Feb 20, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·James G GurneyKirsten K Ness
Mar 4, 2009·Pediatrics·UNKNOWN American Academy of Pediatrics Section on Hematology/Oncology Children's Oncology Group
Apr 2, 2009·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Angela B MariottoEric J Feuer
Nov 17, 2009·Primary Care·Kevin C OeffingerWendy Landier
May 11, 2010·Endocrine-related Cancer·Wassim Chemaitilly, Charles A Sklar
Apr 5, 2011·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Kevin R KrullMelissa M Hudson
Jan 18, 2012·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·Gerard SociéSmita Bhatia
May 9, 2012·Journal of Cancer Survivorship : Research and Practice·Lillian R MeachamAnn C Mertens
Jun 1, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Lisa B KenneyLillian Meacham
Oct 24, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Wendy LandierSmita Bhatia
Feb 6, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Monika L MetzgerDaniel M Green
Jun 13, 2013·JAMA : the Journal of the American Medical Association·Melissa M HudsonLeslie L Robison
Jun 25, 2013·Journal of Cancer Survivorship : Research and Practice·Jennifer S FordCharles A Sklar
Jul 3, 2013·The Lancet Oncology·Daniel C BowersLisa Bashore
Oct 2, 2013·Circulation·Steven E LipshultzUNKNOWN American Heart Association Congenital Heart Defects Committee of the Council on Cardiovascular Disease in the Young, Council
Nov 6, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Kevin R KrullMelissa M Hudson
Dec 18, 2013·Seminars in Oncology·Mary S McCabeMelissa M Hudson

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Citations

Oct 16, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Tara O Henderson, Kevin C Oeffinger
May 23, 2017·Journal of Adolescent and Young Adult Oncology·Amy M BerkmanSusan C Gilchrist
Apr 4, 2017·Pediatric Blood & Cancer·Stéphane DucassouSophie Ansoborlo
Apr 7, 2017·Pediatric Blood & Cancer·Natasha N FrederickLisa B Kenney
Feb 11, 2018·Journal of Cancer Survivorship : Research and Practice·Theresa H M KeeganTed Wun
Nov 3, 2017·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Joanne QuillenWendy Hobbie
Sep 3, 2017·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Yael E Derman
Jun 7, 2018·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Emily S TonorezosKevin C Oeffinger
Jan 10, 2019·Journal of Pediatric Psychology·Jennifer L LeeJordan Gilleland Marchak
May 6, 2019·Journal of Cancer Survivorship : Research and Practice·Long Hin Jonathan PoonYin Ting Cheung
Aug 9, 2017·Journal of Cancer Survivorship : Research and Practice·Kristin C MarrPaul C Nathan
Apr 1, 2018·Pediatric Blood & Cancer·Katie A GreenzangJennifer W Mack
Jul 26, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Eden R BrauerMarySue V Heilemann
Feb 19, 2020·Journal of Adolescent and Young Adult Oncology·Lillian R MeachamJordan Gilleland-Marchak
Dec 26, 2018·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Kathleen A SheaRebecca A Santiago
Feb 27, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Hanne C LieJon H Loge
Oct 13, 2019·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·George E GeorgesLeona A Holmberg
Jun 9, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lok Sum YangYin Ting Cheung
Jun 17, 2021·Journal of Cancer Survivorship : Research and Practice·Erin M MobleySusanne Hempel
Sep 1, 2021·Pediatrics·Melissa M HudsonUNKNOWN SECTION ON HEMATOLOGY/ONCOLOGY, CHILDREN’S ONCOLOGY GROUP, AMERICAN SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY

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