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Medical screening participation in the childhood cancer survivor study.

Publication ,  Conference
Cox, CL; Hudson, MM; Mertens, A; Oeffinger, K; Whitton, J; Montgomery, M; Robison, LL
Published in: Arch Intern Med
March 9, 2009

BACKGROUND: Despite their risk for serious late sequelae, survivors of childhood cancer do not adhere to recommended medical screening guidelines. We identified treatment, survivor, physician, and contextual factors that may influence survivor adherence to recommended echocardiography and bone densitometry screening. METHODS: Structural equation modeling of data from the Childhood Cancer Survivor Study; 838 participants had received a diagnosis of and were treated for pediatric cancers between 1970 and 1986. RESULTS: Survivors at risk of cardiac sequelae (n = 316; mean [SD] age, 31.01 [7.40] years; age at diagnosis, 9.88 [5.88] years; and time since diagnosis, 21.14 [4.37] years) who reported more cancer-related visits (P = .01), having discussed heart disease with a physician (P < or = .001), with a sedentary lifestyle (P = .05), and less frequent health fears (P = .05) were most likely to follow the recommended echocardiogram schedule (R(2) = 23%). Survivors at risk of osteoporosis (n = 324; age, 30.20 [7.09] years; age at diagnosis, 9 .01 [5.51]years; and time since diagnosis, 21.20 [4.27] years) who reported more cancer-related visits (P = .05), were followed up at an oncology clinic (P = .01), had discussed osteoporosis with a physician (P < or = .001), and had a lower body mass index (P = .05) were most likely to adhere to the recommended bone density screening guidelines (R(2) = 26%). Symptoms and motivation influenced screening frequency in both models. CONCLUSIONS: Multiple factors influence survivor adherence to screening recommendations. It is likely that tailored interventions would be more successful in encouraging recommended screening in survivors of childhood cancer than would traditional health education approaches.

Duke Scholars

Published In

Arch Intern Med

DOI

EISSN

1538-3679

Publication Date

March 9, 2009

Volume

169

Issue

5

Start / End Page

454 / 462

Location

United States

Related Subject Headings

  • Survivors
  • Risk Factors
  • Patient Compliance
  • Osteoporosis
  • Neoplasms, Second Primary
  • Neoplasms
  • Mass Screening
  • Male
  • Humans
  • General & Internal Medicine
 

Citation

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Cox, C. L., Hudson, M. M., Mertens, A., Oeffinger, K., Whitton, J., Montgomery, M., & Robison, L. L. (2009). Medical screening participation in the childhood cancer survivor study. In Arch Intern Med (Vol. 169, pp. 454–462). United States. https://doi.org/10.1001/archinternmed.2008.588
Cox, Cheryl L., Melissa M. Hudson, Ann Mertens, Kevin Oeffinger, John Whitton, Michele Montgomery, and Leslie L. Robison. “Medical screening participation in the childhood cancer survivor study.” In Arch Intern Med, 169:454–62, 2009. https://doi.org/10.1001/archinternmed.2008.588.
Cox CL, Hudson MM, Mertens A, Oeffinger K, Whitton J, Montgomery M, et al. Medical screening participation in the childhood cancer survivor study. In: Arch Intern Med. 2009. p. 454–62.
Cox, Cheryl L., et al. “Medical screening participation in the childhood cancer survivor study.Arch Intern Med, vol. 169, no. 5, 2009, pp. 454–62. Pubmed, doi:10.1001/archinternmed.2008.588.
Cox CL, Hudson MM, Mertens A, Oeffinger K, Whitton J, Montgomery M, Robison LL. Medical screening participation in the childhood cancer survivor study. Arch Intern Med. 2009. p. 454–462.

Published In

Arch Intern Med

DOI

EISSN

1538-3679

Publication Date

March 9, 2009

Volume

169

Issue

5

Start / End Page

454 / 462

Location

United States

Related Subject Headings

  • Survivors
  • Risk Factors
  • Patient Compliance
  • Osteoporosis
  • Neoplasms, Second Primary
  • Neoplasms
  • Mass Screening
  • Male
  • Humans
  • General & Internal Medicine