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Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan.

Publication ,  Journal Article
Oeffinger, KC; Hudson, MM; Mertens, AC; Smith, SM; Mitby, PA; Eshelman-Kent, DA; Ford, JS; Jones, JK; Kamani, S; Robison, LL
Published in: Pediatr Blood Cancer
May 2011

BACKGROUND: Hodgkin lymphoma (HL) survivors face substantially elevated risks of breast cancer and cardiovascular disease. They and their physicians are often unaware of these risks and surveillance recommendations. PROCEDURE: A prospective one-arm study was conducted among a random sample of 72 HL survivors, ages 27-55 years, participating in the Childhood Cancer Survivor Study (CCSS) who were at increased risk for breast cancer and/or cardiomyopathy and had not had a screening mammogram or echocardiogram, respectively, within the prior 2 years. A one-page survivorship care plan with recommendations for surveillance was mailed to participants. In addition, survivors' primary physicians were contacted and provided patient-specific information and a web-based Virtual Information Center was made available for both survivors and physicians. Outcomes were assessed by telephone 6 months after the intervention. RESULTS: The survivor participation (62/72; 86%) and 6-month retention (56/61; 92%) rates were high. Tension and anxiety, measured by the Profile of Mood States, did not increase following risk notification; 91% of survivors described their reactions to receiving the information in positive terms. At 6 months, 41% of survivors reported having completed the recommended mammogram; 20% reported having an echocardiogram (females 30%, males 10%). Only 29% of survivors visited the website. Nine physicians enrolled, and none used the study resources. CONCLUSION: A mailed, personalized survivorship care plan was effective in communicating risk and increasing compliance with recommended medical surveillance. Internet- and telephone-based strategies to communicate risk were not utilized by survivors or physicians.

Duke Scholars

Published In

Pediatr Blood Cancer

DOI

EISSN

1545-5017

Publication Date

May 2011

Volume

56

Issue

5

Start / End Page

818 / 824

Location

United States

Related Subject Headings

  • Young Adult
  • Survivors
  • Survival Rate
  • Risk Factors
  • Quality of Health Care
  • Prospective Studies
  • Prognosis
  • Primary Health Care
  • Population Surveillance
  • Patient Compliance
 

Citation

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ICMJE
MLA
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Oeffinger, K. C., Hudson, M. M., Mertens, A. C., Smith, S. M., Mitby, P. A., Eshelman-Kent, D. A., … Robison, L. L. (2011). Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer, 56(5), 818–824. https://doi.org/10.1002/pbc.22696
Oeffinger, Kevin C., Melissa M. Hudson, Ann C. Mertens, Stephanie M. Smith, Pauline A. Mitby, Debra A. Eshelman-Kent, Jennifer S. Ford, Judith K. Jones, Sharmila Kamani, and Leslie L. Robison. “Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan.Pediatr Blood Cancer 56, no. 5 (May 2011): 818–24. https://doi.org/10.1002/pbc.22696.
Oeffinger KC, Hudson MM, Mertens AC, Smith SM, Mitby PA, Eshelman-Kent DA, et al. Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer. 2011 May;56(5):818–24.
Oeffinger, Kevin C., et al. “Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan.Pediatr Blood Cancer, vol. 56, no. 5, May 2011, pp. 818–24. Pubmed, doi:10.1002/pbc.22696.
Oeffinger KC, Hudson MM, Mertens AC, Smith SM, Mitby PA, Eshelman-Kent DA, Ford JS, Jones JK, Kamani S, Robison LL. Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care plan. Pediatr Blood Cancer. 2011 May;56(5):818–824.
Journal cover image

Published In

Pediatr Blood Cancer

DOI

EISSN

1545-5017

Publication Date

May 2011

Volume

56

Issue

5

Start / End Page

818 / 824

Location

United States

Related Subject Headings

  • Young Adult
  • Survivors
  • Survival Rate
  • Risk Factors
  • Quality of Health Care
  • Prospective Studies
  • Prognosis
  • Primary Health Care
  • Population Surveillance
  • Patient Compliance