Disparities and Barriers to Pediatric Cancer Survivorship Care

Project Summary Title and Description

Title
Disparities and Barriers to Pediatric Cancer Survivorship Care
Description
Objectives. Survival rates for pediatric cancer have dramatically increased since the 1970s and the population of childhood cancer survivors (CCS) exceed 500,000 in the US. Cancer during childhood and related treatments lead to long-term health problems, many of which are poorly understood. These problems can be amplified by suboptimal survivorship care. This report provides an overview of the existing evidence and forthcoming research relevant to disparities and barriers for pediatric cancer survivorship care, outlines pending questions, and offers guidance for future research. Data Sources. This technical brief reviews published peer-reviewed literature, grey literature, and key informant interviews to answer five guiding questions regarding disparities in the care of pediatric survivors, barriers to cancer survivorship care, proposed strategies, evaluated interventions, and future directions. Review Methods. We searched research databases, research registries, and published reviews for ongoing and published studies in CCS to October 2020. We used the authors’ definition of CCS; where not specified, CCS included those diagnosed with any cancer prior to age 21. The grey literature search included relevant professional and non-profit organizational websites and guideline clearing houses. Key informants provided content expertise regarding published and ongoing research, and recommended approaches to fill identified gaps. Results. In total, 110 studies met inclusion criteria. We identified 26 studies that assessed disparities in survivorship care for CCS. Key informants discussed subgroups of CCS by race or ethnicity, sex, socioeconomic status, and insurance coverage that may experience disparities in survivorship care and these groups that experience disparities were supported in the published literature. Key informants indicated that major barriers to care are providers (e.g., insufficient knowledge), the health system (e.g., availability of services), and payers (e.g., network adequacy); we identified 47 studies that assessed a large range of barriers to survivorship care. Sixteen organizations have outlined strategies to address pediatric survivorship care. Our searches identified only 27 published studies that evaluated interventions to alleviate disparities and reduce barriers to care. These predominantly assessed approaches that targeted patients. We found only eight ongoing studies that evaluated strategies to address disparities and barriers. Conclusions. While research has addressed disparities and barriers to survivorship care for childhood cancer survivors, evidence-based interventions to address these disparities and barriers to care are sparse. Additional research is also needed to examine less frequently studied disparities and barriers and to evaluate ameliorative strategies in order to improve the survivorship care for CCS.
Attribution
N/A
Authors of Report
Erin M. Mobley, Ph.D. Diana J. Moke, M.D. Joel Milam, Ph.D. Carol Y. Ochoa, M.P.H. Julia Stal, B.A. Nosa Osazuwa, B.A. Maria Bolshakova, B.S. Jai Kemp, B.A. Jennifer E. Dinalo, Ph.D. Aneesa Motala, B.A. Drizelle Baluyot, B.A. Susanne Hempel, Ph.D.
Methodology description
Systematic Review
PROSPERO
N/A
DOI
doi.org/10.17605/OSF.IO/D8Q7Y
Notes
Report can be found here: https://www.ncbi.nlm.nih.gov/books/NBK568475/ and https://effectivehealthcare.ahrq.gov/products/pediatric-cancer-survivorship/research Data was entered into this project prospectively.
Funding Source
Agency for Healthcare Research and Quality

Key Questions

1. Guiding Question 1. What are the disparities in survivorship care for pediatric cancer survivors?
2. Guiding Question 2. What are the barriers to survivorship care for pediatric cancer survivors who experience disparities?
3. Guiding Question 3. What are proposed strategies for addressing those barriers?
4. Guiding Question 4. What published and unpublished studies have assessed these strategies?
5. Guiding Question 5. What are future directions for research in addressing barriers to survivorship care for pediatric cancer survivors?

Associated Extraction Forms

Associated Studies (each link opens a new tab)

TitleAuthorsYear
SIOP Working Committee on Psychosocial issues in pediatric oncology: guidelines for care of long-term survivorsMasera, G.; Chesler, M.; Jankovic, M.; Eden, T.; Nesbit, M. E.; Van Dongen-Melman, J.; Epelman, C.; Ben Arush, M. W.; Schuler, D.; Mulhern, R.1996
Childhood Cancer Survivorship: Improving Care and Quality of LifeHewitt, M., Weiner, S. L., Simone, J. V.2003
Surviving childhood cancer; now what? Controversies regarding long-term follow-upGoldsby, R. E.; Ablin, A. R.2004
Therapy based long term follow up: practice statement: United Kingdom Childrens Cancer Study Group (Late Effects Group). 2nd ed.Skinner, R.; Wallace, W.H.; Levitt, G.A.2005
Long-term follow-up of people who have survived cancer during childhoodSkinner, R.; Wallace, W. H.; Levitt, G. A.; Group, U. K. Children's Cancer Study Group Late Effects2006
Establishing and Enhancing Services for Childhood Cancer Survivors: long-term follow-up program resource guideChildren's Oncology Group2007
Long-term follow-up care for pediatric cancer survivors2009
Guidelines for follow-up after childhood cancer more than 5 years after diagnosis2010
Long term follow up of survivors of childhood cancer-A national clinical guideline., Scottish Intercollegiate Guidelines NetworkMarch 2013
Standards for Pediatric Cancer CentersAmerican Academy of Pediatrics
Building a National Framework for Adolescent and Young Adult Hematology and Oncology and Transition from Pediatric to Adult Care: Report of the Inaugural Meeting of the 'AjET' Working Group of the German Society for Pediatric Oncology and HematologyEscherich, Gabriele; Bielack, Stefan; Maier, Stephan; Braungart, Ralf; Brmmendorf, Tim H.; Freund, Mathias; Grosse, Regine; Hoferer, Anette; Kampschulte, Rebecca; Koch, Barbara; Lauten, Melchior; Milani, Valeria; Ross, Henning; Schilling, Freimut; Whrle, Dieter; Cario, Holger; Dirksen, Uta2017
Long-Term Follow-Up Guidelines for Survivors of Childhood, Adolescent, and Young Adult Cancers, version 5.02018
Patient-Centered Care StrategiesCancer Leadership CouncilMarch 1, 2019
Survivorship, Version 2.2020, NCCN Clinical Practice Guidelines in OncologyDenlinger, C. S.; Sanft, T.; Armenian, S.; Baker, K. S.; Broderick, G.; Demark-Wahnefried, W.; Dickinson, K.; Friedman, D. L.; Goldman, M.; Henry, N. L.; Hill-Kayser, C.; Hudson, M.; Khakpour, N.; Koura, D.; McDonough, A. L.; Melisko, M.; Mooney, K.; Moore, H.; Moryl, N.; Moslehi, J. J.; O'Connor, T.; Overholser, L.; Paskett, E. D.; Patel, C.; Peterson, L.; Pirl, W.; Rodriguez, M. A.; Ruddy, K. J.; Shockney, L.; Smith, S.; Syrjala, K. L.; Tevaarwerk, A.; Zee, P.; McMillian, N. R.; Freedman-Cass, D. A.2020
Long-term follow-up guidelinesInternational Guideline Harmonization Group
Childhood Cancer Survivorship ProposalChildren's Cancer Cause
Factors that contribute to post-treatment follow-up care for survivors of childhood cancerBarakat, L. P.; Schwartz, L. A.; Szabo, M. M.; Hussey, H. M.; Bunin, G. R.2012
Social determinants of health affecting treatment of pediatric brain tumorsBerkman, J. M.; Dallas, J.; Lim, J.; Bhatia, R.; Gaulden, A.; Gannon, S. R.; Shannon, C. N.; Esbenshade, A. J.; Wellons, J. C.2019
How confident are young adult cancer survivors in managing their survivorship care? A report from the LIVESTRONG Survivorship Center of Excellence NetworkCasillas, J.; Syrjala, K. L.; Ganz, P. A.; Hammond, E.; Marcus, A. C.; Moss, K. M.; Crespi, C. M.; Lu, P.; McCabe, M. S.; Ford, J. S.; Jacobs, L. A.; Pucci, D.; Palmer, S. C.; Termuhlen, A. M.; Diller, L.; Campbell, M.; Jones, B.; Friedman, D. L.2011
Marriage, employment, and health insurance in adult survivors of childhood cancerCrom, D. B.; Lensing, S. Y.; Rai, S. N.; Snider, M. A.; Cash, D. K.; Hudson, M. M.2007
Survivor clinic attendance among pediatric- and adolescent-aged survivors of childhood cancerDaly, A.; Lewis, R. W.; Vangile, K.; Masker, K. W.; Effinger, K. E.; Meacham, L. R.; Mertens, A. C.2019
Long-term inpatient disease burden in the Adult Life after Childhood Cancer in Scandinavia (ALiCCS) study: A cohort study of 21,297 childhood cancer survivorse Fine Licht, S.; Rugbjerg, K.; Gudmundsdottir, T.; Bonnesen, T. G.; Asdahl, P. H.; Holmqvist, A. S.; Madanat-Harjuoja, L.; Tryggvadottir, L.; Wesenberg, F.; Hasle, H.; Winther, J. F.; Olsen, J. H.; group, A. LiCCS study2017
Barriers to the Use of Psychosocial Support Services Among Adolescent and Young Adult Survivors of Pediatric CancerGardner, Molly H.; Barnes, Margaux J.; Bopanna, Shilpa; Davis, Caroline S.; Cotton, Pat B.; Heron, Bethany L.; Henninger, Alison; Alva, Elizabeth; Gleason, Michael W.; Whelan, Kimberly F.; Madan-Swain, Avi2014
The availability of insurance to long-time survivors of childhood cancerHolmes, G. E.; Baker, A.; Hassanein, R. S.; Bovee, E. C.; Mulvihill, J. J.; Myers, M. H.; Holmes, F. F.1986
Hospital attendance patterns in long term survivors of cancerJohnson, R.; Horne, B.; Feltbower, R. G.; Butler, G. E.; Glaser, A. W.2004
Surviving cancer competently intervention program (SCCIP): a cognitive-behavioral and family therapy intervention for adolescent survivors of childhood cancer and their familiesKazak, A. E.; Simms, S.; Barakat, L.; Hobbie, W.; Foley, B.; Golomb, V.; Best, M.1999
Predictors of Suboptimal Follow-up in Pediatric Cancer SurvivorsMay, L.; Schwartz, D. D.; Frug, E.; Laufman, L.; Holm, S.; Kamdar, K.; Harris, L.; Brackett, J.; Unal, S.; Tanyildiz, G.; Bryant, R.; Suzawa, H.; Dreyer, Z.; Okcu, M. F.2017
Patterns of physician follow-up among young cancer survivors: report of the Childhood, Adolescent, and Young Adult Cancer Survivors (CAYACS) research programMcBride, M. L.; Lorenzi, M. F.; Page, J.; Broemeling, A. M.; Spinelli, J. J.; Goddard, K.; Pritchard, S.; Rogers, P.; Sheps, S.2011
Mental health needs of adult survivors of childhood cancerMendoza, Jacqueline L.; O'Callaghan, Erin T.2018
Can health beliefs help in explaining attendance to follow-up care? The Swiss childhood cancer survivor studyMichel, G.; Kuehni, C. E.; Rebholz, C. E.; Zimmermann, K.; Eiser, C.; Rueegg, C. S.; von der Weid, N. X.2011
Cancer-related follow-up care among Hispanic and non-Hispanic childhood cancer survivors: The Project Forward studyMilam, Joel E.; Meeske, Kathleen; Slaughter, Rhona I.; Sherman-Bien, Sandra; Ritt-Olson, Anamara; Kuperberg, Aura; Freyer, David R.; Hamilton, Ann S.2015
Predictors of attendance at specialized survivor clinics in a population-based cohort of adult survivors of childhood cancerNathan, P. C.; Agha, M.; Pole, J. D.; Hodgson, D.; Guttmann, A.; Sutradhar, R.; Greenberg, M. L.2016
Health Care of Young Adult Survivors of Childhood Cancer: A Report from the Childhood Cancer Survivor StudyOeffinger KC, Mertens AC; Hudson MM, Gurney JG; Casillas JN, Chen H; Whitton JA, Yeazel M; Yasui Y, LL2004
Influenza vaccination coverage among adult survivors of pediatric cancerOjha, R. P.; Offutt-Powell, T. N.; Gurney, J. G.2014
Looking for trouble: Adherence to late-effects surveillance among childhood cancer survivorsReppucci, M. L.; Schleien, C. L.; Fish, J. D.2017
The involvement of primary care physicians in care for childhood cancer survivorsStreefkerk, Nina; Heins, Marianne J.; Teepen, Jop C.; Feijen, Elizabeth A. M.; Bresters, Dorine; en Broeder, Eline; van der Loo, Margriet; Eibrink, Marry M.; Leeuwen, Flora E.; Loonen, Jacqueline J.; er Pal, Helena J. H.; Ronckers, Ccile M.; Versluys, A. Birgitta; Tissing, Wim J. E.; Korevaar, Joke C.; Kremer, Leontien C. M.; van Dulmen-den Broeder, Eline; van der Heiden-van der Loo, Margriet; van den Heuvel-Eibrink, Marry M.; van Leeuwen, Flora E.2019
Specialized survivor clinic attendance is associated with decreased rates of emergency department visits in adult survivors of childhood cancerSutradhar, R.; Agha, M.; Pole, J. D.; Greenberg, M.; Guttmann, A.; Hodgson, D.; Nathan, P. C.2015
Engagement and experience with cancer-related follow-up care among young adult survivors of childhood cancer after transfer to adult careSzalda, D.; Pierce, L.; Hobbie, W.; Ginsberg, J. P.; Brumley, L.; Wasik, M.; Li, Y.; Schwartz, L. A.2016
The impact of a managed transition of care upon psychosocial characteristics and patient satisfaction in a cohort of adult survivors of childhood cancervan Laar, M.; Glaser, A.; Phillips, R. S.; Feltbower, R. G.; Stark, D. P.2013
Understanding predictors of continued long-term pediatric cancer care across the region: A report from the Consortium for New England Childhood Cancer SurvivorsWelch, J. J. G.; Kenney, L. B.; Hirway, P.; Usmani, G. N.; Kadan-Lottick, N.; Grewal, S. S.; Huang, M.; Bradeen, H.; Ader, J.; Diller, L.; Schwartz, C. L.2017
Patterns and predictors of survivorship clinic attendance in a population-based sample of pediatric and young adult childhood cancer survivorsZheng, D. J.; Sint, K.; Mitchell, H. R.; Kadan-Lottick, N. S.2016
Awareness about past diagnosis and treatment history: nationwide survey of childhood cancer survivors and their parentsAhn, E.; Park, H. J.; Baek, H. J.; Hwang, P. H.; Lee, Y. H.; Park, B. K.; Kim, Y. S.; Shim, H. Y.; Shin, D.; Yang, H. K.; Park, J. H.; Park, K. D.2017
Comprehensive long-term follow-up programs for pediatric cancer survivorsAziz, N. M.; Oeffinger, K. C.; Brooks, S.; Turoff, A. J.2006
Young Adult Cancer Survivors' Experience with Cancer Treatment and Follow-Up Care and Perceptions of Barriers to Engaging in Recommended CareBerg, C. J.; Stratton, E.; Esiashvili, N.; Mertens, A.2016
Transitioning childhood cancer survivors to adult-centered healthcare: insights from parents, adolescent, and young adult survivorsCasillas, J.; Kahn, K. L.; Doose, M.; Landier, W.; Bhatia, S.; Hernandez, J.; Zeltzer, L. K.2010
Knowledge and risk perception of late effects among childhood cancer survivors and parents before and after visiting a childhood cancer survivor clinicCherven, B.; Mertens, A.; Meacham, L. R.; Williamson, R.; Boring, C.; Wasilewski-Masker, K.2014
Availability of smoking prevention and cessation services for childhood cancer survivorse Moor, J. S.; Puleo, E.; Butterfield, R. M.; Li, F. P.; Emmons, K. M.2007
Parent-perceived Facilitators in the Transition of Care for Young Adult Survivors of Childhood CancerDiNofia, A.; Shafer, K.; Steacy, K.; Sadak, K. T.2017
Cancer survivorship practices, services, and delivery: a report from the Children's Oncology Group (COG) nursing discipline, adolescent/young adult, and late effects committeesEshelman-Kent, D.; Kinahan, K. E.; Hobbie, W.; Landier, W.; Teal, S.; Friedman, D.; Nagarajan, R.; Freyer, D. R.2011
Preparing childhood cancer survivors for transition to adult care: The young adult perspectiveFrederick, N. N.; Bober, S. L.; Berwick, L.; Tower, M.; Kenney, L. B.2017
Extent of smoking and age at initiation of smoking among adult survivors of childhood cancer in BritainFrobisher, C.; Winter, D. L.; Lancashire, E. R.; Reulen, R. C.; Taylor, A. J.; Eiser, C.; Stevens, M. C.; Hawkins, M. M.2008
Psychological factors impacting transition from paediatric to adult care by childhood cancer survivorsGranek, L.; Nathan, P. C.; Rosenberg-Yunger, Z. R.; D'Agostino, N.; Amin, L.; Barr, R. D.; Greenberg, M. L.; Hodgson, D.; Boydell, K.; Klassen, A. F.2012
Educational, occupational, and insurance status of childhood cancer survivors in their fourth and fifth decades of lifeHays, D. M.; Landsverk, J.; Sallan, S. E.; Hewett, K. D.; Patenaude, A. F.; Schoonover, D.; Zilber, S. L.; Ruccione, K.; Siegel, S. E.1992
Physician preferences and knowledge gaps regarding the care of childhood cancer survivors: a mailed survey of pediatric oncologistsHenderson, T. O.; Hlubocky, F. J.; Wroblewski, K. E.; Diller, L.; Daugherty, C. K.2010
Healthcare system barriers to long-term follow-up for adult survivors of childhood cancer in British Columbia, Canada: a qualitative studyHoward, A. F.; Kazanjian, A.; Pritchard, S.; Olson, R.; Hasan, H.; Newton, K.; Goddard, K.2018
Childhood cancer survivors: Anxieties felt after treatment and the need for continued supportIwai, N.; Shimada, A.; Iwai, A.; Yamaguchi, S.; Tsukahara, H.; Oda, M.2017
Experiences with the survivorship care plan in primary care providers of childhood cancer survivors: a mixed methods approachIyer, N. S.; Mitchell, H. R.; Zheng, D. J.; Ross, W. L.; Kadan-Lottick, N. S.2017
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After Childhood Cancer: a Qualitative Study of Family Physician, Parent/Guardian, and Survivor Information Needs and Perspectives on Long-Term Follow-up and Survivorship Care PlansKeats, Melanie R.; Shea, Kelsey; Parker, Louise; Stewart, Samuel A.; Flanders, Annette; Bernstein, Mark2019
Childhood cancer survivors' primary care and follow-up experiencesKirchhoff, A. C.; Montenegro, R. E.; Warner, E. L.; Wright, J.; Fluchel, M.; Stroup, A. M.; Park, E. R.; Kinney, A. Y.2014
A study of childhood cancer survivors' engagement with long-term follow-up care: 'To attend or not to attend, that is the question'Knighting, Katherine; Kirton, Jennifer A.; Thorp, Nicola; Hayden, James; Appleton, Lynda; Bray, Lucy2020
Health insurance coverage, care accessibility and affordability for adult survivors of childhood cancer: a cross-sectional study of a nationally representative databaseKuhlthau, K. A.; Nipp, R. D.; Shui, A.; Srichankij, S.; Kirchhoff, A. C.; Galbraith, A. A.; Park, E. R.2016
Survivors of cancer in childhoodLi, F. P.; Stone, R.1976
Survey of childhood cancer survivors who stopped follow-up physician visitsMaeda, N.; Horibe, K.; Kato, K.; Kojima, S.; Tsurusawa, M.2010
Care Transitions in Childhood Cancer Survivorship: Providers' PerspectivesMouw, M. S.; Wertman, E. A.; Barrington, C.; Earp, J. A.2017
Late effects of therapy in survivors of Ewing's sarcoma family tumorsNovakovic, B.; Fears, T. R.; Horowitz, M. E.; Tucker, M. A.; Wexler, L. H.1997
Identifying Barriers Among Childhood Cancer Survivors Transitioning to Adult Health CareQuillen, Joanne; Bradley, Holli; Calamaro, Christina2017
Barriers and Facilitators of Transition from Pediatric to Adult Long-Term Follow-Up Care in Childhood Cancer SurvivorsRosenberg-Yunger, Z. R.; Klassen, A. F.; Amin, L.; Granek, L.; D'Agostino, N. M.; Boydell, K. M.; Greenberg, M.; Barr, R. D.; Nathan, P. C.2013
Patient-perceived facilitators in the transition of care for young adult survivors of childhood cancerSadak, K. T.; Dinofia, A.; Reaman, G.2013
Identifying metrics of success for transitional care practices in childhood cancer survivorship: A qualitative study of survivorship providersSadak, K. T.; Neglia, J. P.; Freyer, D. R.; Harwood, E.2017
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"Forewarned and forearmed": Long-term childhood cancer survivors' and parents' information needs and implications for survivorship models of careVetsch, J.; Fardell, J. E.; Wakefield, C. E.; Signorelli, C.; Michel, G.; McLoone, J. K.; Walwyn, T.; Tapp, H.; Truscott, J.; Cohn, R. J.2017
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Health care concerns of rural childhood cancer survivorsWarner, E. L.; Montenegro, R. E.; Stroup, A.; Kinney, A. Y.; Kirchhoff, A. C.2014
Evaluation of the Utility of a Transition Workbook in Preparing Adolescent and Young Adult Cancer Survivors for Transition to Adult Services: A Pilot StudyBashore, L.; Bender, J.2016
Family doctor-driven follow-up for adult childhood cancer survivors supported by a web-based survivor care planBlaauwbroek, R.; Barf, H. A.; Groenier, K. H.; Kremer, L. C.; van der Meer, K.; Tissing, W. J.; Postma, A.2012
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Development of a text messaging system to improve receipt of survivorship care in adolescent and young adult survivors of childhood cancerCasillas, Jacqueline; Goyal, Anju; Bryman, Jason; Alquaddoomi, Faisal; Ganz, Patricia; Lidington, Emma; Macadangdang, Joshua; Estrin, Deborah; Ganz, Patricia A.2017
The use of mobile technology and peer navigation to promote adolescent and young adult (AYA) cancer survivorship care: results of a randomized controlled trialCasillas, J. N.; Schwartz, L. F.; Crespi, C. M.; Ganz, P. A.; Kahn, K. L.; Stuber, M. L.; Bastani, R.; Alquaddomi, F.; Estrin, D. L.2019
Engaging Latino Adolescent and Young Adult (AYA) Cancer Survivors in Their Care: Piloting a Photonovela InterventionCasillas, J. N.; Schwartz, L. F.; Gildner, J. L.; Crespi, C. M.; Ganz, P. A.; Kahn, K. L.; Stuber, M. L.; Bastani, R.; Morales, S.; Quintana, K.; Gonzalez, A.; Casas, E.; Barboa, E.2020
Shared Care of Childhood Cancer Survivors: A Telemedicine Feasibility StudyCostello, A. G.; Nugent, B. D.; Conover, N.; Moore, A.; Dempsey, K.; Tersak, J. M.2017
Disseminating a smoking cessation intervention to childhood and young adult cancer survivors: baseline characteristics and study design of the partnership for health-2 studye Moor, J. S.; Puleo, E.; Ford, J. S.; Greenberg, M.; Hodgson, D. C.; Tyc, V. L.; Ostroff, J.; Diller, L. R.; Levy, A. G.; Sprunck-Harrild, K.; Emmons, K. M.2011
Peer Mentoring in Promoting Follow-up Care Self-Management in Younger Childhood Cancer SurvivorsRutgers, The State University of New Jersey; Institute, National Cancer
Impact of shared care program in follow-up of childhood cancer survivors: An intervention studyDucassou, S.; Chipi, M.; Pouyade, A.; Afonso, M.; Demeaux, J. L.; Ducos, G.; Perel, Y.; Ansoborlo, S.2017
Value of professional collaboration in the care of children with cancer and their familiesEilertsen, M. E.; Reinfjell, T.; Vik, T.2004
Attendance at a survivorship clinic: impact on knowledge and psychosocial adjustmentFord, Jennifer S.; Chou, Joanne F.; Sklar, Charles A.2013
Increasing cardiomyopathy screening in at-risk adult survivors of pediatric malignancies: a randomized controlled trialHudson, M. M.; Leisenring, W.; Stratton, K. K.; Tinner, N.; Steen, B. D.; Ogg, S.; Barnes, L.; Oeffinger, K. C.; Robison, L. L.; Cox, C. L.2014
Randomized Trial of the Impact of Empowering Childhood Cancer Survivors With Survivorship Care PlansKadan-Lottick, N. S.; Ross, W. L.; Mitchell, H. R.; Rotatori, J.; Gross, C. P.; Ma, X.2018
A randomized controlled pilot trial of a Web-based resource to improve cancer knowledge in adolescent and young adult survivors of childhood cancerKunin-Batson, A.; Steele, J.; Mertens, A.; Neglia, J. P.2016
Impact of Tailored Education on Awareness of Personal Risk for Therapy-Related Complications Among Childhood Cancer SurvivorsLandier, W.; Chen, Y.; Namdar, G.; Francisco, L.; Wilson, K.; Herrera, C.; Armenian, S.; Wolfson, J. A.; Sun, C. L.; Wong, F. L.; Bhatia, S.2015
Promoting Breast Cancer Surveillance: The EMPOWER Study, a Randomized Clinical Trial in the Childhood Cancer Survivor StudyOeffinger, K. C.; Ford, J. S.; Moskowitz, C. S.; Chou, J. F.; Henderson, T. O.; Hudson, M. M.; Diller, L.; McDonald, A.; Ford, J.; Mubdi, N. Z.; Rinehart, D.; Vukadinovich, C.; Gibson, T. M.; Anderson, N.; Elkin, E. B.; Garrett, K.; Rebull, M.; Leisenring, W.; Robison, L. L.; Armstrong, G. T.2019
Increasing rates of breast cancer and cardiac surveillance among high-risk survivors of childhood Hodgkin lymphoma following a mailed, one-page survivorship care planOeffinger, K. C.; Hudson, M. M.; Mertens, A. C.; Smith, S. M.; Mitby, P. A.; Eshelman-Kent, D. A.; Ford, J. S.; Jones, J. K.; Kamani, S.; Robison, L. L.2011
Development of a Web-Based Psychosocial Intervention for Adolescent and Young Adult Survivors of Pediatric Brain TumorRaj, S. P.; Narad, M. E.; Salloum, R.; Platt, A.; Thompson, A.; Baum, K. T.; Wade, S. L.2018
Improving paediatric cardiologists' awareness about the needs of childhood cancer survivors: results of a single-centre directed educational initiativeRose-Felker, K.; Effinger, K.; Kelleman, M. S.; Sachdeva, R.; Meacham, L. R.; Border, W. L.2019
Feasibility and preliminary outcomes from a pilot study of coping skills training for adolescent--young adult survivors of childhood cancer and their parentsJudge Santacroce, S.; Asmus, K.; Kadan-Lottick, N.; Grey, M.2010
Creation and evaluation of a cancer survivorship curriculum for pediatric resident physiciansSchwartz, L. F.; Braddock, C. H.; 3rd, Kao; R. L., Sim; M. S., Casillas2018
Iterative Development of a Tailored mHealth Intervention for Adolescent and Young Adult Survivors of Childhood CancerSchwartz, L.A.; l., et2019
A comparison of two models of follow-up care for adult survivors of childhood cancerReynolds, K.; Spavor, M.; Brandelli, Y.; Kwok, C.; Li, Y.; Disciglio, M.; Carlson, L. E.; Schulte, F.; Anderson, R.; Grundy, P.; Giese-Davis, J.2019
Predictors of successful use of a web-based healthcare document storage and sharing system for pediatric cancer survivors: Cancer SurvivorLinkWilliamson, R.; Meacham, L.; Cherven, B.; Hassen-Schilling, L.; Edwards, P.; Palgon, M.; Espinoza, S.; Mertens, A.2014
Communicating Health Information and Improving Coordination With Primary CareCenter, Fred Hutchinson Cancer Research; Institute, National Cancer; Hospital, St. Jude Children's Research2017
Advancing Survivors' Knowledge (ASK) about skin cancer study: study protocol for a randomized controlled trialDaniel, C. L.; Armstrong, G. T.; Keske, R. R.; Davine, J. A.; McDonald, A. J.; Sprunck-Harrild, K. M.; Coleman, C.; Haneuse, S. J.; Mertens, A. C.; Emmons, K. M.; Marghoob, A. A.; Elkin, E. B.; Dusza, S. W.; Robison, L. L.; Geller, A. C.2015
Aftercare of Childhood Cancer Survivors in Switzerland: Protocol for a Prospective Multicenter Observational StudyDenzler, S.; Otth, M.; Scheinemann, K.2020
Feasibility of a Self-Management + Peer Mentoring Intervention for Adolescent and Young Adult Childhood Cancer SurvivorsRutgers, The State University of New Jersey; Institute, National Cancer2019
Scalability of cancer SurvivorLink: A cluster randomized trial among pediatric cancer clinicsEscoffery, C.; Gilleland Marchak, J.; Haardrfer, R.; Meacham, L.; Williamson Lewis, R.; Udelson, H.; Edwards, P.; Mertens, A. C.2019
Smart Adult Living After Childhood Cancer (SmartALACC) Online Care Plans: Feasibility and Patient SatisfactionAbramson Cancer Center of the University of Pennsylvania
Education Tools to Support Pediatric Survivor CareUniversity, Emory2020
A Collaborative Step-Wise Process to Implementing an Innovative Clinic for Adult Survivors of Childhood CancerMcClellan, W.; Fulbright, J. M.; Doolittle, G. C.; Alsman, K.; Klemp, J. R.; Ryan, R.; Nelson, E. L.; Stegenga, K.; Krebill, H.; Al-hihi, E. M.; Schuetz, N.; Heiman, A.; Lowry, B.2015

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