![]() ConclusionsĮducational interventions improving awareness of treatment history and susceptibility to cancer-related late effects and corresponding risk-based care are likely to be beneficial for survivors of childhood cancers. The likelihood of having had a cancer-related visit within the last 2 years was higher among survivors assigning greater importance to these visits (relative risk, 1.2 95% CI, 1.1-1.3), perceiving greater susceptibility to health problems (RR, 1.2 95% CI, 1.1-1.3), having a moderate to life-threatening chronic health problem related to their cancer (RR, 2.1 95% CI, 1.7-2.7), seeing a primary care provider for a cancer-related problem (RR, 1.3 95% CI, 1.0-1.6), having a cancer treatment summary (RR, 1.3 95% CI, 1.0-1.6), and endorsing greater confidence in physicians' abilities to address questions and concerns (RR, 1.2 95% CI, 1.0-1.3). Twenty-seven percent (95% confidence interval, 24%-30%) had a cancer-related medical visit in the previous 2 years, and 41% (95% CI, 38%-44%) planned to have such a visit within the next 2 years. Cant sign in Forgot your username Enter your email address below and we will send you your username. , and you may need to create a new Wiley Online Library account. Nine hundred seventy-five survivors completed the survey. Hunter College, City University of New York. She received her doctorate in social psychology at Northwestern University, where she developed a lifelong love of research methodology from Donald T. Additional factors thought to be related to the primary outcomes were also assessed. VITA CARULLI RABINOWITZ is Associate Professor of Psychology at Hunter College and the Graduate School and University Center of the City University of New York. MethodsĪdult participants from the Childhood Cancer Survivor Study were surveyed about having a cancer-related visit in the past 2 years and the likelihood of having a cancer-related visit in the future. Frida Esther Kleiman, Department of Chemistry, Hunter College and Biochemistry Program, The Graduate Center, City University of New York, 695 Park Avenue, New York, NY 10065. Understanding the reasons for a lack of risk-based follow-up care is essential. Optimal risk-based survivor health care includes surveillance for late effects and education targeted at reducing or preventing risky health behaviors.
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