| Medical visits of childhood cancer survivors in Japan: a cross-sectional survey. | |
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MedLine Citation:
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PMID: 21077995 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Although more children with cancer continue to be cured, these survivors experience various late effects. Details of the medical visit behaviors of childhood cancer survivors (CCS) in adulthood remain to be elucidated. METHODS: In order to examine medical visits in the past and future of CCS, we performed a cross-sectional survey with self-rating questionnaires on medical visits of CCS compared with control groups (their siblings and the general population). RESULTS: Questionnaires were completed by 185 CCS, 72 of their siblings and 1000 subjects from the general population and the results were analyzed. Mean ages at this survey and the duration after therapy completions of CCS were 23 and 12 years, respectively. We found that the previous treatment hospitals (where CCS were treated for their cancer) were the most commonly visited medical facilities for the CCS group (74% for female patients and 64% for male patients) and more than half of the CCS preferred to continue visiting the previous treatment hospital with enough satisfaction in Japan. The multivariate analysis showed that female sex and relapse were significantly associated with the past visits to the previous treatment hospital and that the CCS with brain tumors or bone/soft tissue sarcomas and CCS with any late effects tended to continue the relationships with the hospital. In addition female sex was also significantly associated with desired future visits to the previous treatment hospital. On the other hand, the married CCS tended to be disinclined to visit the hospital it in the future. CONCLUSIONS: In order to optimize risk-based care and promote health for CCS after adulthood, we should discuss the medical transition with CCS and their parents. |
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Authors:
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Yasushi Ishida; Shuichi Ozono; Naoko Maeda; Jun Okamura; Keiko Asami; Tsuyako Iwai; Kiyoko Kamibeppu; Naoko Sakamoto; Naoko Kakee; Keizo Horibe |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatrics international : official journal of the Japan Pediatric Society Volume: 53 ISSN: 1442-200X ISO Abbreviation: Pediatr Int Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-06-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886002 Medline TA: Pediatr Int Country: Australia |
Other Details:
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Languages: eng Pagination: 291-9 Citation Subset: IM |
Copyright Information:
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© 2011 The Authors. Pediatrics International © 2011 Japan Pediatric Society. |
Affiliation:
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Department of Pediatrics, St. Luke's International Hospital, Tokyo, Japan. yaishida@luke.or.jp |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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