{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:20:37Z","timestamp":1790346037957,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"15","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01MD018637"],"award-info":[{"award-number":["K01MD018637"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R03CA267456"],"award-info":[{"award-number":["R03CA267456"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R50CA285492"],"award-info":[{"award-number":["R50CA285492"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["SIP 20\u2010004"],"award-info":[{"award-number":["SIP 20\u2010004"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood cancer survivors face increased risks of adverse cardiovascular outcomes due to treatment exposures. National guidelines recommend periodic cardiomyopathy screening for survivors exposed to anthracyclines or radiation. We examined the receipt of and the adherence to guideline\u2010recommended cardiomyopathy testing\u2009(echocardiogram, multigated acquisition scan, magnetic resonance imaging) among Medicaid\u2010enrolled childhood cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using data from the Childhood Cancer Survivor Study linked to administrative Medicaid claims, we analyzed 1062 at\u2010risk survivors aged 18\u201364\u2009years who were continuously enrolled in Medicaid each year throughout 2015\u20132019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found that 26.8% received any cardiomyopathy test, and 9.6% adhered to guidelines. Residence in Medicaid expansion (vs. non\u2010expansion) states was associated with 6.9% points (95% CI\u2009=\u20090.7\u201313.1) higher likelihood of receiving any cardiomyopathy test and 4.2% points (95% CI\u2009=\u20090.4\u20137.9) higher likelihood of adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest low receipt and poor adherence to guideline\u2010recommended cardiomyopathy screening among long\u2010term survivors of childhood cancer. Our data further underscore the critical role of Medicaid programs in supporting access to quality survivorship care for this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71116","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T12:35:33Z","timestamp":1754397333000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiomyopathy Screening Adherence Among Medicaid\u2010Enrolled Long\u2010Term Survivors of Childhood Cancer"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1097-3300","authenticated-orcid":false,"given":"Xin","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Department of Pediatrics Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Winship Cancer Institute Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon M.","family":"Castellino","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Winship Cancer Institute Emory University  Atlanta Georgia USA"},{"name":"Aflac Cancer &amp; Blood Disorders Center Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deo Kumar","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Biostatistics Department St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Nathan","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children and University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory T.","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Cancer Control St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne C.","family":"Kirchhoff","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah School of Medicine  Salt Lake City Utah USA"},{"name":"Cancer Control and Population Sciences Huntsman Cancer Institute  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3025-3984","authenticated-orcid":false,"given":"Xu","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Winship Cancer Institute Emory University  Atlanta Georgia USA"},{"name":"Aflac Cancer &amp; Blood Disorders Center Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.76.3920"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccao.2020.08.006"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l6794"},{"key":"e_1_2_7_5_1","unstructured":"\u201cLong\u2010Term Follow\u2010Up Guidelines for Survivors of Childhood Adolescent and Young Adult Cancer Version 4.0 \u201dChildren's Oncology Group http:\/\/www.survivorshipguidelines.org\/pdf\/COG%20LTFU%20Guidelines%20Archive\/Version%204.0\/COG_LTFU_Guidelines_v4%20(secured).pdf."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.6801"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21604"},{"key":"e_1_2_7_8_1","unstructured":"\u201cPublished: Status of State Medicaid Expansion Decisions: Interactive Map \u201dKFF (2024) https:\/\/www.kff.org\/affordable\u2010care\u2010act\/issue\u2010brief\/status\u2010of\u2010state\u2010medicaid\u2010expansion\u2010decisions\u2010interactive\u2010map\/."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djab105"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2024.7041"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.01742"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pkad067"},{"key":"e_1_2_7_13_1","unstructured":"\u201cAbout the Childhood Cancer Survivor Study \u201daccessed January 20 2025 https:\/\/ccss.stjude.org\/about\u2010the\u2010study.html."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djx224"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_2_7_16_1","unstructured":"\u201cBrandon. 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