{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T23:58:38Z","timestamp":1786751918953,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many childhood cancer survivors (CCS) do not receive long\u2010term follow\u2010up care. We investigated the association of patient characteristics and neighborhood\u2010level social determinants of health (SDOH) with follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>CCS (<jats:italic>N<\/jats:italic>\u00a0=\u00a0354) diagnosed 2013\u20132022 at age &lt;18 years were identified from cancer registries at two urban hospitals. Demographics and cancer history were abstracted from the cancer registries, supplemented by electronic health record data. Vital status was ascertained from the National Death Index. Neighborhood\u2010level SDOH was measured with social vulnerability index, childhood opportunity index, and area deprivation index. Outcomes included survivorship clinic attendance \u2265 2 years posttherapy and any ambulatory visit \u22653 and \u22655 years posttherapy at the hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Survivorship clinic attendance was 52% \u22652 years posttherapy. Nonattendance was associated with adolescent age at diagnosis (42% for 11\u201317\u00a0vs. 65% for 6\u201310 years; <jats:italic>p<\/jats:italic> = 0.012), non\u2010Hispanic Black race and ethnicity versus non\u2010Hispanic White (32\u00a0vs. 57%, <jats:italic>p<\/jats:italic> = 0.048), and central nervous system (CNS) versus hematologic cancer (19\u00a0vs. 54%, <jats:italic>p<\/jats:italic> = 0.0005). The frequency of <jats:italic>any<\/jats:italic> ambulatory visit declined from 60% \u22653 years posttherapy to 40% \u22655 years posttherapy. Although 60% of CNS cancer survivors remained in ambulatory follow\u2010up \u22655 years posttherapy, only 19% attended survivorship clinic. In multivariate analyses, neighborhood\u2010level SDOH measures were not associated with follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was a substantial drop in follow\u2010up among CCS from 3 to 5 years posttherapy. Future studies of follow\u2010up should focus on engagement of CNS cancer survivors, patients diagnosed during adolescence, and minority groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.31784","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T09:44:47Z","timestamp":1747129487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Patient Characteristics and Neighborhood\u2010Level Social Determinants of Health Associated With Childhood Cancer Survivor Follow\u2010Up at Urban Cancer Centers"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2700-0695","authenticated-orcid":false,"given":"Tara K.","family":"Suntum","sequence":"first","affiliation":[{"name":"Georgetown Lombardi Comprehensive Cancer Center Georgetown University  Washington District of Columbia USA"},{"name":"MedStar Georgetown University Hospital  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaeil","family":"Ahn","sequence":"additional","affiliation":[{"name":"Georgetown Lombardi Comprehensive Cancer Center Georgetown University  Washington District of Columbia USA"},{"name":"Department of Biostatistics Bioinformatics and Biomathematics Georgetown University  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Lobo","sequence":"additional","affiliation":[{"name":"Georgetown Lombardi Comprehensive Cancer Center Georgetown University  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil","family":"Alaoui","sequence":"additional","affiliation":[{"name":"Innovation Center for Biomedical Informatics Georgetown University Medical Center  Washington District of Columbia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burton E.","family":"Appel","sequence":"additional","affiliation":[{"name":"Joseph M. 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