{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T03:39:41Z","timestamp":1779161981699,"version":"3.51.4"},"reference-count":55,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T00:00:00Z","timestamp":1770422400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adult cancer survivors are likely to be hospitalised with chronic illnesses, although evidence for childhood and AYA survivors is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study quantified hospitalisations and the costs of health services used by survivors of childhood, adolescent, and young adult (AYA) cancers with and without chronic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We assessed long\u2010term survivors (\u2265\u00a05\u00a0years past diagnosis) of childhood and AYA cancers diagnosed at ages 0\u201339\u00a0years between 1997 and 2011 in Queensland, Australia. Utilising a linked administrative dataset, we determined the prevalence of chronic conditions from hospital records using classification codes (ICD\u201010\u2010AM) and quantified hospitalisations and associated costs in 2024 Australian dollars (AU$). Generalised linear regression modelling was used to examine how chronic conditions affected healthcare costs, controlling for clinical and socio\u2010demographic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 14,422 participants, 16% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02286) were hospitalised with at least one chronic disease, with hypertension (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0675, 4.7%) and depression (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0463, 3.2%) being the most common. Inpatient admissions were significantly higher for survivors with\u00a0chronic conditions (mean 3, SD\u00a0=\u00a010) compared to those without chronic conditions (mean 1, SD\u00a0=\u00a04). The mean annual costs were highest for those with chronic kidney disease (AU$26,428, SD\u00a0=\u00a0AU$30,331), schizophrenia (AU$22,835, SD\u00a0=\u00a0AU$37,204), epilepsy (AU$22,361, SD\u00a0=\u00a0AU$37,224), paralysis (AU$22,051, SD\u00a0=\u00a0AU$32,165) and chronic heart failure (AU$21,912 SD\u00a0=\u00a0AU$38,763). Hypertension (AU$5.4 million) and depression (AU$4.3 million) incurred the highest total costs over the follow\u2010up period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Implementing targeted survivorship care and preventative measures for high\u2010cost conditions such as schizophrenia and chronic kidney disease may optimise healthcare resource use and reduce the economic burden for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70395","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:24:47Z","timestamp":1770477887000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospitalisations and Costs of Chronic Health Conditions Among Long\u2010Term Survivors of Childhood, Adolescent, and Young Adult Cancers in Queensland, Australia"],"prefix":"10.1002","volume":"35","author":[{"given":"Doreen","family":"Nabukalu","sequence":"first","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louisa G.","family":"Collins","sequence":"additional","affiliation":[{"name":"Viertel Cancer Research Centre Cancer Council Queensland  Fortitude Valley Australia"},{"name":"Population Health Program QIMR Berghofer Medical Research Institute  Herston Australia"},{"name":"Faculty of Health Medicine and Behavioural Sciences \u2010 The University of Queensland  Herston Australia"},{"name":"Cancer and Palliative Care Outcomes Centre and School of Nursing Queensland University of Technology  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Viertel Cancer Research Centre Cancer Council Queensland  Fortitude Valley Australia"},{"name":"Population Health Program QIMR Berghofer Medical Research Institute  Herston Australia"},{"name":"Faculty of Health Medicine and Behavioural Sciences \u2010 The University of Queensland  Herston Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Lowe","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina M. D.","family":"Merollini","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,7]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Australia's Health 2022: In Brief","author":"Australian Institute of Health Welfare","year":"2022"},{"key":"e_1_2_11_3_1","volume-title":"Disease Expenditure in Australia 2019\u201320","author":"Australian Institute of Health Welfare","year":"2022"},{"key":"e_1_2_11_4_1","volume-title":"The Ongoing Challenge of Chronic Conditions in Australia","author":"Australian Institute of Health Welfare","year":"2024"},{"key":"e_1_2_11_5_1","volume-title":"National Strategic Framework for Chronic Conditions","author":"Australian Health Minister s' Advisory Council","year":"2017"},{"key":"e_1_2_11_6_1","unstructured":"Australian Bureau of Statistics.Health Conditions Prevalence. 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