{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:36:38Z","timestamp":1788561398313,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T00:00:00Z","timestamp":1471305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Surveillance for long-term complications related to previous cancer therapy can help diagnose\/manage chronic health conditions in childhood cancer survivors and improve survivor quality of life. However, a challenge to delivering long-term care to childhood cancer survivors is loss to follow-up; many patients discontinue care at specialized survivor care centers. The purpose of this study was to examine patterns of loss to follow-up among a cohort of childhood cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study examined follow-up patterns among a nonrandom representative sample of 370 childhood cancer survivors among 1116 patients from a single institution. The median age of patients at diagnosis was 10.2 years (range &lt;1\u201321). Factors potentially related to follow-up were utilized to evaluate patterns of follow-up across 5-year intervals following completion of active therapy. The association between patient characteristics and follow-up was evaluated using univariate and multivariate binomial regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The probability of follow-up 1\u20135 years post-treatment was 91.2% (89.7%\u201392.5%) but dropped to 68.5% (66.2%\u201370.8%) during years 6\u201310, 47.7% (45.0%\u201350.3%) during years 11\u201315, and continued to steadily decrease over time. Overall, white race, diagnoses at younger ages, patients with lymphomas\/leukemias, and decade of diagnosis were each associated with somewhat better rates of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings highlight the lack of follow-up by adult survivors of childhood cancer with only approximately one-half of patients returning for follow-up 10 years after completion of therapy. Interventions focused on educating both patients and primary care physicians may help to increase long-term follow-up care among this at-risk population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jayao.2016.0023","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T16:00:44Z","timestamp":1471363244000},"page":"67-73","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":59,"title":["Patterns of Loss to Follow-Up Care Among Childhood Cancer Survivors"],"prefix":"10.1177","volume":"6","author":[{"given":"Denise A.","family":"Rokitka","sequence":"first","affiliation":[{"name":"Roswell Park Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Curtin","sequence":"additional","affiliation":[{"name":"State University at Buffalo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Heffler","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Zevon","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kris","family":"Attwood","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin C.","family":"Mahoney","sequence":"additional","affiliation":[{"name":"Roswell Park Cancer Institute"},{"name":"State University of New York at Buffalo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,16]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Howlader NNA Krapcho M Garshell J et al. 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