{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T22:04:50Z","timestamp":1784325890066,"version":"3.55.0"},"reference-count":38,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"7","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>Given the extended survivorship of young adults with breast cancer, characterizing health care utilization and adherence to surveillance guidelines can inform gaps in care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PATIENTS AND METHODS<\/jats:title>\n                    <jats:p>Patients age 40 years and younger at diagnosis of stage 0-III breast cancer enrolled in a prospective cohort study completed a survey 7 years after diagnosis assessing receipt of care and surveillance. We evaluated factors associated with transition to a primary care provider (PCP) for cancer-related follow-up and adherence to mammography and bone density scans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Among 660 women, 92% reported having a PCP, although for cancer-related follow-up, 57% saw only an oncology provider, 29% saw both a PCP and oncology provider. In the past 2 years, 68% reported getting a flu shot, 76% a pap test\/pelvic examination, 56% cholesterol screening, and 42% (n = 232 endocrine therapy [ET] users) a bone density scan. Among women who had a unilateral mastectomy or lumpectomy (n = 356), 82% reported a mammogram in the past year. In multivariate analyses, those with stage 0 (\n                      <jats:italic toggle=\"yes\">v<\/jats:italic>\n                      I disease) were more likely to see a PCP for follow-up (\n                      <jats:italic toggle=\"yes\">v<\/jats:italic>\n                      PCP + oncology provider); ET users and those more concerned about recurrence were less likely. Patients with human epidermal growth factor receptor 2-positive (HER2) disease were more likely to adhere to mammography; those with a\n                      <jats:italic toggle=\"yes\">BRCA<\/jats:italic>\n                      mutation and those with a unilateral mastectomy were less likely. Patients with a\n                      <jats:italic toggle=\"yes\">BRCA<\/jats:italic>\n                      mutation and who had chemotherapy were more likely to report a bone density scan.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Although most have a PCP, over half of young survivors continue to see an oncology provider for follow-up in long-term survivorship. Mammography uptake was high; uptake of other health maintenance practices was lower. Identification of barriers\/facilitators to receipt of guideline-concordant care may inform strategies to optimize survivorship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op-25-00288","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T19:59:07Z","timestamp":1758743947000},"page":"1286-1294","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":1,"title":["Health Care Utilization and Follow-Up Care in Young Adult Breast Cancer Survivors"],"prefix":"10.1200","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3918-9229","authenticated-orcid":true,"given":"Shakirah N.","family":"Ssebyala","sequence":"first","affiliation":[{"name":"Weill Cornell Medicine, New York, 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