Predictors of long-term follow-up clinic attendance and continued engagement among survivors of cancer in childhood and adolescence.

ABSTRACT:

Purpose

Survivorship care is vital to screen for and manage late effects, yet follow-up remains suboptimal. We examined factors associated with long-term survivor clinic (LTSC) nonattendance, delayed initiation, and disengagement at a large, diverse pediatric cancer center.

Methods

We analyzed outcomes in 1138 survivorship-eligible childhood cancer survivors diagnosed between 2011 and 2019. Outcomes included (1) LTSC nonattendance (no visit ≥ 2 years post-treatment), (2) delayed LTSC visit initiation (first visit > 5 years from end of treatment), and (3) LTSC visit disengagement (no follow-up after initial LTSC visit). Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for factors associated with each outcome were estimated by multivariable logistic regression.

SUBMITTER: Tark JY 

PROVIDER: S-EPMC12696749 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature