PharmacoEconomics & Outcomes News 505 - 17 Jun 2006 Survivors of childhood cancer missing out on follow-up? Survivors of childhood and adolescent cancer report a higher use of healthcare services than others of the same age and sex with no history of cancer, report researchers from Canada. However, a large majority do not consult an oncologist and therefore may not be receiving optimal follow-up care. They obtained information from 2152 survivors of childhood and adolescent cancer (age range 0–19 years at diagnosis) and 2432 sex- and age-matched controls regarding patterns of consultation with healthcare practitioners in the preceding year. The study showed that 92% of survivors and 86% of controls consulted with a healthcare practitioner at least once in the previous year. Proportions of survivors and controls consulting a general practitioner (GP) were not significantly different. However, significantly more survivors than controls saw a specialist (68% vs 46%); oncologists and haematologists were more likely to be visited by survivors than controls (29% vs 0.3% and 14% vs 0.6%, respectively). Notably, the proportion of survivors who consulted a GP increased with age, though visits to oncologists and specialists decreased, and, by age 30 years, only 40% consulted a specialist and 10% an oncologist. Shaw AK, et al. Use of health care services by survivors of childhood and adolescent cancer in Canada. Cancer 106: 1829-1837, No. 8, 15 Apr 2006 801065386 1 PharmacoEconomics & Outcomes News 17 Jun 2006 No. 505 1173-5503/10/0505-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved

Survivors of childhood cancer missing out on follow-up?

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PharmacoEconomics & Outcomes News 505 - 17 Jun 2006

Survivors of childhood cancermissing out on follow-up?

Survivors of childhood and adolescent cancer report ahigher use of healthcare services than others of the sameage and sex with no history of cancer, report researchersfrom Canada. However, a large majority do not consultan oncologist and therefore may not be receivingoptimal follow-up care.

They obtained information from 2152 survivors ofchildhood and adolescent cancer (age range 0–19 yearsat diagnosis) and 2432 sex- and age-matched controlsregarding patterns of consultation with healthcarepractitioners in the preceding year.

The study showed that 92% of survivors and 86% ofcontrols consulted with a healthcare practitioner at leastonce in the previous year. Proportions of survivors andcontrols consulting a general practitioner (GP) were notsignificantly different. However, significantly moresurvivors than controls saw a specialist (68% vs 46%);oncologists and haematologists were more likely to bevisited by survivors than controls (29% vs 0.3% and 14%vs 0.6%, respectively). Notably, the proportion ofsurvivors who consulted a GP increased with age,though visits to oncologists and specialists decreased,and, by age 30 years, only 40% consulted a specialistand 10% an oncologist.Shaw AK, et al. Use of health care services by survivors of childhood andadolescent cancer in Canada. Cancer 106: 1829-1837, No. 8, 15 Apr2006 801065386