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Cumulative burden of chronic health conditions among adolescent and young adult survivors of childhood cancer: Identification of vulnerable groups at key medical transitions
- Source :
- Pediatr Blood Cancer
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- The cumulative burden of chronic health conditions as childhood cancer survivors transition to adult health care and insurance systems is unknown. We estimated the cumulative burden (N = 4612 survivors, 625 controls) in the St. Jude Lifetime Cohort. At 18 and 26 years old, survivors experienced (per 100 individuals) an average of 22.3 (95% confidence interval [CI]: 17.2-27.4) and 40.3 (95% CI: 34.8-45.8) disabling conditions versus 3.5 (95% CI: 2.0-5.0) and 5.7 (95% CI: 3.7-7.7) in controls, and 128.7 (95% CI: 119.5-137.8) and 240.5 (95% CI: 229.9-251.0) lower severity conditions versus 12.4 (95% CI: 8.9-16.0) and 51.3 (95% CI: 43.1-59.4) in controls. Survivors experience a high cumulative burden at key health care transition ages, underscoring the need to optimize access to care.
- Subjects :
- Adult
Transition to Adult Care
Pediatrics
medicine.medical_specialty
Adolescent
Childhood cancer
Article
Young Adult
03 medical and health sciences
0302 clinical medicine
Cancer Survivors
Neoplasms
Health care
Pediatric oncology
medicine
Humans
Young adult
Child
Adult health
Aged
Insurance, Health
business.industry
Hematology
Middle Aged
Confidence interval
Oncology
Child, Preschool
030220 oncology & carcinogenesis
Chronic Disease
Pediatrics, Perinatology and Child Health
Cohort
business
030215 immunology
Subjects
Details
- ISSN :
- 15455017 and 15455009
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Pediatric Blood & Cancer
- Accession number :
- edsair.doi.dedup.....2568eacb40725b0f43ee8dafd020178f