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Medical Screening Participation in the Childhood Cancer Survivor Study

Medical Screening Participation in the Childhood Cancer Survivor Study ORIGINAL INVESTIGATION Medical Screening Participation in the Childhood Cancer Survivor Study Cheryl L. Cox, PhD; Melissa M. Hudson, MD; Ann Mertens, PhD; Kevin Oeffinger, MD; John Whitton, MS; Michele Montgomery, MPH; Leslie L. Robison, PhD Background: Despite their risk for serious late se- mended echocardiogram schedule (R =23%). Survivors quelae, survivors of childhood cancer do not adhere to at risk of osteoporosis (n=324; age, 30.20 [7.09] years; recommended medical screening guidelines. We identi- age at diagnosis, 9 .01 [5.51]years; and time since diag- fied treatment, survivor, physician, and contextual fac- nosis, 21.20 [4.27] years) who reported more cancer- related visits (P=.05), were followed up at an oncology tors that may influence survivor adherence to recom- clinic (P=.01), had discussed osteoporosis with a phy- mended echocardiography and bone densitometry sician (P.001), and had a lower body mass index screening. (P = .05) were most likely to adhere to the recom- mended bone density screening guidelines (R =26%). Methods: Structural equation modeling of data from the Symptoms and motivation influenced screening fre- Childhood Cancer Survivor Study; 838 participants had quency in both models. received a diagnosis of and were treated for pediatric can- cers between 1970 and 1986. Conclusions: Multiple factors http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Medical Screening Participation in the Childhood Cancer Survivor Study

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References (66)

Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2008.588
pmid
19273775
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION Medical Screening Participation in the Childhood Cancer Survivor Study Cheryl L. Cox, PhD; Melissa M. Hudson, MD; Ann Mertens, PhD; Kevin Oeffinger, MD; John Whitton, MS; Michele Montgomery, MPH; Leslie L. Robison, PhD Background: Despite their risk for serious late se- mended echocardiogram schedule (R =23%). Survivors quelae, survivors of childhood cancer do not adhere to at risk of osteoporosis (n=324; age, 30.20 [7.09] years; recommended medical screening guidelines. We identi- age at diagnosis, 9 .01 [5.51]years; and time since diag- fied treatment, survivor, physician, and contextual fac- nosis, 21.20 [4.27] years) who reported more cancer- related visits (P=.05), were followed up at an oncology tors that may influence survivor adherence to recom- clinic (P=.01), had discussed osteoporosis with a phy- mended echocardiography and bone densitometry sician (P.001), and had a lower body mass index screening. (P = .05) were most likely to adhere to the recom- mended bone density screening guidelines (R =26%). Methods: Structural equation modeling of data from the Symptoms and motivation influenced screening fre- Childhood Cancer Survivor Study; 838 participants had quency in both models. received a diagnosis of and were treated for pediatric can- cers between 1970 and 1986. Conclusions: Multiple factors

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Mar 9, 2009

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