Characterize longitudinal changes in the use of medical care in adult survivors of childhood cancer.
The Childhood Cancer Survivor Study, a retrospective cohort study of 5+ year survivors of childhood cancer.
Medical care was assessed at entry into the cohort (baseline) and at most recent questionnaire completion. Care at each time point was classified as no care, general care, or survivor‐focused care.
There were 6,176 eligible survivors. Multivariable models evaluated risk factors for reporting survivor‐focused care or general medical care at baseline and no care at follow‐up; and survivor‐focused care at baseline and general care at follow‐up.
Males (, 2.3; 95 percent 1.8–2.9), earning <$20,000/year (, 1.6; 95 percent 1.2–2.3) or ≤high school education (, 2.5; 95 percent 1.6–3.8 and 2.0; 95 percent 1.5–2.7 for
While the incidence of late effects increases over time for survivors, the likelihood of receiving survivor‐focused care decreases for vulnerable populations.