Japanese childhood cancer survivors' readiness for care as adults: a cross-sectional survey using the Transition Scales

Ishida, Yasushi; Tezuka, Mari; Hayashi, Mitsue; Inoue, Fumiko

doi:10.1002/pon.4276

Cited by 14 publications

(18 citation statements)

References 19 publications

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“…However, studies of the barriers to cancer survivorship faced by Chinese breast cancer patients revealed that survivors were wary of entrusting their complex health conditions to primary care physicians, whom they perceived to be poorly equipped to manage cancer-related health problems [ 121 ]. One study also reported that Japanese survivors of childhood cancer preferred to receive long-term care from the same physician as adults [ 122 ]. Supplement 4 summarizes the potential gaps and barriers to implementing a comprehensive survivorship program based on experiences from European and North American populations [ 113 , 120 , 123 , 124 ], as well as experience and existing interventions in the Asian population [ 26 , 125 – 133 ].…”

Section: Implications and Recommendations For Clinical Practicementioning

confidence: 99%

Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review

Poon

Peng

et al. 2019

J Cancer Surviv

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Purpose Survivorship in children with cancer comes at a cost of developing chronic treatment-related complications. Yet, it is still an under-researched area in Asia, which shares the largest proportion of the global childhood cancer burden given its vast population. This systematic review summarizes existing literature on clinically ascertained health outcomes in Asian survivors of childhood cancer. Methods A search was conducted on Ovid Medline and EMBASE for studies that focused on survivors of childhood cancer from countries in East and Southeast Asia; adopted post-treatment clinical ascertainment of organ-specific toxicities or/and secondary malignancy. Studies were excluded if health outcomes were assessed during the acute treatment. Results Fifty-nine studies, enrolling a total of 13,442 subjects, were conducted on survivors of leukemia (34%), CNS tumor (14%), and cohorts of survivors with heterogeneous cancer diagnoses (52%). The studies used different medical evaluation methods to assess cardiovascular (15%), metabolic and infertility (32%), and neurological/neurocognitive (20%) outcomes in survivors. The collective findings suggest potential differences in the prevalence of certain late effects (e.g., secondary malignancy and obesity) among Asian and non-Asian populations, which may reflect differences in treatment regimens, practice, genetic variations, or/and socioeconomic disparity. Conclusions We recommend developing collaborative initiatives to build a regional repository of systematically assessed health outcomes and biospecimens to investigate treatment, social-environmental and genetic predictors, and interventions for late effects in this population. Implications for Cancer Survivors The existing types of chronic health problems identified in this review suggest the need for active screening, better access to survivorship care, and promotion of protective health behavior in Asia. Keywords Childhood cancer. Late effects. Survivorship. Risk-based. Asian. Organ toxicity The review was presented at the 8th Nursing Symposium on Cancer Care, Hong Kong (24th to 25th May), and was awarded the Best Poster Award.

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Section: Implications and Recommendations For Clinical Practicementioning

confidence: 99%

Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review

Poon

Peng

et al. 2019

J Cancer Surviv

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“…In particular, the effect size for the differences in the worry about job transfer between unemployed survivors with and without physical late effects was large. Japanese survivors of childhood cancer prefer not to see a doctor or nurse without their parents and to participate in making decisions about their health . Most of the unemployed survivors in the current study lived with parents (76% and 80% lived with their fathers and mothers, respectively).…”

Section: Discussionmentioning

confidence: 82%

Do childhood cancer and physical late effects increase worries about future employment in adulthood?

et al. 2019

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Background: Experiences of childhood cancer and physical late effects can potentially increase various components of worries about employment among unemployed adult survivors of childhood cancer, but the nature of these effects on worries is unknown. Aims:This study aimed to describe worries about employment among unemployed adult survivors of childhood cancer through a comparison with those among the unemployed general population and to clarify the components of worries about employment affected by physical late effects. Method and results: Worries about employment were assessed using nine items in the International Survey of Youth Attitude conducted by the Japanese Cabinet Office. Physical late effects among unemployed survivors were evaluated by their attending physicians. Data from the unemployed general population were extracted from the International Survey of Youth Attitude. We used propensity score and multiple regression analysis to estimate the impact of childhood cancer and physical late effects on worries about employment. We surveyed 48 unemployed survivors and 286 members of the unemployed general population. Unemployed survivors reported significantly higher score of worries about health and physical well-being than did the unemployed general population (Cohen's f 2 = 0.007). Meanwhile, unemployed survivors reported significantly lower scores of worries about work ability, interpersonal relationships at workplaces, age until which they can work, layoffs, income, job transfers, and possibility and continuity of employment than did the unemployed general population (Cohen's f 2 = 0.002-0.018). Unemployed survivors with physical late effects reported significantly higher scores on all components of worries about employment than did those without physical late effects (Cohen's f 2 = 0.137-1.304). Conclusion: Physical late effects rather than experiences of childhood cancer have large impacts on various worries about employment among unemployed survivors. It would be valuable to understand and assess systematically the impact of physical late effects on employment in unemployed survivors.

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“…Swiss survivors showed moderate cancer worries, with a higher CWS score than two Canadian cohorts [mean CWS score 62 (SD 19.88) versus 50.6 (SD 18.4) and 57.8 (SD 19.4)] ( 18 , 24 ). A Japanese study used the same CWS without reporting the score ( 19 ). The proportion of survivors that either agree or strongly agree to each of the six statements varies largely between the cohorts with Swiss survivors having the least cancer worries ( Supplemental Table 3B ).…”

Section: Discussionmentioning

confidence: 99%

Cancer knowledge and health-consciousness in childhood cancer survivors following transition into adult care—results from the ACCS project

Otth¹,

Denzler²,

Diesch-Furlanetto³

et al. 2022

Front. Oncol.

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BackgroundKnowledge on chronic medical conditions in childhood cancer survivors (CCSs) is constantly growing and underlines that long-term follow-up (LTFU) care is often mandatory, also in adulthood. However, many CCSs discontinue follow-up care after transition to adult care. One reason might be that the current transition practices do not meet the needs of adolescent and young adult CCSs. We therefore aim to evaluate different transition models for Swiss CCSs by assessing their cancer knowledge, cancer worries, self-management skills, and expectations for LTFU care, following transition in two different hospital-based models.MethodsWithin the Aftercare of Childhood Cancer Survivors (ACCS) study, we performed a questionnaire-based survey with a cross-sectional and longitudinal part. We included 5-year CCSs aged >16 years at recruitment who were transitioned to adult care in two hospitals between 2014 and 2021. Here, we report the results of the cross-sectional part. We compared the survivors’ cancer knowledge with medical record data and assessed cancer worries (6 questions), self-management skills (15 questions), and expectations (12 questions) by validated scales. We used descriptive statistics, chi-squared test, and t-tests to describe the results.ResultsWe analyzed 57 CCSs (response rate 44%), 60% of those were female, had a median age of 9 years at diagnosis and 23 years at the questionnaire. Most CCSs recalled their diagnosis (95%) and exposure to treatment modalities (98%) correctly. CCSs worried the most about potential late effects (47%) and issues with having children in the future (44%). At least 75% of CCSs agreed to 12 of the 15 self-management questions, indicating high self-management skills. The top three expectations included that physicians know the survivors’ cancer history, that visits start on time, and that physicians can always be called in case of questions.ConclusionCCSs receiving hospital-based LTFU care have good cancer knowledge and high self-management skills. The identified worries and expectations will help to improve the LTFU care of CCSs who transition to adult care, to further inform and educate survivors and healthcare professionals about and might be relevant for other countries with a similar healthcare system.

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Japanese childhood cancer survivors' readiness for care as adults: a cross-sectional survey using the Transition Scales

Abstract: The results confirmed the reliability and validity of the Transition Scales and showed that Japanese CCSs expressed fewer cancer concerns, but a higher number of Japanese CCSs preferred to visit the same doctor for long-term care as adults.

Cited by 14 publications

References 19 publications

Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review

Clinical ascertainment of health outcomes in Asian survivors of childhood cancer: a systematic review

Do childhood cancer and physical late effects increase worries about future employment in adulthood?

Cancer knowledge and health-consciousness in childhood cancer survivors following transition into adult care—results from the ACCS project

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