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Disparities in pediatric cancer survivorship care: A systematic review
BACKGROUND: Childhood cancer survivors (CCS) experience many long‐term health problems that can be mitigated with recommended survivorship care. However, many CCS do not have access to survivorship care nor receive recommended survivorship care. We reviewed the empirical evidence of disparities in s...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10524017/ https://www.ncbi.nlm.nih.gov/pubmed/37551113 http://dx.doi.org/10.1002/cam4.6426 |
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author | Mobley, Erin M. Moke, Diana J. Milam, Joel Ochoa‐Dominguez, Carol Y. Stal, Julia Mitchell, Halle Aminzadeh, Naghmeh Bolshakova, Maria Mailhot Vega, Raymond B. Dinalo, Jennifer Motala, Aneesa Hempel, Susanne |
author_facet | Mobley, Erin M. Moke, Diana J. Milam, Joel Ochoa‐Dominguez, Carol Y. Stal, Julia Mitchell, Halle Aminzadeh, Naghmeh Bolshakova, Maria Mailhot Vega, Raymond B. Dinalo, Jennifer Motala, Aneesa Hempel, Susanne |
author_sort | Mobley, Erin M. |
collection | PubMed |
description | BACKGROUND: Childhood cancer survivors (CCS) experience many long‐term health problems that can be mitigated with recommended survivorship care. However, many CCS do not have access to survivorship care nor receive recommended survivorship care. We reviewed the empirical evidence of disparities in survivorship care for CCS. METHODS: This systematic review searched PubMed, CINAHL, and PsycINFO for studies on survivorship care for CCS (PROSPERO: CRD42021227965) and abstracted the reported presence or absence of disparities in care. We screened 7945 citations, and of those, we reviewed 2760 publications at full text. RESULTS: A total of 22 studies reported in 61 publications met inclusion criteria. Potential disparities by cancer treatment (N = 14), diagnosis (N = 13), sex (N = 13), and current age (N = 13) were frequently studied. There was high quality of evidence (QOE) of survivorship care disparities associated with non‐White race, Hispanic ethnicity, and being uninsured. Moderate QOE demonstrated disparities among CCS who were unemployed and older. Lower QOE was found for disparities based on cancer diagnosis, cancer treatment, age at diagnosis, time since diagnosis, sex, insurance type, income, educational attainment, and geographic area. CONCLUSIONS: We found strong empirical evidence of disparities in survivorship care for CCS associated with race, ethnicity, and insurance status. Multiple other disparate groups, such as those by employment, income, insurance type, education, cancer diagnosis, age at diagnosis, time since diagnosis, cancer treatment, geographic area, sex, and self‐identified gender warrant further investigation. Prospective, multilevel research is needed to examine the role of other patient characteristics as potential disparities hindering adequate survivorship care in CCS. |
format | Online Article Text |
id | pubmed-10524017 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105240172023-09-28 Disparities in pediatric cancer survivorship care: A systematic review Mobley, Erin M. Moke, Diana J. Milam, Joel Ochoa‐Dominguez, Carol Y. Stal, Julia Mitchell, Halle Aminzadeh, Naghmeh Bolshakova, Maria Mailhot Vega, Raymond B. Dinalo, Jennifer Motala, Aneesa Hempel, Susanne Cancer Med REVIEW BACKGROUND: Childhood cancer survivors (CCS) experience many long‐term health problems that can be mitigated with recommended survivorship care. However, many CCS do not have access to survivorship care nor receive recommended survivorship care. We reviewed the empirical evidence of disparities in survivorship care for CCS. METHODS: This systematic review searched PubMed, CINAHL, and PsycINFO for studies on survivorship care for CCS (PROSPERO: CRD42021227965) and abstracted the reported presence or absence of disparities in care. We screened 7945 citations, and of those, we reviewed 2760 publications at full text. RESULTS: A total of 22 studies reported in 61 publications met inclusion criteria. Potential disparities by cancer treatment (N = 14), diagnosis (N = 13), sex (N = 13), and current age (N = 13) were frequently studied. There was high quality of evidence (QOE) of survivorship care disparities associated with non‐White race, Hispanic ethnicity, and being uninsured. Moderate QOE demonstrated disparities among CCS who were unemployed and older. Lower QOE was found for disparities based on cancer diagnosis, cancer treatment, age at diagnosis, time since diagnosis, sex, insurance type, income, educational attainment, and geographic area. CONCLUSIONS: We found strong empirical evidence of disparities in survivorship care for CCS associated with race, ethnicity, and insurance status. Multiple other disparate groups, such as those by employment, income, insurance type, education, cancer diagnosis, age at diagnosis, time since diagnosis, cancer treatment, geographic area, sex, and self‐identified gender warrant further investigation. Prospective, multilevel research is needed to examine the role of other patient characteristics as potential disparities hindering adequate survivorship care in CCS. John Wiley and Sons Inc. 2023-08-08 /pmc/articles/PMC10524017/ /pubmed/37551113 http://dx.doi.org/10.1002/cam4.6426 Text en © 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | REVIEW Mobley, Erin M. Moke, Diana J. Milam, Joel Ochoa‐Dominguez, Carol Y. Stal, Julia Mitchell, Halle Aminzadeh, Naghmeh Bolshakova, Maria Mailhot Vega, Raymond B. Dinalo, Jennifer Motala, Aneesa Hempel, Susanne Disparities in pediatric cancer survivorship care: A systematic review |
title | Disparities in pediatric cancer survivorship care: A systematic review |
title_full | Disparities in pediatric cancer survivorship care: A systematic review |
title_fullStr | Disparities in pediatric cancer survivorship care: A systematic review |
title_full_unstemmed | Disparities in pediatric cancer survivorship care: A systematic review |
title_short | Disparities in pediatric cancer survivorship care: A systematic review |
title_sort | disparities in pediatric cancer survivorship care: a systematic review |
topic | REVIEW |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10524017/ https://www.ncbi.nlm.nih.gov/pubmed/37551113 http://dx.doi.org/10.1002/cam4.6426 |
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