Parents' preferences for the organisation of long-term follow-up of childhood cancer survivors.

Vetsch, J; Rueegg, C S; Mader, L; Bergstraesser, E; Diezi, M; Kuehni, C E; Michel, G (2018). Parents' preferences for the organisation of long-term follow-up of childhood cancer survivors. European journal of cancer care, 27(2), e12649. Wiley-Blackwell 10.1111/ecc.12649

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Parents take an important role in follow-up of young cancer survivors. We aimed to investigate (1) parents' preferences for organisation of follow-up (including content, specialists involved and models of care), and (2) parents' and children's characteristics predicting preference for generalist vs. specialist-led follow-up. We sent a questionnaire to parents of childhood cancer survivors aged 11-17 years. We assessed on a 4-point Likert scale (1-4), parents' preferences for organisation of long-term follow-up. Proposed models were: telephone/questionnaire, general practitioner (GP) (both categorised as generalist for regression analysis); and paediatric oncologist, medical oncologist or multidisciplinary team (MDT) (categorised as specialists). Of 284 contacted parents, 189 responded (67%). Parents welcomed if visits included checking for cancer recurrence (mean = 3.89), late effects screening (mean = 3.79), taking patients seriously (mean = 3.86) and competent staff (mean = 3.85). The preferred specialists were paediatric oncologists (mean = 3.73). Parents valued the paediatric oncologist model of care (mean = 3.49) and the MDT model (mean = 3.14) highest. Parents of children not attending clinic-based follow-up (OR = 2.97, p = .009) and those visiting a generalist (OR = 4.23, p = .007) favoured the generalist-led model. Many parents preferred a clinic-based model of follow-up by paediatric oncologists or a MDT. However, parents also valued the follow-up care model according to which their child is followed up.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Kühni, Claudia and Michel, Gisela

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0961-5423

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

31 Jan 2017 12:26

Last Modified:

10 Jul 2018 09:05

Publisher DOI:

10.1111/ecc.12649

PubMed ID:

28134478

Uncontrolled Keywords:

Europe cancer registry; follow-up care; models of care; paediatric oncology; parents of childhood; cancer survivors

BORIS DOI:

10.7892/boris.94820

URI:

https://boris.unibe.ch/id/eprint/94820

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