Neuigkeiten im Kinderkrebsregister

Can health beliefs help in explaining attendance to follow-up care? The Swiss Childhood Cancer Survivor Study

Gisela Michel, Claudia E. Kuehni, Cornelia E. Rebholz, Karin Zimmermann, Christine Eiser, Corina S. Rueegg and Nicolas X. von der Weid for the Swiss Paediatric Oncology Group (SPOG)

Psycho-Oncology (2010): DOI: 10.1002/pon.1823

Follow-up care after treatment for childhood cancer is important for many survivors. In this study we addressed factors associated with attendance to follow-up care in 1075 survivors participating in the Swiss Childhood Cancer Survivor Study (SCCSS). Only 250 survivors (23.3%) still attended regular follow-up care. Especially survivors at high risk of cancer- and treatment-related late effects attend follow-up care in Switzerland (i.e. those treated with chemotherapy, radiotherapy, or bone marrow transplantation and with a relapse), but also younger survivors, those with lower educational background, and those diagnosed at an older age attended follow-up care. In addition, we found that health beliefs are associated with whether or not survivor attend follow-up. If survivors thought that follow-up care is not necessary they did not attend despite their individual risk for late effects. We therefore conclude that information about the potential effectiveness and value of follow-up needs to be available to increase the attendance among childhood cancer survivors.


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