Alberta Childhood Cancer Survivorship Research Program

Adverse outcomes after childhood cancer have been assessed in a range of settings, but most existing studies are historical and ascertain outcomes only after 5-year survival. Here, we describe the Alberta Childhood Cancer Survivorship Research Program and its foundational retrospective, population-b...

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Main Authors: Andrew Harper, Fiona Schulte, Gregory M. T. Guilcher, Tony H. Truong, Kathleen Reynolds, Maria Spavor, Natalie Logie, Joon Lee, Miranda M. Fidler-Benaoudia
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/15/3932
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author Andrew Harper
Fiona Schulte
Gregory M. T. Guilcher
Tony H. Truong
Kathleen Reynolds
Maria Spavor
Natalie Logie
Joon Lee
Miranda M. Fidler-Benaoudia
author_facet Andrew Harper
Fiona Schulte
Gregory M. T. Guilcher
Tony H. Truong
Kathleen Reynolds
Maria Spavor
Natalie Logie
Joon Lee
Miranda M. Fidler-Benaoudia
author_sort Andrew Harper
collection DOAJ
description Adverse outcomes after childhood cancer have been assessed in a range of settings, but most existing studies are historical and ascertain outcomes only after 5-year survival. Here, we describe the Alberta Childhood Cancer Survivorship Research Program and its foundational retrospective, population-based cohort of Albertan residents diagnosed with a first primary neoplasm between the ages of 0 and 17 years from 1 January 2001 to 31 December 2018. The cohort was established in collaboration with the Alberta Cancer Registry and Cancer in Young People in Canada program and has been linked to existing administrative health databases and patient-reported outcome questionnaires. The cohort comprised 2580 survivors of childhood cancer, 1379 (53.4%) of whom were 5-year survivors. Approximately 48% of the cohort was female, 47% of the cohort was diagnosed between 0 and 4 years of age, and the most frequent diagnoses were leukemias (25.4%), central nervous system tumors (24.0%), and lymphomas (14.9%). Detailed treatment information was available for 1741 survivors (67.5%), with manual abstraction ongoing for those with missing data. By the study exit date, the median time since diagnosis was 5.5 years overall and 10.4 years for 5-year survivors. During the follow-up time, 82 subsequent primary cancers were diagnosed, 20,355 inpatient and 555,425 ambulatory/outpatient events occurred, 606,773 claims were reported, and 437 survivors died. The results from this research program seek to inform and improve clinical care and reduce cancer-related sequelae via tertiary prevention strategies.
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spelling doaj.art-116d590f9279411bb608df4075ce9d682023-11-18T22:43:20ZengMDPI AGCancers2072-66942023-08-011515393210.3390/cancers15153932Alberta Childhood Cancer Survivorship Research ProgramAndrew Harper0Fiona Schulte1Gregory M. T. Guilcher2Tony H. Truong3Kathleen Reynolds4Maria Spavor5Natalie Logie6Joon Lee7Miranda M. Fidler-Benaoudia8Department of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB T2S 3C3, CanadaDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaLong Term Survivor’s Clinic, Alberta Children’s Hospital, Calgary, AB T2N 4N1, CanadaDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R7, CanadaDivision of Radiation Oncology, Tom Baker Cancer Centre, Alberta Health Services, Calgary, AB T2N 4N2, CanadaData Intelligence for Health Lab, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, CanadaDepartment of Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, Calgary, AB T2S 3C3, CanadaAdverse outcomes after childhood cancer have been assessed in a range of settings, but most existing studies are historical and ascertain outcomes only after 5-year survival. Here, we describe the Alberta Childhood Cancer Survivorship Research Program and its foundational retrospective, population-based cohort of Albertan residents diagnosed with a first primary neoplasm between the ages of 0 and 17 years from 1 January 2001 to 31 December 2018. The cohort was established in collaboration with the Alberta Cancer Registry and Cancer in Young People in Canada program and has been linked to existing administrative health databases and patient-reported outcome questionnaires. The cohort comprised 2580 survivors of childhood cancer, 1379 (53.4%) of whom were 5-year survivors. Approximately 48% of the cohort was female, 47% of the cohort was diagnosed between 0 and 4 years of age, and the most frequent diagnoses were leukemias (25.4%), central nervous system tumors (24.0%), and lymphomas (14.9%). Detailed treatment information was available for 1741 survivors (67.5%), with manual abstraction ongoing for those with missing data. By the study exit date, the median time since diagnosis was 5.5 years overall and 10.4 years for 5-year survivors. During the follow-up time, 82 subsequent primary cancers were diagnosed, 20,355 inpatient and 555,425 ambulatory/outpatient events occurred, 606,773 claims were reported, and 437 survivors died. The results from this research program seek to inform and improve clinical care and reduce cancer-related sequelae via tertiary prevention strategies.https://www.mdpi.com/2072-6694/15/15/3932childhood cancerpediatric cancersurvivorshipepidemiology
spellingShingle Andrew Harper
Fiona Schulte
Gregory M. T. Guilcher
Tony H. Truong
Kathleen Reynolds
Maria Spavor
Natalie Logie
Joon Lee
Miranda M. Fidler-Benaoudia
Alberta Childhood Cancer Survivorship Research Program
Cancers
childhood cancer
pediatric cancer
survivorship
epidemiology
title Alberta Childhood Cancer Survivorship Research Program
title_full Alberta Childhood Cancer Survivorship Research Program
title_fullStr Alberta Childhood Cancer Survivorship Research Program
title_full_unstemmed Alberta Childhood Cancer Survivorship Research Program
title_short Alberta Childhood Cancer Survivorship Research Program
title_sort alberta childhood cancer survivorship research program
topic childhood cancer
pediatric cancer
survivorship
epidemiology
url https://www.mdpi.com/2072-6694/15/15/3932
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