Disparities in pediatric cancer survivorship care: A systematic review
Abstract 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 disparit...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-09-01
|
| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.6426 |
| _version_ | 1797672412135817216 |
|---|---|
| author | Erin M. Mobley Diana J. Moke Joel Milam Carol Y. Ochoa‐Dominguez Julia Stal Halle Mitchell Naghmeh Aminzadeh Maria Bolshakova Raymond B. Mailhot Vega Jennifer Dinalo Aneesa Motala Susanne Hempel |
| author_facet | Erin M. Mobley Diana J. Moke Joel Milam Carol Y. Ochoa‐Dominguez Julia Stal Halle Mitchell Naghmeh Aminzadeh Maria Bolshakova Raymond B. Mailhot Vega Jennifer Dinalo Aneesa Motala Susanne Hempel |
| author_sort | Erin M. Mobley |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-11T21:29:40Z |
| format | Article |
| id | doaj.art-31cf169957474c95a362f5dc67f2d6fc |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-03-11T21:29:40Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-31cf169957474c95a362f5dc67f2d6fc2023-09-27T11:46:08ZengWileyCancer Medicine2045-76342023-09-011217182811830510.1002/cam4.6426Disparities in pediatric cancer survivorship care: A systematic reviewErin M. Mobley0Diana J. Moke1Joel Milam2Carol Y. Ochoa‐Dominguez3Julia Stal4Halle Mitchell5Naghmeh Aminzadeh6Maria Bolshakova7Raymond B. Mailhot Vega8Jennifer Dinalo9Aneesa Motala10Susanne Hempel11Department of Surgery, College of Medicine University of Florida Jacksonville Florida USADepartment of Hematology, Oncology, and Blood and Marrow Transplantation Children's Hospital Los Angeles Los Angeles California USASouthern California Center for Young Adult Cancer Survivorship Research Los Angeles and Irvine California USADepartment of Radiation Medicine and Applied Sciences, School of Medicine University of California San Diego San Diego California USASouthern California Center for Young Adult Cancer Survivorship Research Los Angeles and Irvine California USADepartment of Surgery, College of Medicine University of Florida Jacksonville Florida USASouthern California Evidence Review Center, Keck School of Medicine University of Southern California Los Angeles California USASouthern California Evidence Review Center, Keck School of Medicine University of Southern California Los Angeles California USADepartment of Radiation Oncology, College of Medicine University of Florida Jacksonville Florida USASouthern California Evidence Review Center, Keck School of Medicine University of Southern California Los Angeles California USASouthern California Evidence Review Center, Keck School of Medicine University of Southern California Los Angeles California USASouthern California Evidence Review Center, Keck School of Medicine University of Southern California Los Angeles California USAAbstract 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.https://doi.org/10.1002/cam4.6426cancer survivorshealth equityhealth services accessibilityhealthcare disparities |
| spellingShingle | Erin M. Mobley Diana J. Moke Joel Milam Carol Y. Ochoa‐Dominguez Julia Stal Halle Mitchell Naghmeh Aminzadeh Maria Bolshakova Raymond B. Mailhot Vega Jennifer Dinalo Aneesa Motala Susanne Hempel Disparities in pediatric cancer survivorship care: A systematic review Cancer Medicine cancer survivors health equity health services accessibility healthcare disparities |
| 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 | cancer survivors health equity health services accessibility healthcare disparities |
| url | https://doi.org/10.1002/cam4.6426 |
| work_keys_str_mv | AT erinmmobley disparitiesinpediatriccancersurvivorshipcareasystematicreview AT dianajmoke disparitiesinpediatriccancersurvivorshipcareasystematicreview AT joelmilam disparitiesinpediatriccancersurvivorshipcareasystematicreview AT carolyochoadominguez disparitiesinpediatriccancersurvivorshipcareasystematicreview AT juliastal disparitiesinpediatriccancersurvivorshipcareasystematicreview AT hallemitchell disparitiesinpediatriccancersurvivorshipcareasystematicreview AT naghmehaminzadeh disparitiesinpediatriccancersurvivorshipcareasystematicreview AT mariabolshakova disparitiesinpediatriccancersurvivorshipcareasystematicreview AT raymondbmailhotvega disparitiesinpediatriccancersurvivorshipcareasystematicreview AT jenniferdinalo disparitiesinpediatriccancersurvivorshipcareasystematicreview AT aneesamotala disparitiesinpediatriccancersurvivorshipcareasystematicreview AT susannehempel disparitiesinpediatriccancersurvivorshipcareasystematicreview |