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Predictors of clinic satisfaction among adult survivors of childhood cancer.

Authors
  • Absolom, Kate
  • Greenfield, Diana
  • Ross, Richard
  • Horne, Beverly
  • Davies, Helena
  • Glaser, Adam
  • Simpson, Adrian
  • Waite, Heather
  • Eiser, Christine
Type
Published Article
Journal
European Journal of Cancer
Publisher
Elsevier
Publication Date
Jul 01, 2006
Volume
42
Issue
10
Pages
1421–1427
Identifiers
PMID: 16759851
Source
Medline
License
Unknown

Abstract

Childhood cancer survivors experience a wide range of late-effects. As survival rates improve, follow-up in paediatric clinics becomes less feasible, and alternative models of care have been proposed. In this study, satisfaction among those attending a traditional paediatric late-effects clinic was compared with a multi-disciplinary clinic in an adult setting. Survivors (adult clinic n=93, paediatric clinic n=105, age 16-39 years) completed measures of symptoms, understanding of vulnerability to late-effects, purpose of follow-up, satisfaction and number of topics discussed. Predictors of satisfaction were: number of topics discussed, greater understanding of the purpose of follow-up and sex. Females, and those reporting longer waiting time were less satisfied. Aspects of clinic organisation, including shorter waiting times and opportunities to discuss health concerns, are more important in determining patient satisfaction than clinic type. Survivors' understanding of the purpose of follow-up is also integral in determining satisfaction.

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