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

Eur J Cancer Care (Engl). 2018 Mar;27(2):e12649. doi: 10.1111/ecc.12649. Epub 2017 Jan 30.

Abstract

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.

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

MeSH terms

  • Adolescent
  • Adult
  • Aftercare / methods*
  • Cancer Survivors*
  • Child
  • Continuity of Patient Care / organization & administration*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / therapy*
  • Parents / psychology*
  • Patient Care Planning / organization & administration*
  • Specialization