Multimorbidity and healthcare utilization among early survivors of pediatric cancer. Issue 6 (10th February 2019)

• Record Type: Journal Article
• Authors: Harrington, Rachel L.; Qato, Dima M.; Antoon, James W.; Caskey, Rachel N.; Schumock, Glen T.; Lee, Todd A.
• Is Part Of: Pediatric blood & cancer. Volume 66:Issue 6(2019)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2019-02-10
• Subjects: epidemiology -- morbidity -- resource utilization -- survivorship; Tumors in children -- Periodicals; Blood -- Diseases -- Periodicals; Cancer in children -- Periodicals; 618.92
• DOI: 10.1002/pbc.27655
• Languages: English
• ISSNs: 1545-5009

Abstract

Abstract: Early survivors of pediatric cancer are at increased risk of experiencing chronic conditions; however, little is known about the morbidity burden in this population. In this observational cohort study of commercially insured pediatric cancer survivors in the United States (2009–2014), we find that 22.5% of survivors had one chronic condition, and 36.3% had multiple. Compared with survivors without chronic conditions, the presence of multiple conditions significantly increased the odds of an emergency department visit by 70% (odds ratios [OR], 1.7; 95% confidence interval [CI], 1.4–2.1) and of a hospitalization almost four‐fold (OR, 3.8; 95% CI], 2.5–5.5). Findings are important for informing pediatric survivorship care plans in the years following completion of therapy.