title: Utah Cancer Survivors: A Comprehensive Comparison of Health-Related Outcomes Between Survivors and Individuals Without a History of Cancer.
abstract: Assessments of cancer survivors' health-related needs are often limited to national estimates. State-specific information is vital to inform state comprehensive cancer control efforts developed to support patients and providers. We investigated demographics, health status/quality of life, health behaviors, and health care characteristics of long-term Utah cancer survivors compared to Utahans without a history of cancer. Utah Behavioral Risk Factor Surveillance System (BRFSS) 2009 and 2010 data were used. Individuals diagnosed with cancer within the past 5 years were excluded. Multivariable survey weighted logistic regressions and computed predictive marginals were used to estimate age-adjusted percentages and 95 % confidence intervals (CI). A total of 11,320 eligible individuals (727 cancer survivors, 10,593 controls) were included. Respondents were primarily non-Hispanic White (95.3 % of survivors, 84.1 % of controls). Survivors were older (85 % of survivors ≥40 years of age vs. 47 % of controls). Survivors reported the majority of their cancer survivorship care was managed by primary care physicians or non-cancer specialists (93.5 %, 95 % CI = 87.9-99.1). Furthermore, 71.1 % (95 % CI = 59.2-82.9) of survivors reported that they did not receive a cancer treatment summary. In multivariable estimates, fair/poor general health was more common among survivors compared to controls (17.8 %, 95 % CI = 12.5-23.1 vs. 14.2 %, 95 % CI = 12.4-16.0). Few survivors in Utah receive follow-up care from a cancer specialist. Provider educational efforts are needed to promote knowledge of cancer survivor issues. Efforts should be made to improve continuity in follow-up care that addresses the known issues of long-term survivors that preclude optimal quality of life, resulting in a patient-centered approach to survivorship.
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA. Brynn.Fowler@hci.utah.edu.
authors: Brynn
authors: 0000-0001-8476-5972
authors: B
authors: Fowler
authors: Study Design and Biostatistics Center, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84112, USA.
authors: Qian
authors: Q
authors: Ding
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.|Study Design and Biostatistics Center, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84112, USA.
authors: Lisa
authors: L
authors: Pappas
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.|Department of Family and Preventive Medicine, University of Utah, 375 Chipeta Way, Salt Lake City, UT, 84112, USA.
authors: Yelena P
authors: YP
authors: Wu
authors: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.|Primary Children's Hospital, 100 Mario Capecchi Dr, Salt Lake City, UT, 84132, USA.
authors: Lauri
authors: L
authors: Linder
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.
authors: Jeff
authors: J
authors: Yancey
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.|Primary Children's Hospital, 100 Mario Capecchi Dr, Salt Lake City, UT, 84132, USA.
authors: Jennifer
authors: J
authors: Wright
authors: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
authors: Margaret
authors: M
authors: Clayton
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.|College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
authors: Deanna
authors: D
authors: Kepka
authors: Huntsman Cancer Institute, 2000 Circle of Hope Drive, Salt Lake City, UT, 84112, USA.|Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84112, USA.
authors: Anne C
authors: AC
authors: Kirchhoff
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare; D000368:Aged; D000369:Aged, 80 and over; D040343:Behavioral Risk Factor Surveillance System; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*; D014589:Utah; D055815:Young Adult
keywords: Behavioral surveillance; Cancer; Cancer survivors; Health behavior; Health care; Health status; Public health surveillance; Quality of life