Impact of the Model of Long-term Follow-up Care on Adherence to Guideline Recommended Surveillance Among Survivors of Adolescent and Young Adult Cancers

We explored the predictors of LTFU care received by a population-based cohort of survivors and the impact of care on adherence to recommended surveillance. Five-year survivors were identified from a provincial administrative health database of patient’s aged 15-20.9years at diagnosis between 1992-2010. We defined four models of LTFU care: specialized survivor clinic; oncology clinic; primary care physician; no care. Poisson regression models examined attendance rates, while logistic regression models assessed guideline adherence to surveillance. For 1,574 survivors, the risk of receiving no care was highest in males and increased 7% per year of follow-up. Among those eligible for specialized survivor clinics, greater attendance was observed in females and those living closer to a clinic. Female survivors at risk for breast cancer were 2.9 times more likely to receive annual mammograms if followed at a specialized clinic. Identifying accessible care models that maximize surveillance adherence must be a key research focus.M.Sc