Journal of cancer survivorship : research and practice · 2026
Knowledge gaps among adult Hodgkin lymphoma survivors: implications for risk‑based care.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Smith Sophia K, van de Poll-Franse Lonneke V, Lammers Eline M J, Zijlstra Josée M, Schaapveld Michael, Janus Cécile P M, Aarsman Karin M, Boome Liane C J Te, Schippers Maaike M G, Boersma Rinske S, Rademakers Saskia E, Plattel Wouter J, Böhmer Lara H, van den Berg Marieke, Kroeze Adriaantje C, Strobbe Leonie S, Deenik Wendy, de Lil Heleen S, Aleman Berthe M P, van Leeuwen Flora E, Nijdam Annelies
Аннотация
PURPOSE: Survivors of Hodgkin lymphoma (HL) face lifelong risks of treatment-related late adverse effects, yet many lack adequate knowledge of these risks. This study examined sociodemographic, clinical, and care-related correlates of survivorship knowledge among adult HL survivors engaged in a national, risk-based survivorship program.
METHODS: Adult HL survivors participating in the Dutch INSIGHT study within the BETER survivorship-care infrastructure completed a multi‑domain survivorship knowledge questionnaire assessing awareness of endocrine, cardiovascular, oncologic, infectious, and symptom-related late effects. A 12-item sex-comparable knowledge index was constructed and scored using partial-credit rules. Missing data were handled using multiple imputation. Multiple linear regression models were used to estimate independent associations between sociodemographic characteristics, treatment exposures, survivorship-care utilization, and knowledge scores.
RESULTS: Among 370 survivors (53% female; median age at survey 55.2 years), survivorship knowledge was low overall (median 38.9% correct) and heterogeneous. Female sex and younger age demonstrated the largest independent associations with survivorship knowledge, compared with treatment-related factors. Chemotherapy exposure, splenic radiotherapy/splenectomy, and a greater number of survivorship-care visits were also associated with higher knowledge. Numeric risk-estimation items demonstrated lower correct response rates than categorical knowledge items.
CONCLUSIONS: Survivorship knowledge among adult HL survivors remains suboptimal and varied primarily by demographic characteristics rather than clinical risk alone.
IMPLICATIONS FOR CANCER SURVIVORS: Targeted, demographically tailored educational strategies may be warranted to support equitable engagement in long-term, risk-based survivorship care, particularly for male and older HL survivors.
METHODS: Adult HL survivors participating in the Dutch INSIGHT study within the BETER survivorship-care infrastructure completed a multi‑domain survivorship knowledge questionnaire assessing awareness of endocrine, cardiovascular, oncologic, infectious, and symptom-related late effects. A 12-item sex-comparable knowledge index was constructed and scored using partial-credit rules. Missing data were handled using multiple imputation. Multiple linear regression models were used to estimate independent associations between sociodemographic characteristics, treatment exposures, survivorship-care utilization, and knowledge scores.
RESULTS: Among 370 survivors (53% female; median age at survey 55.2 years), survivorship knowledge was low overall (median 38.9% correct) and heterogeneous. Female sex and younger age demonstrated the largest independent associations with survivorship knowledge, compared with treatment-related factors. Chemotherapy exposure, splenic radiotherapy/splenectomy, and a greater number of survivorship-care visits were also associated with higher knowledge. Numeric risk-estimation items demonstrated lower correct response rates than categorical knowledge items.
CONCLUSIONS: Survivorship knowledge among adult HL survivors remains suboptimal and varied primarily by demographic characteristics rather than clinical risk alone.
IMPLICATIONS FOR CANCER SURVIVORS: Targeted, demographically tailored educational strategies may be warranted to support equitable engagement in long-term, risk-based survivorship care, particularly for male and older HL survivors.