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Research ArticleResearch

Cancer screening practices of cancer survivors

Population-based, longitudinal study

Eva Grunfeld, Rahim Moineddin, Nadia Gunraj, M. Elisabeth Del Giudice, David C. Hodgson, Janice S. Kwon and Laurie Elit
Canadian Family Physician September 2012, 58 (9) 980-986;
Eva Grunfeld
Director of Knowledge Translation for the Health Services Research Program, Ontario Institute for Cancer Research, Health Service; Giblon Professor and Director of Research Programs in the Department of Family and Community Medicine at the University of Toronto in Ontario; and Adjunct Scientist for the Institute for Clinical Evaluative Sciences (ICES) at Sunnybrook Health Science Centre in Toronto.
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  • For correspondence: eva.grunfeld@utoronto.ca
Rahim Moineddin
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Nadia Gunraj
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M. Elisabeth Del Giudice
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David C. Hodgson
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Janice S. Kwon
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Laurie Elit
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    Table 1

    Characteristics of cancer cohorts

    COHORT*
    CHARACTERISTICBREAST CANCERCRCENDOMETRIAL CANCERHL
    No. of menNone1833None1134
    No. of women11 21925153473937
    Calendar years of initial cancer diagnosis1998 to 19991996 to 19991996 to 20001992 to 2000
    Mean (SD) age, y60.1 (13.7)62.4 (11.0)63.0 (11.4)35.4 (17.1)
    • CRC—colorectal cancer, HL—Hodgkin lymphoma.

    • ↵* Complete descriptions of breast, endometrial, and HL cancer cohorts are published elsewhere.7–9

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    Table 2

    Comparison of cancer screening among cancer survivors and controls: Proportion never screened during the 4-year study period.

    SCREENING MANEUVERS
    CANCER SURVIVORS AND CONTROLSBREAST CANCER SCREENING*CRC SCREENING†CERVICAL CANCER SCREENING‡PERIODIC HEALTH EXAMINATION
    Breast cancerNA
      • Cases, N653072611 219
      • Controls, N32 51734 22856 014
      • Never screened
         - Cases, n (%)4262 (65.3)2673 (39.7)3770 (33.6)
         - Controls, n (%)22 025 (67.7)16 639 (48.6)21 381 (38.2)
      • OR (95% CI)1.12§ (1.06–1.18)1.48§ (1.40–1.56)1.23§ (1.18–1.28)
    CRCNA
      • Cases, N148910714348
      • Controls, N7441552721 740
      • Never screened
         - Cases, n (%)691 (46.4)574 (53.6)2028 (46.6)
         - Controls, n (%)3123 (42.0)2883 (52.2)8244 (37.9)
      • OR (95% CI)0.83|| (0.74–0.93)0.94 (0.82–1.08)0.69§ (0.65–0.74)
    Endometrial cancerNA
      • Cases, N271324523473
      • Controls, N13 99312 28117 357
      • Never screened
         - Cases, n (%)872 (32.1)1608 (65.6)1358 (39.1)
         - Controls, n (%)5900 (42.2)8447 (68.8)6699 (38.6)
      • OR (95% CI)1.60§ (1.46–1.75)1.16|| (1.06–1.27)0.98 (0.91–1.06)
    HL
      • Cases, N1513626052071
      • Controls, N7621835302510 229
      • Never screened
         - Cases, n (%)66 (43.7)279 (77.1)196 (32.4)902 (43.6)
         - Controls, n (%)307 (40.3)1306 (71.2)968 (32.0)4195 (41.0)
      • OR (95% CI)0.86 (0.60–1.25)0.73¶ (0.56–0.96)0.98 (0.80–1.19)0.89¶ (0.81–0.99)
    • CRC—colorectal cancer, HL—Hodgkin lymphoma, OR—odds ratio, NA—not applicable.

    • ↵* Among subjects aged 50 to 79 y.

    • ↵† Among subjects aged 50 to 74 y.

    • ↵‡ Among subjects aged 20 to 69 y.

    • ↵§ P < .0001.

    • ↵|| P < .005.

    • ↵¶ P = .02.

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Canadian Family Physician: 58 (9)
Canadian Family Physician
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Cancer screening practices of cancer survivors
Eva Grunfeld, Rahim Moineddin, Nadia Gunraj, M. Elisabeth Del Giudice, David C. Hodgson, Janice S. Kwon, Laurie Elit
Canadian Family Physician Sep 2012, 58 (9) 980-986;

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Cancer screening practices of cancer survivors
Eva Grunfeld, Rahim Moineddin, Nadia Gunraj, M. Elisabeth Del Giudice, David C. Hodgson, Janice S. Kwon, Laurie Elit
Canadian Family Physician Sep 2012, 58 (9) 980-986;
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