{"doi":"10.1002/pbc.29030","title":"Cumulative burden of chronic health conditions among adolescent and young adult survivors of childhood cancer: Identification of vulnerable groups at key medical transitions","abstract":"The cumulative burden of chronic health conditions as childhood cancer survivors transition to adult health care and insurance systems is unknown. We estimated the cumulative burden (N = 4612 survivors, 625 controls) in the St. Jude Lifetime Cohort. At 18 and 26 years old, survivors experienced (per 100 individuals) an average of 22.3 (95% confidence interval [CI]: 17.2-27.4) and 40.3 (95% CI: 34.8-45.8) disabling conditions versus 3.5 (95% CI: 2.0-5.0) and 5.7 (95% CI: 3.7-7.7) in controls, and 128.7 (95% CI: 119.5-137.8) and 240.5 (95% CI: 229.9-251.0) lower severity conditions versus 12.4 (95% CI: 8.9-16.0) and 51.3 (95% CI: 43.1-59.4) in controls. Survivors experience a high cumulative burden at key health care transition ages, underscoring the need to optimize access to care.","journal":"Pediatric Blood & Cancer","year":2021,"id":181087,"datarank":0.6808715381240608,"base_score":2.833213344056216,"endowment":2.833213344056216,"self_citation_contribution":0.42498200160843247,"citation_network_contribution":0.2558895365156283,"self_endowment_contribution":0.42498200160843247,"citer_contribution":0.2558895365156283,"corpus_percentile":70.67378355380212,"corpus_rank":3792,"citation_count":16,"citer_count":14,"citers_with_citation_signal":8,"citers_with_endowment":8,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5085,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":570277,"name":"AnnaLynn M. Williams","orcid":"0000-0002-7042-5851","position":1,"is_corresponding":false},{"id":375916,"name":"Qi Liu","orcid":"0000-0002-7208-515X","position":2,"is_corresponding":false},{"id":731314,"name":"Sarah Hudson Scholle","orcid":"0000-0002-6270-1430","position":3,"is_corresponding":false},{"id":255614,"name":"Nickhill Bhakta","orcid":"0000-0001-5282-7833","position":4,"is_corresponding":false},{"id":255628,"name":"Yutaka Yasui","orcid":"0000-0002-7717-8638","position":5,"is_corresponding":false},{"id":230935,"name":"Leslie L. Robison","orcid":"0000-0001-7460-8578","position":6,"is_corresponding":false},{"id":255630,"name":"Melissa M. Hudson","orcid":"0000-0001-6984-2407","position":7,"is_corresponding":false},{"id":255631,"name":"Matthew J. Ehrhardt","orcid":"0000-0003-2781-9983","position":0,"is_corresponding":true}],"reference_count":13,"raw_metadata":null,"created_at":"2026-07-18T23:48:01.257885Z","pmid":"33788394","pmcid":"PMC8068638","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}