Abstract 5258: Mortality patterns among cancer survivors receiving care in dedicated survivorship clinics

Abstract

Abstract Introduction: The number of deaths occurring among cancer survivors continues to be an outcome of concern. Our survivorship clinics provide risk stratification care for patients who have completed their curative treatment and are seen annually in a site-specific clinic. Here we describe mortality rates among adult patients receiving care in eleven site-specific survivorship clinics. Procedures: We conducted an analysis of 29,418 adult patients seen in our survivorship program from 2008-2021. Medical records were reviewed and categorized by each survivorship clinic. Eligibility criteria were: patients ≥18, treated for curative intent, completed their primary course of treatment, past the highest risk of recurrence, and transitioned based on site-specific survivorship algorithms. Descriptive statistics summarize the results. Results: There were 26475 survivors alive and 2943 deaths (Table 1). Of those alive, the greatest number were diagnosed with breast, genitourinary, and gastrointestinal malignancies. Death rates ranged from 2% to 38%, with the highest percent in stem cell transplant, head and neck, and gynecology malignancy survivors. 29% of deceased patients had died within one year of their transition from oncology care to survivorship clinics. Conclusions: Our results indicate differences in mortality risk among different cancer survivors; those who received transplants or were diagnosed with gynecologic or head/neck cancers had higher death rates. Survivors in these groups have short and long-term health risks which may require more proactive care. Current analyses are underway on the cause of death among patients who passed away within the first year of the transition to survivorship. Table 1. Total Number of Patients Seen by Clinic, Alive or Deceased Status, and Average Years Between First Appointment and Death (N=29418) Clinic Total No. No. Alive Percent Alive No. Deaths PercentDeaths Avg Years from First Appt to Death Breast 11972 11219 94% 753 6% 4 GI 837 787 94% 50 6% 3 GU 4264 3952 93% 312 7% 4 Gyn 1284 1175 91% 109 8% 4 Head & Neck 2763 2482 90% 281 10% 3 Lymphoma 759 707 93% 52 7% 4 Melanoma 1234 1174 95% 60 5% 3 Sarcoma 87 85 98% 2 2% 1 Stem Cell Transplant 3141 1917 61% 1224 39% 1 Thoracic 489 461 94% 28 6% 2 Thyroid 2588 2516 97% 72 3% 4 Citation Format: Katherine R. Ramsey, Patricia H. Chapman, Guadalupe R. Palos, Maria A. Rodriguez. Mortality patterns among cancer survivors receiving care in dedicated survivorship clinics [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 5258.