Childhood Cancer Survivor Study (U24 CA55727)

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(U24 CA55727) Report of the Epidemiology and Biostatistics Working Group Ann Mertens, PhD CCSS Investigator Meeting Williamsburg, VA June 9-10, 2010

Publications in past two years Dinu et al. Prediction of Second Malignant Neoplasm Incidence in A Large Cohort of Long-Term Survivors of Childhood Cancers. Pediatr Blood Cancer, 2008 Pang et al. Employment Status Among Adult Survivors in the. Pediatr Blood Cancer, 2008 Mertens et al. Cause-Specific Late Mortality Among Five-Year Survivors of Childhood Cancer. J Natl Cancer Inst, 2008

Publications in past two years Wasilewski et al. Late recurrence in survivors of childhood and adolescent cancer. J Natl Cancer Inst, 2009 Buchanan et al. Behaviors Associated with Ultraviolet Radiation Exposure in a Cohort of Adult Survivors of Childhood and Adolescent Cancer. Cancer, 2009 Ness et al. Assessment of selection bias in clinicbased populations of childhood cancer survivors. Pediatr Blood Cancer, 2009.

Publications in past two years Yeh et al. A Model-Based Estimate of Cumulative Excess Mortality in Survivors of Childhood Cancer. Ann Intern Med, 2010 Ness et al. Characteristics of responders to a request for a buccal cell specimen among survivors of childhood cancer and their siblings. Accepted in Pediatr Blood Cancer.

Recent Progress on other analyses Sun exposure/skin cancer (Mertens/Leisenring) Final Analysis Missing data imputation (Adewale/Yasui) Draft manuscript, Wilms and HL examples. Relative Survival Cure Analysis (Yasui) Analyses NMSC validation study (Mertens/ Leisenring) Dosimetry complete, Analyses Methods related to longitudinal analysis of CCSS data (Leisenring) Analyses Methods paper on fitting cumulative incidence curves as a function of age (Leisenring) Analyses

Current approved analysis concept proposals Evaluation of cancer treatment data quality (Whitton) waiting for Expansion data Determining the best comparison group for a cancer survivor study (Mertens (was Jurek)) Linear Mixed Effects Quantile Regression (LMQR) Model (Kim) data sent Cardiac mortality (Armstrong) waiting for FU2007 Cost Effectiveness of Cardiac Guideline for Survivors of Pediatric Cancers (Wong) data sent

Current approved AOI Conditional Survival in CCSS (Wasilewski) Assessing bias associated with missing data from CCSS (Huang) Congenital heart disease (Gruber) Impact of health behaviors and health perceptions on subsequent mortality (Cox)

Review of Ancillary studies Feasibility of recruiting CCSS participants to a nearby cancer center to participate in clinical evaluation: a needs assessment survey (Mertens/Green) Predicting late effects of individual cancer survivors (Yasui)

Future Research Projects Differences in participant characteristics between the original and expanded studies Changes in treatment characteristics from the original to the expanded studies Patterns of participation who responds by mail, telephone, internet? Are there differences between groups? Can we predict who prefers what method?

Future Research Priorities Task force: Strategy for the 2013 questionnaire Issue - how to harmonize the two CCSS cohorts through the 2013 questionnaire Which questions should be asked Which questions can be deleted Which questions should be updated regularaly Which questions are no longer relevant Volunteers?