TABLE 5.1 Estimates of the Number and Distribution of Cancer-Related Pediatric Ambulatory Care Visits and Hospital Discharges, by Age, Sex, Race/Ethnicity, Payment, and Site of Care, NAMCS and NHAMCS, 1995-1999, HCUP NIS, 1997

 

Ambulatory Visits

Hospital Discharges

Characteristic

Annual population estimatea

% (se)

Annual population estimatea

% (se)

Total

605,600

100.0

20,590

100.0

Age

0

44,600

7.4 (2.0)

930

4.5 (0.5)

1-4

161,500

26.7 (3.4)

5,170

25.1 (1.1)

5-9

126,600

20.9 (3.1)

5,190

25.2 (1.0)

10-14

154,900

25.6 (3.4)

4,210

20.4 (0.9)

15-19

117,900

19.5 (3.1)

5,090

24.7 (1.8)

Sex

Male

377,000

62.3 (3.7)

11,690

56.8 (1.1)

Female

228,500

37.7 (3.7)

8,890

43.2 (1.1)

Race/ethnicityb

White, non-Hispanic

437,400

72.2 (3.5)

10,100

65.7 (3.6)

White, Hispanic

98,700

16.3 (2.8)

2,300

15.0 (2.9)

African American

34,300

5.7 (1.8)

1,920

12.5 (1.6)

Other

35,200

5.8 (1.8)

1,040

6.8 (1.7)

children and adolescents with newly diagnosed or recurrent malignancies receive their treatment in a pediatric cancer center (American Academy of Pediatrics, 1997). The AAP also recommends that the oncologic care of a child or adolescent with cancer be coordinated by a pediatric hematologist/ oncologist who is board-certified or board-eligible in the subspecialty of pediatric hematology and oncology by the American Board of Pediatrics. By 2002, 1,740 pediatric hematology/oncology physician specialists had been board certified (http://www.abp.org/STATS/numdips.htm, accessed March 25, 2003) (roughly 80 percent of these physicians were in practice). The AAP also recognizes many other professionals as essential members of the cancer care health care team, including nurses, social workers, and psychologists. In 2003, there were an estimated 2,000 active members of the Association of Pediatric Oncology Nurses (APON) (Louise S. Miller, Executive Director, APON, personal communication to Maria Hewitt, March 24, 2003) and roughly 250 members of the Association of Pediatric



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