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Health-related quality of life in long-term survivors of childhood brain tumors : a population-based cohort study

Ljungman, Lisa, 1981- (author)
Uppsala universitet,Reproduktiv hälsa
Remes, Tiina (author)
Univ Oulu, Oulu Univ Hosp, PEDEGO Res Unit, Dept Pediat & Adolescence, Oulu, Finland.;Univ Oulu, Oulu Univ Hosp, Med Res Ctr, Oulu, Finland.;Univ Helsinki, Helsinki Univ Hosp, Childrens Hosp, Dept Child Neurol, Helsinki, Finland
Westin, Elisabeth (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
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Huittinen, Alina (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
Lonnqvist, Tuula (author)
Univ Helsinki, Helsinki Univ Hosp, Childrens Hosp, Dept Child Neurol, Helsinki, Finland
Sirkia, Kirsti (author)
Univ Helsinki, Helsinki Univ Hosp, Dept Pediat & Adolescence, Helsinki, Finland
Rantala, Heikki (author)
Univ Oulu, Oulu Univ Hosp, PEDEGO Res Unit, Dept Pediat & Adolescence, Oulu, Finland.;Univ Oulu, Oulu Univ Hosp, Med Res Ctr, Oulu, Finland
Ojaniemi, Marja (author)
Univ Oulu, Oulu Univ Hosp, PEDEGO Res Unit, Dept Pediat & Adolescence, Oulu, Finland.;Univ Oulu, Oulu Univ Hosp, Med Res Ctr, Oulu, Finland
Harila, Marika (author)
Oulu Univ Hosp, Dept Neurol, Oulu, Finland
Lahteenmaki, Paivi (author)
Turku Univ, Turku Univ Hosp, Dept Pediat & Adolescent Med, Turku, Finland
Arikoski, Pekka (author)
Univ Eastern Finland, Kuopio Univ Hosp, Pediat Res Unit, Kuopio, Finland
Wikman, Anna (author)
Uppsala universitet,Reproduktiv hälsa
Harila-Saari, Arja H. (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
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 (creator_code:org_t)
2022-03-03
2022
English.
In: Supportive Care in Cancer. - : Springer Nature. - 0941-4355 .- 1433-7339. ; 30:6, s. 5157-5166
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Purpose Survivors of childhood brain tumors (BT) are at high risk for long-term physical and psychological sequelae. Still, knowledge about health-related quality of life (HRQL) and associated factors in this population is sparse. This study investigated HRQL and its predictors in long-term survivors of childhood BT.Methods Survivors of childhood BT (mean age = 28.1 years, SD = 6.8, n = 60) underwent clinical examination and neurocognitive examination, and completed self-rating questionnaires assessing HRQL (RAND-36) and depressive symptoms (Beck Depression Inventory-II). Socio-demographic information was gathered via a questionnaire. Tumor- and treatment-related information was collected from medical records. Control group data were collected from age-matched controls (n = 146) without a history of cancer, randomly selected from the local population registry. Multiple linear regression models were used to investigate predictors of HRQL; separate models were fitted for each domain of the RAND-36.Results Male survivors (mean age = 27.0, SD = 6.0, n = 39) reported significantly lower HRQL than male controls in the domains of physical functioning, general health, vitality, social functioning, and role limitations-emotional. Female survivors (mean age = 30.2 years, SD = 7.6, n = 21) reported comparable levels as female controls in all domains except physical functioning. A higher burden of late effects, not working/studying, being diagnosed with BT during adolescence, and reporting current depressive symptoms were significant predictors of lower HRQL.Conclusion Our results highlight that male survivors of childhood BT are at particular risk of impaired HRQL. Also, results point to the close relation between symptoms of depression and impaired HRQL in survivors of childhood BT which should be acknowledged by long-term follow-up care.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Keyword

Brain tumor
Childhood cancer
CNS tumor
Depression
Health-related quality of life
Radiation therapy
Survivors

Publication and Content Type

ref (subject category)
art (subject category)

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