Educational outcomes in childhood cancer survivors: A Scotland-wide record-linkage study of 766,217 schoolchildren.
Educational outcomes in childhood cancer survivors: A Scotland-wide record-linkage study of 766,217 schoolchildren.
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DOI：
10.1371/journal.pone.0286840
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
儿童时期的癌症诊断极大地扰乱了受影响者的生活，造成身体和心理挑战。我们的目的是调查以前患有癌症的学童与同龄人相比的教育结果。将四个国家教育数据库和三个国家健康数据库的个人记录关联起来，构建了 2009 年至 2013 年间在苏格兰出生、就读苏格兰地方当局学校的所有单身学童的队列。将之前被诊断患有任何癌症、血液癌症和中枢神经系统 (CNS) 癌症的学生与未受影响的同龄人进行五项教育成果的比较：特殊教育需要 (SEN)、缺勤、学校排斥、学业成绩和失业。根据社会人口统计学和生育因素以及慢性病对分析进行了调整。在 766,217 名学生中，1,313 名（0.17%）曾被诊断出患有癌症。与同龄人相比，患有任何癌症的儿童出现 SEN（OR 3.26，95% CI 2.86–3.71）、缺勤（IRR 1.82，95% CI 1.70–1.94）和成绩较低（OR 2.15，95% CI 1.52–3.03）的几率较高。血液学（SEN OR 2.62，95% CI 2.12–3.24；缺勤 IRR 2.04，95% CI 1.85–2.25；低成就 OR 2.17，95% CI 1.31–3.61）和 CNS（SEN OR 6.44，95% CI 4.91–8.46；缺勤 IRR 1.75，95% CI 1.51–2.04；低成就 OR 3.33，95% CI 1.52–7.30) 癌症。在患有任何癌症（IRR 0.51，95% CI 0.31-0.83）和中枢神经系统癌症（IRR 0.20，95% CI 0.06-0.61）的儿童中观察到较低的排除率。没有观察到与失业之间的关联。这项研究强调了儿童癌症对教育成果的更广泛影响。这些孩子需要得到支持，因为不良的教育成果可能会进一步影响以后的健康。
A cancer diagnosis during childhood greatly disrupts the lives of those affected, causing physical and psychological challenges. We aim to investigate educational outcomes among schoolchildren with a previous cancer diagnosis compared to their peers. Individual records from four national education databases and three national health databases were linked to construct a cohort of all singleton schoolchildren born in Scotland attending Scottish local-authority schools between 2009–2013. Pupils previously diagnosed with any cancer, haematological cancers, and central nervous system (CNS) cancers, were compared to their unaffected peers with respect to five educational outcomes: special educational need (SEN), absenteeism, school exclusion, academic attainment, and unemployment. Analyses were adjusted for sociodemographic and maternity factors and chronic conditions. Of 766,217 pupils, 1,313 (0.17%) had a previous cancer diagnosis. Children with any cancer had increased odds of SEN (OR 3.26, 95% CI 2.86–3.71), absenteeism (IRR 1.82, 95% CI 1.70–1.94), and low attainment (OR 2.15, 95% CI 1.52–3.03) compared to their peers. Similar findings were observed for haematological (SEN OR 2.62, 95% CI 2.12–3.24; absenteeism IRR 2.04, 95% CI 1.85–2.25; low attainment OR 2.17, 95% CI 1.31–3.61) and CNS (SEN OR 6.44, 95% CI 4.91–8.46; absenteeism IRR 1.75, 95% CI 1.51–2.04; low attainment OR 3.33, 95% CI 1.52–7.30) cancers. Lower exclusions were observed among children with any cancer (IRR 0.51, 95% CI 0.31–0.83) and CNS cancer (IRR 0.20, 95% CI 0.06–0.61). No associations were observed with unemployment. This study highlights the wider impacts of childhood cancer on educational outcomes. These children need to be supported, as poor educational outcomes can further impact later health.
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影响因子：
7.7
作者：
Fleming M;Fitton CA;Steiner MFC;McLay JS;Clark D;King A;Mackay DF;Pell JP
通讯作者：
Pell JP
影响因子：
3.2
作者：
Dieluweit, Ute;Debatin, Klaus-Michael;Goldbeck, Lutz
通讯作者：
Goldbeck, Lutz
影响因子：
15.8
作者：
MacKay DF;Smith GC;Dobbie R;Pell JP
通讯作者：
Pell JP
影响因子：
6.2
作者：
Barrera, M;Shaw, AK;Pogany, L
通讯作者：
Pogany, L
影响因子：
6.2
作者：
Buizer, AI;de Sonneville, LMJ;Veerman, AJP
通讯作者：
Veerman, AJP