Educational and social late effects of childhood cancer and related clinical, personal, and familial characteristics
Educational and social late effects of childhood cancer and related clinical, personal, and familial characteristics
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DOI：
10.1002/cncr.21390
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发表时间：
2005-10-15
期刊：
影响因子：
6.2
通讯作者：
Pogany, L
中科院分区：
文献类型：
--
作者：
Barrera, M;Shaw, AK;Pogany, L
背景资料。这项研究的目的是比较年轻的儿童癌症幸存者和从未被诊断为癌症的人群控制组的教育和社会结果，并确定这些结果的风险和保护因素。方法：在这项多中心的加拿大回顾性队列研究中，800名17岁或以下的幸存者与923名对照组参与者的年龄和性别相匹配。使用由家长完成的邮寄调查，评估教育结果的问题包括孩子在残疾或特殊教育项目中的入学情况、复习年级以及学业或其他学校问题。结果根据父母的报告，与对照组相比，更多的幸存者复读了一个年级(21%比9%)，参加了学习障碍(19%比7%)或特殊教育项目(20%比8%)，有教育或其他学校问题(46%比23%)，没有亲密的朋友(19%比8%)，更不可能把朋友作为知己(58%比67%)。据报道，中枢神经系统(CNS)肿瘤的幸存者比对照组更有可能有教育问题，也没有亲密的朋友，其次是白血病幸存者和神经母细胞瘤幸存者。在幸存者中，与没有接受颅骨辐射的幸存者相比，颅骨辐射增加了他们有教育困难和没有亲密朋友的可能性。据报道，自尊心较高且父母受过高等教育的儿童和青少年的教育和社会问题较少。结论：癌症幸存的儿童和青少年，特别是患有中枢神经系统肿瘤、白血病和神经母细胞瘤的儿童和青少年，需要密切监测早期教育和社会困难，这些儿童应该接受教育康复和社会技能培训，以最大限度地提高他们的学业和社会成功。
BACKGROUND. The objectives of this study were to compare educational and social outcomes for young survivors of childhood cancer with a population control group of individuals who were never diagnosed with cancer and to identify risk and protective factors for these outcomes.METHODS. in this multicenter, Canadian, retrospective cohort study, 800 survivors age 17 years or younger were matched by age and gender with a group of 923 control participants. Using a mailed survey that was completed by parents, educational outcomes were assessed with questions about the child's enrollment in disability or special-education programs, repeating a grade, and academic or other school problems. Using friendships was the measure of social outcomes.RESULTS. Based on parental reports, significantly more survivors than controls repeated a grade (21% vs. 9%), attended learning-disability (19% vs. 7%) or special-education programs (20% vs. 8%), had educational or other school problems (46% vs. 23%), had no close friends (19% vs. 8%), and were less likely to use friends as confidants (58% vs. 67%). Survivors of central nervous system (CNS) tumors reportedly were more likely than controls to have educational problems and no close friends, followed by survivors of leukemia, and Survivors of neuroblastoma. Among survivors, cranial radiation increased the likelihood of having educational difficulties and having no close friends compared with survivors who did not receive cranial radiation. Survivors who reportedly had high self-esteem and whose parents had postsecondary education had fewer educational and social problems.CONCLUSIONS. Children and adolescents who survived cancer, particularly those who had CNS tumors, leukemia, and neuroblastoina, required close monitoring for early educational and social difficulties, and such children Should be offered educational rehabilitation and social skills training to maximize their academic and social success.