Evidence map›Paper›PMID 34726782›Full record

ArticleCancer2022

Increased health-related quality of life impairments of male and female survivors of childhood cancer: DCCSS LATER 2 psycho-oncology study.

Marloes van Gorp, Loes M E van Erp, Anne Maas, Leontien C M Kremer, Eline van Dulmen-den Broeder, Wim J E Tissing, Jacqueline J Loonen, Helena J H van der Pal, Andrica C H de Vries, Marry M van den Heuvel-Eibrink and 8 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Marloes van GorpPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.ORCID 0000-0002-1690-5926
Loes M E van ErpPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Anne MaasPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Leontien C M KremerPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Eline van Dulmen-den BroederAmsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Wim J E TissingPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Jacqueline J LoonenRadboud University Medical Center, Nijmegen, the Netherlands.
Helena J H van der PalPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Andrica C H de VriesPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Marry M van den Heuvel-EibrinkPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Cécile M RonckersPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Dorine BrestersPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Marloes LouwerensLeiden University Medical Center, Leiden, the Netherlands.
Margriet van der Heiden-van der LooPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Gea A HuizingaPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Heleen Maurice-StamPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Martha A GrootenhuisPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Dutch LATER Study Group
Princess Máxima Center · NLLeiden University Medical Center · NLUniversity Medical Center Groningen · NLAmsterdam University Medical Centers · NLRadboud University Nijmegen · NL

Funding

Stichting Kinderen Kankervrij
6 · The paper itself

Abstract

backgroundThe objective of this study was to compare the health-related quality of life (HRQOL) of Dutch adult male and female childhood cancer survivors (CCSs) to general population references and to study medical determinants.

methodsCCSs from the Dutch Childhood Cancer Survivor Study LATER cohort (1963-2001) part 2, who were 18 years old or older (time since diagnosis ≥ 5 years), were invited to complete the TNO-AZL Questionnaire for Adult Health-Related Quality of Life. Domain scores and proportions of CCSs with impaired HRQOL (score < 25th percentile of the reference scores) were compared with references via Mann-Whitney U tests and logistic regression analyses corrected for age and sex (P < .004). Interactions of group with sex were included if they were significant (P < .05). Moreover, medical determinants were analyzed with multivariable logistic regression analyses.

resultsHRQOL scores for 1766 CCSs (mean age, 35.9 years [standard deviation, 9.4 years]; male, 51%; response rate, 71%) differed from references on most domains with small effect sizes. Both male and female CCSs were more often impaired in gross and fine motor functioning, cognitive functioning, sleep, and vitality with odds ratios (ORs) > 1.4. In addition, female CCSs were more often impaired in daily activities, pain, and sexuality (ORs, 1.4-1.9) and were less often aggressive (OR, 0.6). CCCs of central nervous system (CNS) tumors, bone tumors, and retinoblastoma and those with cranial, abdominopelvic, or lower extremity radiotherapy were at increased risk of impairment in 1 or more domains.

conclusionsDutch adult CCSs, especially females, have impaired HRQOL in several domains; this is most pronounced in cognitive functioning. The vulnerabilities of subgroups at risk, such as CCSs of CNS tumors, were confirmed. Surveillance of HRQOL and multidisciplinary survivor care are recommended. LAY SUMMARY: The health-related quality of life in a Dutch nationwide cohort of 1766 survivors of childhood cancer was studied. Survivors of childhood cancer were found to have lower health-related quality of life in several domains (eg, motor functioning and vitality) in comparison with the general population. They most often reported low cognitive functioning (eg, memory and attention). Females had low health-related quality of life in more domains than males. Survivors of brain tumors had low health-related quality of life in most domains. Monitoring health-related quality of life regularly and collaborating between disciplines in survivor care is recommended.

Indexed as

Bone NeoplasmsCancer SurvivorsNeoplasmsAdolescentAdultChildFemaleHumansMalePsycho-OncologyQuality of LifeSurvivorschildhood cancer survivorscognitive functioningcohort studyhealth-related quality of lifepopulation at risk

Identifiers

PMID34726782
PMCPMC9298191
OpenAlexW3209403868

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.