Evidence map›Paper›PMID 40729429›Full record

Observational studyPsycho-oncology2025

Study of Uprooting in Pediatric Cancer Care for Children From the French West Indies and Guiana Treated in Mainland France: A Qualitative Study.

Chloe Vanlaer, Claire Dichamp, Narcisse Elenga, Frederique Delion, Graziella Raimondo, Sylvie Fasola, Sandrine Haghiri, Katell Michaux, Yves Hatchuel, Benjamin Faivre and 6 more

Abstract readObservational Study
In one paragraph

Observational study in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. [Current status and prospects of family financial toxicity in childhood malignancies].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Chloe VanlaerDepartment of Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Hospitalisation à domicile, Lyon, France.
Claire DichampDepartment of Pediatrics, Children Hematology and Oncology Unit, University Hospital of Martinique, Martinique, France.
Narcisse ElengaDepartment of Pediatrics, Cayenne Hospital, Cayenne, France.
Frederique DelionDepartment of Pediatrics, Guadeloupe University Hospital, Pointe-À-Pitre, France.
Graziella RaimondoDepartment of Pediatrics, Margency Croix-Rouge Hospital, Margency, France.
Sylvie FasolaDepartment of Pediatrics, Medical Clinic Edouard Rist, Paris, France.
Sandrine HaghiriChildren Hematology and Oncology Unit, Pediatric and Reeducation Hospital, Bullion, France.
Katell MichauxDepartment of Pediatrics, Children Hematology and Oncology Unit, University Hospital of Martinique, Martinique, France.
Yves HatchuelDepartment of Pediatrics, Children Hematology and Oncology Unit, University Hospital of Martinique, Martinique, France.
Benjamin FaivreDepartment of Pediatrics, Cayenne Hospital, Cayenne, France.
Etienne SeigneurInterdisciplinary department of supportive Care and psychooncology, Curie Institute, Paris, France.
Marie SimbozelDepartment of Child and Adolescents Oncology, Gustave Roussy Institute, Paris-Saclay University, Villejuif, France.
Quentin NevenDepartment of Pediatric Hematology, Robert Debré Hospital, Paris, France.
Céline KhouriDepartment of Pediatric Hematology-Oncology, Trousseau Hospital, Paris, France.
Arthur FelixDepartment of Pediatrics, Children Hematology and Oncology Unit, University Hospital of Martinique, Martinique, France.ORCID 0000-0002-6034-6869
Anais OgrizekDepartment of Adult and Child Psychiatry, Martinique University Hospital, Fort-de-France, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA diagnosis of childhood cancer has a profound impact on families, especially when treatment requires relocation. Children from the French West Indies (FWI) and French Guiana (FG) are often treated in specialized centers in mainland France, resulting in physical and cultural uprooting that poses unique psychosocial challenges.

aimsThis study explores the impact of uprooting on the dynamics and well-being of these families.

methodsThis qualitative observational study used semi-structured interviews with parents of pediatric cancer patients from the FWI and FG. Eligible participants were French-speaking primary caregivers with parental authority who accompanied their children for treatment in mainland France. Interviews were conducted between November 2023 and February 2024, recorded, transcribed, and analyzed using Interpretative Phenomenological Analysis with NVivo software.

resultsAmong the 10 families interviewed, uprooting significantly disrupted family dynamics and required complex adjustments. Parents reported challenges in accessing resources to manage the stress of their child's diagnosis and treatment, but expressed overall satisfaction with the healthcare received. Psychological support was essential, with many finding comfort in religious practices. Financial and social difficulties were common. Children generally adapted better than expected but struggled with separation from their familiar environment, while siblings often felt abandoned.

conclusionThis study is the first to examine the impact of uprooting on childhood cancer treatment for families from this region. Providing care closer to home may reduce psychological and financial burdens. Recommendations include establishing regional pediatric oncology units and increased support from social services. Future research should focus on non-accompanying parents, siblings, and schooling to understand the long-term effects on survivors and develop targeted psychological and social interventions.

Indexed as

NeoplasmsParentsAdolescentAdultChildChild, PreschoolFemaleFranceFrench GuianaHumansInfantMaleQualitative ResearchSocial SupportAfro‐Caribbeancare pathwayschildren oncologypediatricuprooting

Identifiers

PMID40729429
PMCPMC12306847

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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.