Utility of Routine Psychological Screening in the Childhood Cancer Survivor Clinic

Recklitis, Christopher J.; O’Leary, Tara E.; Diller, Lisa

doi:10.1200/jco.2003.05.158

Cited by 78 publications

(61 citation statements)

References 43 publications

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“…This difference in age distribution may have confounded PCS and MCS scores. To explore any if such confounding, we conducted an additional analysis in which we excluded survivors of age [16][17] and found that these findings were similar (results not shown) to the findings reported in this paper. This suggests that this type of confounding should be minimal.…”

Section: Study Limitationssupporting

confidence: 68%

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

Reulen

Winter

Lancashire

et al. 2007

Intl Journal of Cancer

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The purpose of this study was to investigate the effect of childhood cancer and its treatment on self-reported health-status in 10,189 adult survivors of childhood cancer in Britain. Age-and sexadjusted scores on the SF-36 Mental and Physical Component Summary scales (MCS, PCS, respectively) were compared between survivors and UK norms, and between subgroups of survivors, by multiple regression. Survivors had comparable scores to UK-norms on the MCS scale (difference (D) 5 20.1, 99% CI: 20.5, 0.3). The difference in scores between survivors and UKnorms on the PCS scale varied by age (p heterogeneity < 0.001). Young survivors (16-19 years) scored similarly to UK-norms (D 5 0.5, (21.1, 2.2), whereas the age groups of 25 and older scored statistically and clinically significantly below UK-norms (all p-values < 0.0001), with Ds ranging between 22.3 (23.5, 21.2) and 23.7 (25.0, 22.4). Survivors of central nervous system (CNS) and bone tumors scored significantly (p-value at all ages <0.003) below UK-norms on the PCS scale. Specifically, these survivors were substantially more limited in specific daily activities such as, for example, walking a mile (40, 63%, respectively) when compared to UK-norms (16%). In conclusion, childhood cancer survivors rate their mental health broadly similarly to those in the general population. Survivors of CNS and bone tumors report their physical health-status to be importantly below population norms. Although self-reported physical health is at least as good as in the general population among young survivors, this study suggests that perceived physical health declines more rapidly over time than in the general population. ' 2007 Wiley-Liss, Inc.Key words: SF-36; health-status; childhood cancer survivors; epidemiology With the improvements in survival rates after childhood cancer, 1 in every 1,000 young adults currently has a history of childhood cancer, and this proportion is likely to increase.1 This increase, the potential for late effects, and the many decades of potential life ahead for most survivors means that it is critical to investigate the health-status of adults who have survived childhood cancer. Although many previous studies have investigated health-status by objective measures of health, relatively few studies have investigated self-reported health-status among survivors of childhood cancer. Investigating self-reported health-status is important because it may identify needs that may not be identified by objective measures of health such as, for example, a standard medical evaluation. Results from most studies 3-9 conducted so far indicate that the self-reported health-status of survivors is apparently broadly good. However, many earlier studies had design problems such as small sample size, lack of appropriate control group or use of a nonrepresentative sample of survivors. Because of these limitations the interpretation of much previous work may be questioned. We conducted an analysis using data from a British cohort study that was population-based and substantially la...

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Section: Study Limitationssupporting

confidence: 68%

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

Reulen

Winter

Lancashire

et al. 2007

Intl Journal of Cancer

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“…Some reports have cited that dissatisfaction with physical appearance, poor physical health and treatment with cranial radiation were associated with psychological distress (14). Cranial radiotherapy, causing a specific pattern of cognitive and educational sequelae, is associated with suicidal ideation (15). The third patient, who was regularly followed at the outpatient clinic for late effects, was in perfect health with no complaints 19 months prior to death.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing and treating hemophagocytic lymphohistiocytosis in the tropics: Systematic review from the indian subcontinent

Srinivas

Singh²

2012

AMA

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Objective. Suicide is one of the causes of late mortality among childhood cancer survivors. The aim of our study was to analyse the risk of suicide among childhood cancer survivors compared with that of the general population of Slovenia. Patients and methods. This retrospective study included patients with childhood cancer registered at the Cancer Registry of Slovenia between 1978-2008, with an observation period of 1978-2010. Childhood cancer patients and control subjects from the general population of Slovenia were matched by sex, year and age at the beginning of follow-up and time of follow-up in years. Data on the general population of Slovenia were obtained from the Statistical Office of the Republic of Slovenia. Results. A total of 1647 patients were recorded in the Cancer Registry as having cancer during childhood, with 3 patients committing suicide. All three were male. Their age at diagnosis of cancer was 12, 13 and 2 years old; their age at suicide was 19, 32 and 28 years old. The mechanism of death was asphyxiation in all three deaths. The calculation of the expected number of suicides in the group of individuals with childhood cancer from the general Slovene population revealed the number of 3.16 persons. Conclusion. The comparison of the observed and expected probability showed that there was no statistically significant difference in the suicide rate between childhood cancer survivors and the general population of Slovenia.

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“…42,43 The SIP and the SF-36 have proven to be reliable and valid instruments, and have been used in a wide variety of patient populations, including patients with cancer. [44][45][46][47][48] The SIP focuses on the impact of an illness as reported by the patient, and contains 136 items in 12 categories, from which three additional aggregate scores can be calculated ('physical dimension', 'psychosocial dimension', and 'total score'). SIP scores are presented as percentages of maximal dysfunction ranging from 0 to 100, higher scores indicating higher level of dysfunction.…”

Section: Methodsmentioning

confidence: 99%

Quality of life in adults following bone marrow transplantation during childhood

Helder

Bakker

Heer

et al. 2003

Bone Marrow Transplant

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list. BMT-related variables were obtained from medical files. Of the generic QOL measures, most results fell within the normal range of functioning, although some illness-related impairment was reported on subscales for general and work-related functioning. Compared to a reference sample of patients who had received BMT as adults, patients involved in this study scored significantly higher on the 'emotional well-being' subscale of the FACT-BMT, indicating significantly better emotional functioning. The age at BMT and total body irradiation (TBI) were not related to patients' QOL. We can conclude that at long term, having received BMT during childhood does not negatively affect the QOL of patients.

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Utility of Routine Psychological Screening in the Childhood Cancer Survivor Clinic

Abstract: Results demonstrate that routine psychological screening can be successfully integrated into the cancer survivor clinic and may be effective in identifying those survivors with significant distress who require further evaluation.

Cited by 78 publications

References 43 publications

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

Diagnosing and treating hemophagocytic lymphohistiocytosis in the tropics: Systematic review from the indian subcontinent

Quality of life in adults following bone marrow transplantation during childhood

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Utility of Routine Psychological Screening in the Childhood Cancer Survivor Clinic

Abstract: Results demonstrate that routine psychological screening can be successfully integrated into the cancer survivor clinic and may be effective in identifying those survivors with significant distress who require further evaluation.

Cited by 78 publications

References 43 publications

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

Health‐status of adult survivors of childhood cancer: A large‐scale population‐based study from the British childhood cancer survivor study

﻿Diagnosing and treating hemophagocytic lymphohistiocytosis in the tropics: Systematic review from the indian subcontinent

Quality of life in adults following bone marrow transplantation during childhood

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Diagnosing and treating hemophagocytic lymphohistiocytosis in the tropics: Systematic review from the indian subcontinent