Late effects of childhood cancer recorded at a single outpatient clinic over the course of one year: implications for the follow-up care Article Swipe
Tomáš Kepák
,
Hana Hrstková
,
Viera Bajčiová
,
Vitezslav DUSEK
,
Marta Holíková
,
Lucie Štrublová
,
Kateřina Kepáková
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4149/neo_2022_220531n584
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4149/neo_2022_220531n584
The paper provides a descriptive analysis of medical data and selected patient-reported outcomes from a group of 133 survivors of childhood cancer recruited at St. Anne's University Hospital in Brno, Czech Republic, over the course of one year. The participants were 18-53 years old (mean age 27.9 years) and had been diagnosed with childhood cancer in the period 1979-2016. Treatment data and data on relevant health outcomes were extracted from the medical records and categorized. Patient-reported outcomes were measured using the clinic's questionnaires completed by survivors prior to the medical examination. The most frequent adverse health outcomes in the study were dyslipidemia (50%) and overweight, obesity, and even morbid obesity (45%, 15%, and 1.5%, respectively). Endocrinopathies were observed in more than one-third (35.3%) of the survivors, followed by nephropathy (33.8%). Cardiovascular abnormalities were found in 9.7% of the survivors and fertility impairment in 9%. 38% of the survivors reported chronic fatigue and one-half (51%) reported pain. 20% of the cohort face mobility impairment. A remarkably high percentage of the survivors (70%) communicated some level of mental health issues. Moderate to severe anxiety and/or depression was reported by 25% of the survivors. 40% of the survivors experienced strong fears of disease recurrence, another 40% reported mild or moderate fears. Fear of late effects was communicated by 83% of the survivors, with 38% experiencing high levels of concerns. Only 8% of the survivors had no adverse health outcome. The rate of somatic and mental health outcomes identified in our sample is high. Some of the most frequent outcomes are mutually interconnected and modifiable, which highlights the need for patient education on a healthy lifestyle. There is also a clear need for improved psychological support for childhood cancer survivors to mitigate unnecessary anxieties resulting from unsubstantiated health concerns. Dissemination of personalized and positive messages should be part of routine follow-up care.
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.4149/neo_2022_220531n584
- http://www.elis.sk/download_file.php?product_id=7731&session_id=t655n39d1q06sfbup6724vjbi2
- OA Status
- bronze
- Cited By
- 5
- References
- 22
- Related Works
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- OpenAlex ID
- https://openalex.org/W4285041969
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4285041969Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4149/neo_2022_220531n584Digital Object Identifier
- Title
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Late effects of childhood cancer recorded at a single outpatient clinic over the course of one year: implications for the follow-up careWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-01-01Full publication date if available
- Authors
-
Tomáš Kepák, Hana Hrstková, Viera Bajčiová, Vitezslav DUSEK, Marta Holíková, Lucie Štrublová, Kateřina KepákováList of authors in order
- Landing page
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https://doi.org/10.4149/neo_2022_220531n584Publisher landing page
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https://www.elis.sk/download_file.php?product_id=7731&session_id=t655n39d1q06sfbup6724vjbi2Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://www.elis.sk/download_file.php?product_id=7731&session_id=t655n39d1q06sfbup6724vjbi2Direct OA link when available
- Concepts
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Medicine, Anxiety, Depression (economics), Medical record, Cohort, Overweight, Pediatrics, Cancer survivor, Cancer, Disease, Mental health, Obesity, Psychiatry, Internal medicine, Macroeconomics, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1, 2023: 1, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.positive | 299 |
| abstract_inverted_index.provides | 2 |
| abstract_inverted_index.relevant | 64 |
| abstract_inverted_index.reported | 148, 154, 185, 203 |
| abstract_inverted_index.selected | 10 |
| abstract_inverted_index.Republic, | 31 |
| abstract_inverted_index.Treatment | 59 |
| abstract_inverted_index.anxieties | 289 |
| abstract_inverted_index.childhood | 20, 53, 283 |
| abstract_inverted_index.completed | 83 |
| abstract_inverted_index.concerns. | 225, 294 |
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| abstract_inverted_index.education | 267 |
| abstract_inverted_index.extracted | 68 |
| abstract_inverted_index.fertility | 140 |
| abstract_inverted_index.follow-up | 306 |
| abstract_inverted_index.one-third | 121 |
| abstract_inverted_index.recruited | 22 |
| abstract_inverted_index.resulting | 290 |
| abstract_inverted_index.survivors | 18, 85, 138, 147, 169, 194, 230, 285 |
| abstract_inverted_index.1979-2016. | 58 |
| abstract_inverted_index.University | 26 |
| abstract_inverted_index.depression | 183 |
| abstract_inverted_index.highlights | 262 |
| abstract_inverted_index.identified | 244 |
| abstract_inverted_index.impairment | 141 |
| abstract_inverted_index.lifestyle. | 271 |
| abstract_inverted_index.percentage | 166 |
| abstract_inverted_index.remarkably | 164 |
| abstract_inverted_index.survivors, | 125, 218 |
| abstract_inverted_index.survivors. | 190 |
| abstract_inverted_index.descriptive | 4 |
| abstract_inverted_index.experienced | 195 |
| abstract_inverted_index.impairment. | 162 |
| abstract_inverted_index.modifiable, | 260 |
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| abstract_inverted_index.overweight, | 104 |
| abstract_inverted_index.recurrence, | 200 |
| abstract_inverted_index.unnecessary | 288 |
| abstract_inverted_index.categorized. | 74 |
| abstract_inverted_index.communicated | 171, 213 |
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| abstract_inverted_index.examination. | 90 |
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| abstract_inverted_index.Dissemination | 295 |
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| abstract_inverted_index.Endocrinopathies | 115 |
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| abstract_inverted_index.patient-reported | 11 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5041274617 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I21449261, https://openalex.org/I4210102302, https://openalex.org/I4210114565 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8199999928474426 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.86221081 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |