The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
-
Giulia Zucchetti
, Simona Bellini
Abstract
Background
To provide successful transfer from childhood to adult-oriented healthcare is one of the priorities of survivorship care plans.
Purpose
This study describes adolescent and young adult childhood cancer survivors’ conditions at the moment of the transition to adult care deepening their biological, psychological, social and assistant state and their associations with socio-demographic and clinical characteristics.
Methods
A biopsychosocial check-list in four health domains (biological, psychological, social and assistant) was filled in by healthcare professionals (oncologists, psychologists, social workers and nurses) through qualitative interviews and clinical observations of 79 survivors (58% boys; Mage = 20 years old) at the moment of the transition from the Pediatric Oncology Unit to the Transition Unit of the Childhood Cancer Survivors.
Results
At the moment of transition, 38% of survivors showed a positive condition in all the four health domains without any kind of impairment. Biological (37%) and psychological areas (44%) were found to be those with major incidence of impairments. Association phenomena were found between psychological and social condition (p < 0.05) and between social and assistant condition (p < 0.05). Biological condition was also significantly associated with the type of cancer (χ = 6,2414, p < 0.05).
Conclusion
Although many survivors entered in adult care system without any impairment, the biopsychosocial approach highlighted that there is a presence of impairments in at least one of the main health domains.
Acknowledgments
We are grateful to Dr. Tatiana Moda for language assistance and to Dr. Filippo Candela, PhD, for data analysis assistance.
Compliance with ethical standards
-
Funding: None.
-
Conflict of interest statement: None.
-
Ethical approval: All procedures performed in the study involving human subjects were in accordance with the ethical standards of the institutional research committee (Prot. N° 0018330 A/2.4.8). This article does not contain any studies with animals performed by any of the authors.
-
Informed consent: Informed consent was obtained from all individuals participants included in the study.
References
[1] Armstrong GT, Chen Y, Yasui Y, Leisenring W, Gibson TM, Mertens AC, et al. Reduction in late mortality among 5-year survivors of childhood cancer. N Engl J Med. 2016;374(9):833–42.10.1056/NEJMoa1510795Search in Google Scholar PubMed PubMed Central
[2] Mertens AC, Brand S, Ness KK, Li Z, Mitby PA, Riley A, et al. Health and well-being in adolescent survivors of early childhood cancer: a report from the Childhood Cancer Survivor Study. Psychoncology. 2014;23(3):266–75.10.1002/pon.3414Search in Google Scholar PubMed PubMed Central
[3] Zucchetti G, Bellini S, Bertolotti M, Bona F, Biasin E, Bertorello N, et al. Body image discomfort of adolescent and young adult hematologic cancer survivors. J Adolesc Young Adult Oncol. 2017;6(2):377–80.10.1089/jayao.2016.0067Search in Google Scholar PubMed
[4] Freyer DR. Transition of care for young adult survivors of childhood and adolescent cancer: rationale and approaches. J Clin Oncol. 2010;28(32):4810–8.10.1200/JCO.2009.23.4278Search in Google Scholar PubMed PubMed Central
[5] Frey E, van der Pal H. Transitional care of a childhood cancer survivor to adult services: facilitating the process of individual access to different models. Curr Opin Support Palliat Care. 2013;7(3):309–13.10.1097/SPC.0b013e32836484bbSearch in Google Scholar PubMed
[6] Patenaude AF, Kupst MJ. Psychosocial functioning in pediatric cancer. J Pediatr Psychol. 2005;30(1):9–27.10.1093/jpepsy/jsi012Search in Google Scholar PubMed
[7] Henderson TO, Friedman DL, Meadows AT. Childhood cancer survivors: transition to adult focused risk-based care. Pediatrics. 2010;126(1):129–36.10.1542/peds.2009-2802Search in Google Scholar PubMed
[8] Nathan PC, Hayes-Lattin B, Sisler JJ. Critical issues in transition and survivorship for adolescents and young adults with cancers. Cancer. 2011;117(S10):2335–41.10.1002/cncr.26042Search in Google Scholar PubMed
[9] Kenney LB, Melvin P, Fishman LN, O’Sullivan-Oliveira J, Sawicki GS, Ziniel S, et al. Transition and transfer of childhood cancer survivors to adult care: a national survey of pediatric oncologists. Pediatr Blood Cancer. 2017;64(2):346–52.10.1002/pbc.26156Search in Google Scholar PubMed
[10] Mulder RL, van der Pal HJH, Levitt GA, Skinner R, Kremer LCM, Brown MC, et al. Transition guidelines: an important step in the future care for childhood cancer survivors. A comprehensive definition as groundwork. Eur J Cancer. 2016;54:64–8.10.1016/j.ejca.2015.10.007Search in Google Scholar PubMed
[11] Bitsko MJ, Cohen D, Dillon R, Harvey J, Krull K, Klosky JL. Psychosocial late effects in pediatric cancer. Survivors: a report from the children’s oncology group. Ped Blood Cancer. 2016;63(2):337–43.10.1002/pbc.25773Search in Google Scholar PubMed PubMed Central
[12] Kirchhoff AC, Krull KR, Ness KK, Armstrong GT, Park ER, Stovall M, et al. Physical, mental, and neurocognitive status and employment outcomes in the childhood cancer survivor study cohort. Cancer Epidemiol Biomarkers Prev. 2011;20(9):1838–49.10.1158/1055-9965.EPI-11-0239Search in Google Scholar PubMed PubMed Central
[13] Sadak KT, Neglia JP, Freyer DR, Harwood E. Identifying metrics of success for transitional care practices in childhood cancer survivorship: a qualitative study of survivorship providers. Pediatr Blood Cancer. 2017;64(11). DOI: 10.1002/pbc.26587.Search in Google Scholar PubMed PubMed Central
[14] Lown EA, Phillips F, Schwartz LA, Rosenberg AR, Jones B. Psychosocial follow-up in survivorship as a standard of care in pediatric oncology. Pediatr Blood Cancer. 2017;62(S5):S514–84.10.1002/pbc.25783Search in Google Scholar PubMed PubMed Central
©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials
Articles in the same Issue
- Frontmatter
- Editorial
- Pharmacology for obesity: perspectives of history
- Reviews
- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
- Flourishing and academic engagement among adolescents with overweight and obesity
- Increased aggressive behavior among youth in the United States who have experienced multiple forms of victimization
- Knowledge and awareness of oral cancer and impact of pictorial warnings on the willingness to quit tobacco in young tobacco consumers in India
- The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group
- Is a smartphone application effective in improving physical activity among medical school students? Results from a quasi-experimental study
- Effect of education based on protection motivation theory on adolescents’ reproductive health self-care: a randomized controlled trial
- The range of normative surface skin temperature changes in adolescents: prospective multicenter study
- Women’s reproductive health needs assessment questionnaire: development and validation
- Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study
- Dental treatment needs using a sociodental approach among south Indian youths: a cross-sectional study
- Will I, Wont I? Factors associated with self-reported prediction of future indulgence in intimate partner violence among adolescents in South India
- High-risk behaviors and demographic features: a cross-sectional study among Iranian adolescents
- Spiritual health: is it a determinant factor for preventing risky behaviors among university students?
- Adolescent’s psychological health in Iran
- The association between nutrition knowledge and adherence to a Mediterranean dietary pattern in Iranian female adolescents
- Socio-demographic differentials of cognitive development and nutrition among school children: evidence from the tribal areas of Jharkhand, India
- Parents to chronically ill adolescents have ambivalent views on confidential youth consultations – a mixed methods study
- Tooth wear patterns in subjects with class II division 1 and class II division 2 malocclusion
- Rate of weight gain as a predictor of readmission in adolescents with eating disorders
- Hydration status, total water intake and subjective feelings of adolescents living in a hot environment, during a typical school day
- Head and neck cancer awareness: a survey of young people in international communities
- The significant role of educational status in PKU patients: the beneficial effect of psychological support in depression
- The impact of arthritis on the educational and early work experiences of young people: a qualitative secondary analysis
- Short Communications
- The influences of stimulation mode and stimulus frequency on acoustic reflex latency (ARL) among young adults
- Improving recruitment and retention of adolescents and young adults with cancer in randomized controlled clinical trials