Identification of paediatric cancer patients with poor quality of life
2009

Quality of Life in Children with Cancer

Sample size: 376 publication 10 minutes Evidence: high

Author Information

Author(s): Lillian Sung, Klaassen R J, Dix D, Pritchard S, Yanofsky R, Dzolganovski B, Almeida R, Klassen A

Primary Institution: The Hospital for Sick Children

Hypothesis

What factors predict the quality of life in children receiving active treatment for cancer?

Conclusion

Children with cancer experience varying levels of physical, emotional, and social quality of life influenced by their treatment and family circumstances.

Supporting Evidence

  • Children with acute lymphoblastic leukemia had better physical health.
  • Intensive chemotherapy treatment was associated with poor physical quality of life.
  • Siblings with chronic conditions negatively impacted the child's quality of life.
  • Better emotional health was linked to good prognosis and less intensive chemotherapy treatment.
  • Female children had poorer social quality of life.

Takeaway

This study looked at how kids with cancer feel during treatment. It found that some kids feel worse than others, and things like having a sibling with health problems can make it harder for them.

Methodology

This was a multi-institutional cross-sectional study where parents reported on their child's quality of life using the PedsQL 4.0 Generic Core scales.

Potential Biases

Potential bias exists due to reliance on parent proxy reports, which may not fully capture the child's perspective.

Limitations

The study relied solely on parent-reported quality of life, which may differ from child self-reports, and the prognosis and intensity of therapy scales were developed for this study without established reliability.

Participant Demographics

The study included children aged 2 to 18 years, with a majority diagnosed with leukemia or lymphoma.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI: 0.23, 0.60

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604826

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication