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Majdalani MP, Alazraqui M. Predominant approaches in studies on health-related quality of life of young survivors of childhood or adolescent cancer: an integrative literature review. CIENCIA & SAUDE COLETIVA 2022. [DOI: 10.1590/1413-81232022278.22132021en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Survivors of childhood cancer constitute a growing population. The disease experienced, its treatment or the occurrence of late complications may affect survivors’ health-related quality of life (HRQOL). Understanding HRQOL is a challenge due to its conceptual complexity and the mode in which it is studied. Objective: To identify the predominant lines of research in the study of HRQOL in this population. Methods: An integrative literature review was carried out, involving a systematic search of primary articles indexed in the Scopus and PubMed databases. Results: In the 48 publications selected, four main lines of research were identified: HRQOL in survivors in general; HRQOL in long-term survivors; the study of determinants of HRQOL; and the study of methodological aspects of HRQOL measurement. A quantitative approach using generic measurement instruments predominates, and the conceptual model of HRQOL based on function emphasizes the importance of physical, psychological, and social functionality and the impact of the disease and treatment on these aspects. Conclusions: incorporating a qualitative, meaning-based approach to the understanding of lived experiences from a subjective and holistic perspective is indispensable.
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Majdalani MP, Alazraqui M. Predominant approaches in studies on health-related quality of life of young survivors of childhood or adolescent cancer: an integrative literature review. CIENCIA & SAUDE COLETIVA 2022; 27:3063-3077. [PMID: 35894319 DOI: 10.1590/1413-81232022278.22132021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 03/30/2022] [Indexed: 11/22/2022] Open
Abstract
Survivors of childhood cancer constitute a growing population. The disease experienced, its treatment or the occurrence of late complications may affect survivors' health-related quality of life (HRQOL). Understanding HRQOL is a challenge due to its conceptual complexity and the mode in which it is studied. OBJECTIVE To identify the predominant lines of research in the study of HRQOL in this population. METHODS An integrative literature review was carried out, involving a systematic search of primary articles indexed in the Scopus and PubMed databases. RESULTS In the 48 publications selected, four main lines of research were identified: HRQOL in survivors in general; HRQOL in long-term survivors; the study of determinants of HRQOL; and the study of methodological aspects of HRQOL measurement. A quantitative approach using generic measurement instruments predominates, and the conceptual model of HRQOL based on function emphasizes the importance of physical, psychological, and social functionality and the impact of the disease and treatment on these aspects. CONCLUSIONS incorporating a qualitative, meaning-based approach to the understanding of lived experiences from a subjective and holistic perspective is indispensable.
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Affiliation(s)
- María Pía Majdalani
- División de Medicina Interna General, Hospital de Clínicas "José de San Martín", Universidad de Buenos Aires. Buenos Aires Argentina.
| | - Marcio Alazraqui
- Instituto de Salud Colectiva, Universidad Nacional de Lanús. Buenos Aires Argentina
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Foster RH, Brouwer AM, Dillon R, Bitsko MJ, Godder K, Stern M. "Cancer was a speed bump in my path to enlightenment:" A qualitative analysis of situational coping experiences among young adult survivors of childhood cancer. J Psychosoc Oncol 2017; 35:377-392. [PMID: 28332951 DOI: 10.1080/07347332.2017.1292575] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Young adult survivors of childhood cancer (N = 47) completed essays exploring situational coping within a mixed methods study. Data were qualitatively analyzed using consensual qualitative research-modified methodology. Five themes emerged: (1) initial reactions to cancer, (2) adjustment/coping with cancer diagnosis and treatment, (3) provisions of social support, (4) perceived effects of cancer experience, and (5) reflections on the cancer experience. Perceptions of childhood cancer experiences appear generally positive, with the majority of negative reactions emerging immediately following diagnosis. Cognitive behavioral and supportive interventions may be most beneficial in the initial postdiagnosis period and should emphasize lasting benefits, accomplishments, and profound effects.
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Affiliation(s)
- Rebecca H Foster
- a Department of Psychology , St. Louis Children's Hospital , St. Louis , MO , USA.,b Department of Pediatrics , Washington University School of Medicine , St. Louis , MO , USA
| | - Amanda M Brouwer
- c Department of Psychology , Winona State University , Winona , MN , USA
| | - Robyn Dillon
- d Department of Pediatrics , Virginia Commonwealth University , Richmond , VA , USA
| | - Matthew J Bitsko
- d Department of Pediatrics , Virginia Commonwealth University , Richmond , VA , USA.,e Department of Psychology , Virginia Commonwealth University , Richmond , VA , USA
| | - Kamar Godder
- f Department of Hematology & Oncology , Miami Children's Hospital , Miami , FL , USA
| | - Marilyn Stern
- g Department of Rehabilitation & Mental Health Counseling , University of South Florida , Tampa , FL , USA
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Al-Gamal E, Long T. Health-related quality of life and its association with self-esteem and fatigue among children diagnosed with cancer. J Clin Nurs 2016; 25:3391-3399. [DOI: 10.1111/jocn.13467] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Ekhlas Al-Gamal
- Psychiatric and Mental Health Nursing; Faculty of Nursing; The University of Jordan; Amman Jordan
- Psychiatric and Mental Health Nursing; College of Nursing; Ministry of National Guard Health Affairs; King Saud bin Abdulaziz University for Health Sciences; Riyadh Kingdom of Saudi Arabia
| | - Tony Long
- Child and Family Health; School of Nursing, Midwifery & Social Work; University of Salford; Salford UK
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Tougas AM, Jutras S, Bigras M. Types and Influence of Social Support on School Engagement of Young Survivors of Leukemia. J Sch Nurs 2016; 32:281-93. [DOI: 10.1177/1059840516635711] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The present study aimed to describe and explore the influence of social support on the school engagement of young survivors of pediatric leukemia. Fifty-three young Quebecers, previously diagnosed and treated for leukemia, completed a questionnaire measuring their school engagement and participated in an interview focusing on the support offered by four groups of relations with regard to school: parents, siblings, friends, and other nonprofessional relations. The interview responses revealed that parents were perceived to be the primary source of informational and emotional support, with support also provided to a lesser extent by friends, siblings, and members of the extended family. Inferential analyses indicated that young survivors report a higher school engagement score when they perceive themselves as receiving support from a greater number of groups of relations, especially from friends or siblings.
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Affiliation(s)
| | - Sylvie Jutras
- Université du Québec à Montréal, Montréal, QC, Canada
| | - Marc Bigras
- Université du Québec à Montréal, Montréal, QC, Canada
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Abstract
BACKGROUND Cancer in children may place considerable economic burden on more than individual family members. The costs incurred to families' support networks (FSNs) have not been previously studied. OBJECTIVES The study objectives were to (a) identify and determine independent predictors of the direct and time costs incurred by the FSN and (b) explore the impact of these cancer-related costs on the FSN. METHODS A prospective mixed-methods study was conducted. Representing the FSN, parents recorded the resources consumed and costs incurred during 1 week per month for 3 consecutive months, beginning 1 month following their child's diagnosis. Descriptive statistics, multiple regression modeling, and descriptive qualitative analytical methods were used to analyze the data. RESULTS In total, 28 fathers and 71 mothers participated. The median total direct and time costs for the 3 months were CAN$154 and $2776, respectively, per FSN. The largest component of direct and time costs was travel and foregone leisure. Direct and time costs were greatest among those parents who identified a support network at baseline. Parents relied on their FSN to "hold the fort," which entailed providing financial support, assuming household chores, maintaining the siblings' routines, and providing cancer-related care. CONCLUSIONS Families' support networks are confronted with a wide range of direct and time costs, the largest being travel and foregone leisure. IMPLICATIONS FOR PRACTICE Families' support networks play an important role in mitigating the effects of families' costs. Careful screening of families without an FSN is needed.
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Chan CWH, Choi KC, Chien WT, Cheng KKF, Goggins W, So WKW, Li CK, Yuen HL, Li CK. Health-related quality-of-life and psychological distress of young adult survivors of childhood cancer in Hong Kong. Psychooncology 2013; 23:229-36. [PMID: 24027211 DOI: 10.1002/pon.3396] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2012] [Revised: 08/18/2013] [Accepted: 08/20/2013] [Indexed: 12/21/2022]
Affiliation(s)
- Carmen W. H. Chan
- The Nethersole School of Nursing, Faculty of Medicine; The Chinese University of Hong Kong; Sha Tin Hong Kong China
| | - Kai Chow Choi
- The Nethersole School of Nursing, Faculty of Medicine; The Chinese University of Hong Kong; Sha Tin Hong Kong China
| | - Wai Tong Chien
- School of Nursing; The Hong Kong Polytechnic University; Kowloon Hong Kong China
| | | | - William Goggins
- School of Public Health and Primary Care; The Chinese University of Hong Kong; Sha Tin Hong Kong China
| | - Winnie K. W. So
- The Nethersole School of Nursing, Faculty of Medicine; The Chinese University of Hong Kong; Sha Tin Hong Kong China
| | - Chi Kong Li
- Department of Paediatrics; Prince of Wales Hospital; The Chinese University of Hong Kong; Sha Tin Hong Kong China
| | | | - Chi Keung Li
- Princess Margaret Hospital; Kwai Chung Hong Kong China
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Adolescents’ Psychosocial Health-Related Quality of Life Within 6 Months After Cancer Treatment Completion. Cancer Nurs 2013; 36:E61-72. [DOI: 10.1097/ncc.0b013e3182902119] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Trevino KM, Fasciano K, Block S, Prigerson HG. Correlates of social support in young adults with advanced cancer. Support Care Cancer 2013; 21:421-9. [PMID: 22790223 PMCID: PMC3613786 DOI: 10.1007/s00520-012-1536-2] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2012] [Accepted: 06/25/2012] [Indexed: 01/09/2023]
Abstract
OBJECTIVE This study examined the relationship between perceived social support, quality of life (QoL), and grief in young adults with advanced cancer. METHODS Seventy-one young adults (20-40 years) with advanced cancer were administered measures of social support, QoL, and grief. Regression analyses examined the relationship between social support and QoL and grief. RESULTS Higher levels of total social support were associated with better psychological and existential QoL and less severe grief. Availability of someone to talk to about problems was also associated with better psychological and existential QoL and less severe grief. Tangible support was associated with better psychological and existential QoL. Availability of someone to engage in activities with was only associated with better existential QoL. CONCLUSIONS These results suggest that enhancing social support may improve psychological well-being in this population. In addition, specific types of social support may be particularly relevant to the psychological well-being of young adults with advanced cancer.
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Affiliation(s)
- K. M. Trevino
- Dana Farber Cancer Institute, 450 Brookline Avenue, Dana 1134, Boston, MA 02215, USA, Harvard Medical School, Boston, MA, USA, Brigham and Women’s Hospital, Boston, MA, USA
| | - K. Fasciano
- Dana Farber Cancer Institute, 450 Brookline Avenue, Dana 1134, Boston, MA 02215, USA, Harvard Medical School, Boston, MA, USA, Brigham and Women’s Hospital, Boston, MA, USA
| | - S. Block
- Dana Farber Cancer Institute, 450 Brookline Avenue, Dana 1134, Boston, MA 02215, USA, Harvard Medical School, Boston, MA, USA, Brigham and Women’s Hospital, Boston, MA, USA
| | - H. G. Prigerson
- Dana Farber Cancer Institute, 450 Brookline Avenue, Dana 1134, Boston, MA 02215, USA, Harvard Medical School, Boston, MA, USA, Brigham and Women’s Hospital, Boston, MA, USA
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Lee JW, Han JE, Park HR. Quality of Life in Children and Adolescents with Cancer. CHILD HEALTH NURSING RESEARCH 2013. [DOI: 10.4094/chnr.2013.19.1.21] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Jung-Won Lee
- Cardiovascular Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea
| | - Ji-Eun Han
- Department of Nursing, Korea Nazarene University, Cheonan, Korea
| | - Ho-Ran Park
- College of Nursing, The Catholic University of Korea, Seoul, Korea
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Psychometric evaluation of the Impact of Cancer (IOC-CS) scale for young adult survivors of childhood cancer. Qual Life Res 2011; 19:207-18. [PMID: 20058086 DOI: 10.1007/s11136-009-9576-x] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2009] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Psychosocial outcomes derived from standardized and disease-specific measures are often used in pediatric oncology; however, the reliability, validity and utility of these instruments in adult survivors of childhood cancer have yet to be established. PURPOSE To develop and evaluate a new instrument that measures aspects of long-term survivorship not measured by existing tools. METHODS A new candidate instrument--the Impact of Cancer for childhood cancer survivors (IOC-CS)--was administered to childhood cancer survivors aged 18-39 who were 21 years of age or younger when diagnosed with cancer. Psychometric properties of newly derived scales were assessed. RESULTS Factor analyses of items derived eight new and specific subscales: Life Challenges, Body/Health, Talking With Parents, Personal Growth, Thinking/Memory Problems, Health Literacy, Socializing and Financial Problems. Internal consistency measurements for these subscales ranged from 0.70 to 0.86. Expected associations within and among the IOC-CS subscales and standardized measures of health-related quality of life (HRQOL) were observed, as were some unexpected findings. CONCLUSION Psychometric analyses indicated that this initial version of the IOC-CS measures distinct and relevant constructs for young adult survivors of childhood cancer. Future work is necessary to confirm the responsiveness and further validate the instrument in multiple and representative samples.
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Chou LN, Hunter A. Factors affecting quality of life in Taiwanese survivors of childhood cancer. J Adv Nurs 2010; 65:2131-41. [PMID: 19674170 DOI: 10.1111/j.1365-2648.2009.05078.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM This paper is a report of a pilot study to examine the significance, direction, and magnitude of the relationship of risk factors, protective factors, and resilience to quality of life in survivors of childhood cancer, and to explore what these variables meant to participants in order to better understand the quantitative findings and to assess the validity of the instruments with this population. BACKGROUND Cancer survivors contend with physical, psychosocial and emotional consequences of the disease and its treatment. There has been little research in Taiwan assessing these outcomes and, as survivor numbers increase, appropriate interventions need to be implemented. Haase's Adolescent Resilience Model was used as the theoretical framework. METHODS A mixed methods design was used to assess the relationship between the variables for survivors of leukaemia and brain cancers. Ninety-eight participants completed quantitative tools and interviews, and the data were collected in 2006. FINDINGS Survivors of leukaemia had better quality of life than those with brain tumours. This is attributed to more positive protective factors, fewer illness-related and individual risk factors and more positive resilience scores. Findings were congruent with similar studies from other countries. Qualitatively, participants believed that better quality of life meant less loss of self, a more integrated self, less chronic fear, and an ability to rebound and achieve personal control over one's life. CONCLUSION Interventions and assessment of their efficacy are necessary to help survivors capitalize on their strengths, to decrease their individual risks and to promote resilience promote self-control.
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Affiliation(s)
- Li-Na Chou
- Department of Nursing, National Tainan Institute of Nursing, Taiwan.
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Self-reported health-related quality of life of children and adolescent survivors of extracranial childhood malignancies: a Finnish nationwide survey. Qual Life Res 2010; 20:787-97. [DOI: 10.1007/s11136-010-9798-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2010] [Indexed: 12/11/2022]
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Abstract
The care of a child/adolescent with cancer or a blood disorder is complex and often long term, involving many interdisciplinary team members across services and geographical boundaries. This experience can be overwhelming for patients and their families, highlighting the need for a family care coordinator (FCC) to help them navigate their care path. The purpose of this article is to illustrate the concept of family care coordination as experienced by the IWK Health Center in Nova Scotia, Canada, with the intent of sharing a valuable model of care with other pediatric hematology/oncology services. Key components of the role are ongoing assessment, education, partnerships, communication, support, and advocacy. Essential resources and pathways are required to implement the role and optimize patient/family outcomes, facilitating consistent and accessible care, enhancing quality and safety, building trust, and gleaning efficiencies. Inherent FCC challenges are identified as time constraints, replacement issues, maintaining professional boundaries, and emotional burnout. A FCC can enable seamless, individualized care for children/adolescents and their families with pediatric oncological and hematological disorders, optimizing the outcomes for all involved.
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Zebrack BJ, Foley S, Wittmann D, Leonard M. Sexual functioning in young adult survivors of childhood cancer. Psychooncology 2010; 19:814-22. [PMID: 19862693 PMCID: PMC2888926 DOI: 10.1002/pon.1641] [Citation(s) in RCA: 92] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
BACKGROUND Studies of sexuality or sexual behavior in childhood cancer survivors tend to examine relationships or achievement of developmental milestones but not physiological response to cancer or treatment. The purpose of this study is to (1) identify prevalence and risk factors for sexual dysfunction in childhood cancer survivors, and (2) examine the extent to which sexual dysfunction may be associated with health-related quality of life (HRQOL) and psychosocial outcomes. METHODS Five hundred ninety-nine survivors age 18-39 years completed standardized measures of sexual functioning, HRQOL, psychological distress and life satisfaction. Descriptive statistics assessed prevalence of sexual symptoms. Bivariate analyses identified correlates of sexual symptoms and examined associations between symptoms and HRQOL/psychosocial outcomes. RESULTS Most survivors appear to be doing well, although 52% of female survivors and 32% of male survivors reported at least 'a little of a problem' in one or more areas of sexual functioning. Mean symptom score for females was more than twice that of males. Sexual symptoms were associated with reporting health problems. Significant associations between sexual functioning and HRQOL outcomes were observed, with gender differences in strengths of association suggesting that males find sexual symptoms more distressing than do females. CONCLUSIONS While most survivors appear to be doing well in this important life domain, some young adult survivors report sexual concerns. While female survivors may report more sexual symptoms than male survivors, males may experience more distress associated with sexual difficulties. Better-specified measures of sexual function, behavior and outcomes are needed for this young adult population.
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Affiliation(s)
- Brad J Zebrack
- University of Michigan School of Social Work, Ann Arbor, MI 48103, USA.
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Coyle SB. Health-Related Quality of Life of Mothers: A Review of the Research. Health Care Women Int 2009; 30:484-506. [DOI: 10.1080/07399330902801260] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Cantrell MA, Lupinacci P. Investigating the determinants of health-related quality of life among childhood cancer survivors. J Adv Nurs 2008; 64:73-83. [PMID: 18808594 DOI: 10.1111/j.1365-2648.2008.04760.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM This paper is a report of a study to survey early childhood cancer survivors' perceived health-related quality of life and its determinants and to estimate the reliability of known psychometric scales used in the measurement of these determinants. BACKGROUND Young adult survivors of childhood cancer are considered to be a high-risk, vulnerable population for experiencing medical and psychosocial sequelae from their treatment that can adversely affect their health-related quality of life. Achieving an adequate level of health-related quality of life among childhood cancer survivors has been identified as a significant outcome in measuring the success of cancer treatment for these survivors throughout the world. METHOD An on-line survey approach was used, and data were collected from December 2005 to May 2006 in the United States of America. Specific determinants measured were physical health status, perceived sense of hopefulness, self-esteem, social support and affect. The internal consistency of the instruments to measure these constructs among early survivors of childhood cancer was evaluated. FINDINGS Early survivors of childhood cancer had a lower level of health-related quality of life, perceived self-esteem, physical health status and social support when compared with previously reported findings among samples of adolescents in active treatment for cancer, healthy same-age peers and other samples of childhood cancer survivors. CONCLUSION Investigations using web-based approaches to measure determinants of health-related quality of life among young adult survivors of childhood cancer have the potential to include international samples of childhood cancer survivors.
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