About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Long-Term Health and Social Outcomes for Neuroblastoma Survivors

by VR Sreeraman on August 3, 2009 at 8:37 AM
Font : A-A+

 Long-Term Health and Social Outcomes for Neuroblastoma Survivors

Survivors of the childhood cancer neuroblastoma are eight times more likely to have chronic health conditions, less likely to be married, and more likely to have lower incomes than their siblings, according to a study published online July 31 in the Journal of the National Cancer Institute.

This study was undertaken because minimal information exists on the long-term outcomes for neuroblastoma survivors.

Advertisement

Caroline Laverdiere, M.D., of the Sainte-Justine Hospital in Montreal, and colleagues looked at data for 954 5-year neuroblastoma survivors who were diagnosed from 1970-1986 and enrolled in the Childhood Cancer Survivor Study (CCSS). Late mortality, second malignant tumors, and chronic health conditions were analyzed. The researchers also compared participants with a cohort of 3,899 siblings of children with cancer for risk of chronic health conditions and sociodemographic outcomes.

Neuroblastoma survivors were less likely to be married or employed with high income than the controls from the sibling cohort, and after 20 years follow-up, were more than eight times more likely to have chronic health conditions, such as neurological, endocrine, sensory, and musculoskeletal complications.
Advertisement

"...[R]esults of the current study are quite relevant and underscore the need for close surveillance and life-long follow-up to ameliorate potential medical and psychosocial late effects," the authors write. "Future research should build on these data and investigate risk factors for long-term complications of neuroblastoma treatment and second malignant neoplasms..."

In an accompanying editorial, Elizabeth Fox, M.D., of the Pediatric Oncology Branch at the Center for Cancer Research, National Cancer Institute, in Bethesda, Md., Deborah Citron, M.D., of the Radiation Oncology Branch at NCI, and Frank M. Balis, M.D, of the Children's Hospital of Philadelphia, point out that survivors who were treated with multimodal therapy in this time frame had twice as much risk of late effects as survivors who had localized neuroblastomas that could be treated with surgery alone. Because surviving neuroblastoma patients from the 1970s were less likely than both current neuroblastoma patients and survivors of other childhood cancers from the 1970s to have been treated with intensive therapies, this population probably has fewer late-arising complications than might be expected for either of the latter two groups.

"The introduction of more selective and less toxic molecularly-targeted drugs holds the promise of substantially altering the acute and long-term toxic effects of cancer therapy," the editorialists write. "The potential requirement for extended treatment with these drugs may have a substantial impact on a child's development and will require careful study of late effects, similar to the ongoing efforts of the CCSS."

Source: Eurekalert
SRM/M
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Can Adjusting Fatty Acid Intake Improve Mood in Bipolar Disorder Patients?
Insulin Resistance Doubles the Risk of Major Depressive Disorder
Emotional Healing
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Health Insurance - India Neuroblastoma 

Recommended Reading
Neuroblastoma's Genetic Origins
The search for genetic events that result in neuroblastoma, a puzzling, often-deadly type of ......
Scientists Find Gene That Determines Nueroblastoma Tumors
Virginia Commonwealth University scientists have identified a gene that may play a key role in ......
Biomarker Associated With Poor Outcome in Aggressive Childhood Cancer
Results from a new study identify a biomarker that may be useful for predicting the outcome of ......
New Approach To Deal With Aggressive Childhood Cancer!
Scientist from University of Wurzburg have provided a new insight to develop new treatments for ......
Health Insurance - India
Health insurance has emerged as one of the fastest growing segments in the non-life insurance indust...
Neuroblastoma
Neuroblastoma is a very rare type of childhood cancer that develops in immature nerve cells [neurobl...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use