Health-related quality of life of Brazilian children and adolescents with benign and malignant solid tumours: A prospective cohort study during the first year after hospital admission

Eur J Cancer Care (Engl). 2019 Sep;28(5):e13102. doi: 10.1111/ecc.13102. Epub 2019 Jun 11.

Abstract

Introduction: This study aims to assess the impact of paediatric benign and malignant solid tumours and its treatment on the health-related quality of life of children and adolescents who were followed up in a Reference Center in Pediatric Oncology in Rio de Janeiro.

Methods: It is a prospective cohort study. Quality of life assessment was performed using the PedsQL™ 4.0 Generic Core Scales and PedsQL™ 3.0 Cancer Module protocols three times: during hospital admission (T1), 6 months after admission (T2) and 1 year after admission (T3).

Results: We evaluated 132 patients, 59 men and 73 women, aged 2-17 years. In PedsQL™4.0, the Emotional Functioning scale was the one with the worst scores, while the scores on the Social Functioning scale was the best. In PedsQL™ 3.0, the worst domains were Procedural Anxiety and Worry. Patients with malignant bone tumours had the worst health-related quality of life. The group who received only surgery had better results. Total scores of PedsQL™4.0 and PedsQL™ 3.0 improved between T1 and T3.

Conclusion: Children and adolescents with malignant and benign neoplasms undergo changes in quality of life as a result of the disease and treatment, but an improvement has been observed over time.

Keywords: adolescents; cancer; children; health-related quality of life.

MeSH terms

  • Adolescent
  • Bone Neoplasms / physiopathology
  • Bone Neoplasms / psychology
  • Bone Neoplasms / therapy
  • Brazil
  • Central Nervous System Neoplasms / physiopathology
  • Central Nervous System Neoplasms / psychology
  • Central Nervous System Neoplasms / therapy
  • Child
  • Child, Preschool
  • Cohort Studies
  • Emotions
  • Female
  • Humans
  • Kidney Neoplasms / physiopathology
  • Kidney Neoplasms / psychology
  • Kidney Neoplasms / therapy
  • Liver Neoplasms / physiopathology
  • Liver Neoplasms / psychology
  • Liver Neoplasms / therapy
  • Male
  • Mental Health*
  • Neoplasms / physiopathology*
  • Neoplasms / psychology
  • Neoplasms / therapy
  • Neoplasms, Germ Cell and Embryonal / physiopathology
  • Neoplasms, Germ Cell and Embryonal / psychology
  • Neoplasms, Germ Cell and Embryonal / therapy
  • Neuroblastoma / physiopathology
  • Neuroblastoma / psychology
  • Neuroblastoma / therapy
  • Parents
  • Prospective Studies
  • Quality of Life*
  • Retinoblastoma / physiopathology
  • Retinoblastoma / psychology
  • Retinoblastoma / therapy
  • Sarcoma / physiopathology
  • Sarcoma / psychology
  • Sarcoma / therapy
  • Schools
  • Social Participation*
  • Soft Tissue Neoplasms / physiopathology
  • Soft Tissue Neoplasms / psychology
  • Soft Tissue Neoplasms / therapy
  • Urogenital Neoplasms / physiopathology
  • Urogenital Neoplasms / psychology
  • Urogenital Neoplasms / therapy