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Different subtypes of chronic fatigue in childhood cancer survivors: A DCCSS LATER study.

التفاصيل البيبلوغرافية
العنوان: Different subtypes of chronic fatigue in childhood cancer survivors: A DCCSS LATER study.
المؤلفون: Penson A; Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands., Walraven I; Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands., Bronkhorst E; Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands., Grootenhuis MA; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Maurice-Stam H; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Loo MVH; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Tissing WJE; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department of Pediatric Oncology/Hematology, Beatrix Children's Hospital/University of Groningen/University Medical Center Groningen, Groningen, The Netherlands., van der Pal HJH; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., de Vries ACH; Department of Pediatric Oncology, Erasmus Medical Center, Rotterdam, The Netherlands., Bresters D; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Ronckers CM; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Division of Childhood Cancer Epidemiology, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University, Mainz, Germany., van den Heuvel-Eibrink MM; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department of Pediatric Oncology, Erasmus Medical Center, Rotterdam, The Netherlands., Neggers S; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department of Medicine, section Endocrinology, Erasmus Medical Center, Rotterdam, The Netherlands., Versluys BAB; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Louwerens M; Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands., Pluijm SMF; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands., Blijlevens N; Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands., van Dulmen-den Broeder E; Department of Pediatric Oncology/Hematology, Amsterdam University Medical Center, Amsterdam, The Netherlands., Kremer LCM; Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.; Department Pediatric Oncology, Emma Children's Hospital, University of Amsterdam, Amsterdam, The Netherlands., Knoop H; Department of Medical Psychology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands., Loonen J; Center of Expertise for Cancer Survivorship, Department of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
مؤلفون مشاركون: Dutch LATER study group
المصدر: Pediatric blood & cancer [Pediatr Blood Cancer] 2024 Jun; Vol. 71 (6), pp. e30951. Date of Electronic Publication: 2024 Mar 31.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: John Wiley Country of Publication: United States NLM ID: 101186624 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1545-5017 (Electronic) Linking ISSN: 15455009 NLM ISO Abbreviation: Pediatr Blood Cancer Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hoboken, N.J. : John Wiley, c 2004-
مواضيع طبية MeSH: Cancer Survivors*/psychology , Neoplasms*/complications , Neoplasms*/psychology, Humans ; Male ; Female ; Child ; Adolescent ; Fatigue/etiology ; Adult ; Fatigue Syndrome, Chronic/psychology ; Fatigue Syndrome, Chronic/etiology ; Quality of Life ; Follow-Up Studies ; Young Adult ; Child, Preschool
مستخلص: Introduction: The aim of the current study was to investigate whether subtypes of chronic fatigue (CF) can be identified in childhood cancer survivors (CCS), and if so, to determine the characteristics of participants with a specific subtype.
Methods: Participants were included from the nationwide DCCSS LATER cohort. The Checklist Individual Strength (CIS) was completed to assess fatigue. Participants with CF (scored ≥35 on the fatigue severity subscale and indicated to suffer from fatigue for ≥6 months) were divided into subgroups using two-step cluster analysis based on the CIS concentration, motivation, and physical activity subscales. Differences between groups on demographics, psychosocial, lifestyle, and treatment-related variables were determined using ANOVA and chi-square analyses (univariable) and multinomial regression analysis (multivariable).
Results: A total of 1910 participants participated in the current study (n = 450 with CF; n = 1460 without CF). Three CF subgroups were identified: Subgroup 1 (n = 133, 29% of participants) had CF with problems in physical activity; Subgroup 2 (n = 111, 25% of participants) had CF with difficulty concentrating; and Subgroup 3 (n = 206, 46% of participants) had multi-dimensional CF. Compared to Subgroup 1, Subgroup 2 more often reported sleep problems, limitations in social functioning, and less often have more than two comorbidities. Subgroup 3 more often reported depression, sleep problems, a lower self-esteem, and limitations in social functioning and a lower educational level compared to Subgroup 1.
Conclusion: Different subgroups of CCS with CF can be identified based on fatigue dimensions physical activity, motivation and concentration. Results suggest that different intervention strategies, tailored for each subgroup, might be beneficial.
(© 2024 The Authors. Pediatric Blood & Cancer published by Wiley Periodicals LLC.)
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معلومات مُعتمدة: 171 DCOGLATER program Stichting Kinderen Kankervrij (KIKA) & ODAS; KUN 2014-6985 Dutch Cancer Society
فهرسة مساهمة: Keywords: childhood cancer survivors; chronic fatigue; fatigue severity; mental fatigue; physical fatigue; subgroup analyses
تواريخ الأحداث: Date Created: 20240401 Date Completed: 20240424 Latest Revision: 20240424
رمز التحديث: 20240425
DOI: 10.1002/pbc.30951
PMID: 38556733
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-5017
DOI:10.1002/pbc.30951