Physical late effects of treatment among survivors of childhood cancer in low- and middle-income countries: a systematic review.

Childhood cancer Late effects of cancer treatment Physical health Survivorship

Journal

Journal of cancer survivorship : research and practice
ISSN: 1932-2267
Titre abrégé: J Cancer Surviv
Pays: United States
ID NLM: 101307557

Informations de publication

Date de publication:
06 Jan 2024
Historique:
received: 11 09 2023
accepted: 18 12 2023
medline: 7 1 2024
pubmed: 7 1 2024
entrez: 6 1 2024
Statut: aheadofprint

Résumé

Physical late effects of treatment are well-documented among childhood cancer survivors in high-income countries, but whether prevalence and risk factors are comparable in low- and middle-income countries (LMICs) is unclear. We conducted a systematic review to assess physical late effect outcomes among childhood cancer survivors in LMICs. Five health sciences databases were searched from inception to November 2022 in all languages. We included observational studies conducted in LMICs that evaluated physical late effects of treatment in childhood cancer survivors. Mean or median cohort follow-up must have been ≥ 5 years from original cancer diagnosis. Sixteen full articles and five conference abstracts were included. Studies were conducted in lower-middle (n = 12, 57%) or upper-middle income (n = 9, 43%) countries; nearly half (n = 9, 43%) were conducted in India. Five cohorts (24%) were comprised entirely of 5-year survivors. Subsequent malignant neoplasms were reported in 0-11% of survivors (n = 10 studies). Hypothyroidism and metabolic syndrome prevalence ranged from 2-49% (n = 4 studies) and 4-17% (n = 5 studies), respectively. Gonadal dysfunction ranged from 3-47% (n = 4 studies). Cardiac dysfunction ranged from 1-16% (n = 3 studies). Late effects of the musculoskeletal and urinary systems were least investigated. Substantial knowledge gaps exist in LMIC childhood cancer survivorship. No low-income country data were found. In middle-income countries, late effects were defined and assessed variably and limited by selection bias and small sample sizes. Survivors in LMICs can experience physical late effects of treatment, though additionally systematically collected data from survivor cohorts are needed to fill knowledge gaps.

Identifiants

pubmed: 38183576
doi: 10.1007/s11764-023-01517-8
pii: 10.1007/s11764-023-01517-8
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Kevin A Wong (KA)

Faculty of Health Sciences, McMaster University, Hamilton, L8S 4K1, Canada.

Alexandra Moskalewicz (A)

The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada.

Paul C Nathan (PC)

The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada.

Sumit Gupta (S)

The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada.

Avram Denburg (A)

The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Canada. avram.denburg@sickkids.ca.

Classifications MeSH