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Assessment of physical function in children with cancer: A systematic review

Sarah L Grimshaw1,2, Nicholas F Taylor1, Francoise Mechinaud2

  • 1School of Allied Health, La Trobe University, Melbourne, Victoria, Australia.

Pediatric Blood & Cancer
|August 11, 2018
PubMed

Insights

Selecting the right physical function assessment tools for children with cancer is crucial. Current evidence is limited, with no single tool consistently recommended due to poor study quality.

Area of Science:

  • Pediatric Oncology
  • Rehabilitation Medicine
  • Clinical Measurement

Background:

  • Monitoring physical function in pediatric cancer patients during and after treatment is vital.
  • Robust assessment tools are necessary for accurate evaluation.
  • This review focuses on physical function measures for children with cancer.

Purpose of the Study:

  • To systematically identify and critically appraise measurement properties of physical function measures used in children with cancer.
  • To evaluate the evidence supporting the use of these measures in this specific population.
  • To guide the selection of appropriate assessment tools.

Main Methods:

  • Conducted systematic searches across seven electronic databases.
  • Identified 101 physical function measures from 154 studies.
  • Critically appraised methodological quality and measurement properties using the COSMIN framework.

Main Results:

  • Data on measurement properties were available for only 12 measures.
  • Only two measures were assessed in more than one study.
  • No assessment tool demonstrated consistent, adequate evidence for use in childhood cancer populations, often due to poor study quality.

Conclusions:

  • Limited population-specific evidence exists to guide the selection of physical function measures for children with cancer.
  • Further research is needed to establish the reliability, validity, and responsiveness of these measures.
  • Improved assessment tools are essential for effective clinical management.
Abstract

Keywords:
activities of daily livingcanceroutcome assessmentpaediatricphysical fitnesspsychometric properties

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