患有实体瘤和脑瘤的非常年幼儿童的发育和适应功能
Sequoya Fitzpatrick1,2, Lisa M Jacola1, Jennifer L Harman1
1Department of Psychology and Biobehavioral Sciences, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
Pediatric blood & cancer
|April 29, 2024
概括
患有固体瘤的婴儿和幼儿表现出与脑瘤患者相似的发育迟缓. 早期发育评估和干预对这些年轻的癌症患者至关重要.
科学领域:
- 儿科瘤学 儿科瘤学
- 发育儿科 发育儿科
- 儿童癌症研究 儿童癌症研究
背景情况:
- 婴儿和幼儿 (0-36个月) 是快速发育的关键时期.
- 接受癌症治疗的儿童接受发育评估.
- 有限的研究比较了患有脑瘤的婴儿/幼儿与非中枢神经系统固体瘤的发育结果.
研究的目的:
- 为了比较婴儿和幼儿治疗脑瘤的发育结果与实体瘤.
- 识别患有癌症的幼儿潜在的发育风险.
主要方法:
- 对婴儿/幼儿 (0-36个月) 进行脑瘤 (n=36) 或固体瘤 (n=40) 治疗的电子健康记录的回顾性审查.
- 使用Z分数与年龄预期相比,分析了发育评估数据.
- 奇方位和多变量差异分析被用来比较群体之间的发育结果.
主要成果:
- 婴儿/幼儿的整体群体表现出明显低于年龄预期的技能.
- 患有固体瘤的婴儿/幼儿在大多数发育领域的临床缺陷比预期的更高.
- 在大多数子试验中,脑瘤和实体瘤组之间的发育障碍率没有显著差异.
结论:
- 患有恶性固体瘤的婴儿和幼儿可能会增加发育迟缓的风险.
- 这种人群的发育功能需要进行纵向研究,以告知干预策略.
- 建议对患有癌症的幼儿进行早期发育评估,干预服务和持续监测.
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