癌症儿童和年轻人的教育成果:基于人口的队列研究的研究方案,使用来自英格兰的相关教育和医院数据
Selina Nath1, Tony Stone2, Joseph Lam2
1UCL Great Ormond Street Institute of Child Health, University College London, London, UK s.nath@ucl.ac.uk.
BMJ open
|November 25, 2025
概括
儿童癌症幸存者 (CCS) 面临教育挑战,但这项研究使用链接的健康和教育数据来比较他们的学业成绩与同龄人. 调查结果将为CCS的支持提供信息.
科学领域:
- 儿科瘤学 儿科瘤学
- 教育心理学教育心理学
- 公共卫生 公共卫生
背景情况:
- 儿童癌症幸存者 (CCS) 在治疗期间和治疗后经常面临教育中断.
- 关于CCS的长期教育表现的纵向数据有限.
- 了解这些教育成果对于改善CCS的支持和长期福祉至关重要.
研究的目的:
- 在中小学中,调查CCS和他们的非癌症同龄人之间的教育成果差异.
- 探索社会人口因素和诊断时的年龄对学业成绩的影响,特别是普通中学教育证书 (GCSE) 结果.
- 识别潜在的差异,并为教育支持提供有针对性的干预措施.
主要方法:
- 在英格兰使用链接数据 (ECHILD) 数据库的教育和儿童健康洞察力.
- 从1997年到2015年,分析了大量出生队列 (约1000万) 的相关健康和教育数据.
- 对关键阶段 (KS1,KS2,KS4) 的教育成绩进行比较,并考虑社会人口统计学变量和诊断时的年龄.
主要成果:
- 量化CCS和非癌症同行之间的关键阶段4 (GCSE) 绩效差异.
- 分析教育成绩,特殊教育需要和残疾 (SEND) 以及缺学率的趋势.
- 评估诊断时的年龄对学术轨迹的影响.
结论:
- 该研究将提供关于儿童癌症幸存者的教育表现的强有力的纵向证据.
- 结果将突出CCS可能需要额外的教育支持的特定领域.
- 结果将为决策者和医疗保健专业人员提供信息,以更好地支持儿童癌症幸存者的学术和未来前景.
相关概念视频
Cancer Survival Analysis
633
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
633
Comparing the Survival Analysis of Two or More Groups
541
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
541
Types of Records II: Educational and Administrative Records
986
Maintaining nurses' educational and administrative records in healthcare settings, including hospitals and nursing schools, is paramount. Here's a breakdown of the types of academic records mentioned:
986
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
2.4K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
2.4K
Kaplan-Meier Approach
541
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
541
Treatment Resistant Cancers
3.7K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K


