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Lookup NU author(s): Professor Linda Sharp
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.Background: Advances in treatment mean that most children diagnosed with cancer during childhood survive. Therefore, it is increasingly important to examine the long-term consequences of childhood cancer, including educational attainment. This systematic review investigated whether the educational attainment of childhood cancer survivors differ from the cancer-free population. Design/methods: We searched seven databases for articles published from January 2005 to August 2018. We identified full papers in English, reporting primary data on academic attainment of adult survivors of childhood cancer, compared to a control group. Quality appraisal was conducted using the Newcastle-Ottawa Scale. Results: Fourteen studies met the inclusion criteria. Nine papers included patients with various types of cancers, four focused on a single type of cancer, and one on patients who underwent stem cell transplantation. Of the 14 papers, 2 studies were considered good quality, 10 were considered adequate quality, and 2 were considered poor quality. Four studies reported more favorable educational attainment among survivors while six did not report significant differences. Less favorable attainment was consistently reported for CNS survivors in four studies. Conclusion: The literature does not provide a clear pattern of the long-term consequences of childhood cancer on education attainment. While this may suggest that there is no consistent difference between the education attainment of cancer survivors and controls, it may also be the result of limitations in the existing research. To better assess the education attainment of survivors, there is a need for high-quality studies, with appropriate comparators, and standardized measures of education attainment across countries.
Author(s): Molcho M, D'Eath M, Alforque Thomas A, Sharp L
Publication type: Review
Publication status: Published
Journal: Cancer Medicine
Year: 2019
Volume: 8
Issue: 6
Pages: 3182-3195
Print publication date: 01/06/2019
Online publication date: 21/04/2019
Acceptance date: 26/03/2019
ISSN (electronic): 2045-7634
Publisher: Blackwell Publishing Ltd
URL: https://doi.org/10.1002/cam4.2154
DOI: 10.1002/cam4.2154
PubMed id: 31007000
