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Impact of COVID‐19 pandemic on a large cohort of adult survivors of childhood cancer
Author(s) -
Krull Kevin R.,
McDonald Aaron,
Goodman Pamela,
Vukadinovich Christopher,
Ford James,
Leisenring Wendy M.,
Chow Eric J.,
Robison Leslie L.,
Armstrong Gregory T.
Publication year - 2021
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.29324
Subject(s) - medicine , psychosocial , pandemic , cohort , covid-19 , social isolation , disease , childhood cancer , survivorship curve , pediatrics , cancer , psychiatry , infectious disease (medical specialty)
Childhood cancersurvivors may be differentially impacted by coronavirus disease 2019 (COVID‐19). From April to June of 2020, we examined psychosocial/health concerns in 4148 adult survivors and 571 siblings. Although more survivors reported concerns about getting sick ( p  = .002) and needing hospitalization ( p  = .003) in general, survivors and siblings were comparably concerned about being infected with and the consequences of COVID‐19. Cranial radiation was associated with social isolation (relative risk [RR] = 1.3, CI = 1.1–1.7), and central nervous system (CNS) tumors were associated with unemployment due to COVID‐19 (RR = 1.7, CI = 1.2–2.2). Some survivors appear more vulnerable and may require more support to meet health care and vocational needs during COVID‐19, though siblings also perceive substantial risk.

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