• Medicina clinica · Mar 2019

    Quality of life and chronic health conditions in childhood acute leukaemia survivors.

    • Elena Guadalupe Corella Aznar, Ariadna Ayerza Casas, Ana Carboné Bañeres, María Ángeles Carlota Calvo Escribano, José Ignacio Labarta Aizpún, and Pilar Samper Villagrasa.
    • Cardiología Pediátrica, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: elena_corella88@hotmail.com.
    • Med Clin (Barc). 2019 Mar 1; 152 (5): 167-173.

    BackgroundSurvival of childhood acute lymphoblastic leukaemia involves an increasing risk of long-term morbidities. Due to the impact of cancer treatment and comorbidities, AL survivors may experience a decrease in their health-related quality of life.ObjectiveWe aimed to describe the long-term comorbidities, related quality of life and their development predictors in these survivors.Methodscross-sectional study of 54 survivors aged ≥18 and who have a survival rate of more than 10 years. Quality of life was assessed by personal interview using SF-36 questionnaire.Results53.7% of AL survivors developed more than one comorbidity (24.7% hypothyroidism; 20.3% obesity; 14.8% metabolic syndrome; 18.5% subclinical cardiac dysfunction); 20.3% of them were severe. 73.3% of high-risk leukaemias and 66.6% of patients treated with radiotherapy or stem cells transplantation reported long-term comorbidity, P<.05. Global quality of live score was: 86.3 (14) (classified as very good). Patients with high-risk acute leukaemia (83.2 vs. 89.5), severe long-term comorbidities (80.4 vs. 89.7) and females (81.8 vs. 89.9), reported worse quality of life, P<.05. Physical summary score was worse in: obese (80 vs. 92) and hypothyroid (84.9 vs. 92.4) and radiotherapy-treated survivors (82.3 vs. 87.5); mental summary was worse in survivors with hypogonadism (68.2 vs. 86.3) and trasplanted patients (77.2 vs. 83.1), P<.05.ConclusionsAcute leukaemia survivors reported an increase prevalence of chronic comorbidities, related to cancer-treatment. Despite a decrease in scores for certain physical or mental items, global quality of life was very good in all acute leukaemia survivors, even better than compared with the general population.Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

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