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(Journal Article) |
Critical reviews in oncology/hematology 142: 94-118 (2019)
Is health status impaired in childhood cancer survivors? A systematic review and meta-analysis.
Javier S Morales
,
Pedro L Valenzuela
,
Cecilia Rincón-Castanedo
,
Alejandro Santos-Lozano
,
Carmen Fiuza-Luces
,
Alejandro Lucia
ABSTRACT
An increase in survival rates of childhood cancer is associated with long-term health issues in survivors.We conducted a systematic review and meta-analysis comparing health status-related endpoints in childhood cancer survivors (CCS) versus controls.Eighty-six studies (n = 98,480 participants, 62% CCS) were included in the review. Of these, 73 studies (n = 96,550, 63% CCS) could be meta-analyzed. CCS showed a lower left ventricular ejection and fractional shortening (SMD=-0.59 and -0.55, respectively, both p < 0.01 [n=1,824 and 1,880]), a lower HDL-cholesterol concentration (SMD=-0.48, p<0.001, n=1,378) and a higher waist-to-hip ratio (SMD=0.61, p < 0.01, n=229) than their healthy peers. No significant differences were found for the remaining endpoints.CCS is associated with a lower left ventricular function and HDL-cholesterol level, and a higher waist-to-hip ratio than healthy controls. These findings support the need to closely monitor the cardiometabolic health status of CCS and to implement preventive lifestyle interventions for this population.