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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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The biopsychosocial condition of childhood cancer survivors in the transition towards adult care: a national survey from the joint pediatric and adult transition care group

Giulia Zucchetti
  • Corresponding author
  • Paediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, City of Science and Health of Turin, Regina Margherita Children’s Hospital, Turin, Italy
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Simona Bellini
  • Paediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, City of Science and Health of Turin, Regina Margherita Children’s Hospital, Turin, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Marina Bertolotti
  • Paediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, City of Science and Health of Turin, Regina Margherita Children’s Hospital, Turin, Italy
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  • De Gruyter OnlineGoogle Scholar
/ Eleonora Biasin
  • Paediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, City of Science and Health of Turin, Regina Margherita Children’s Hospital, Turin, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Enrico Brignardello
  • Transition Unit for Childhood Cancer Survivors, City of Science and Health of Turin, Turin, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Franca Fagioli
  • Paediatric Onco-Haematology, Stem Cell Transplantation and Cellular Therapy Division, City of Science and Health of Turin, Regina Margherita Children’s Hospital, Turin, Italy
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2018-12-18 | DOI: https://doi.org/10.1515/ijamh-2018-0189

Abstract

Background

To provide successful transfer from childhood to adult-oriented healthcare is one of the priorities of survivorship care plans.

Purpose

This study describes adolescent and young adult childhood cancer survivors’ conditions at the moment of the transition to adult care deepening their biological, psychological, social and assistant state and their associations with socio-demographic and clinical characteristics.

Methods

A biopsychosocial check-list in four health domains (biological, psychological, social and assistant) was filled in by healthcare professionals (oncologists, psychologists, social workers and nurses) through qualitative interviews and clinical observations of 79 survivors (58% boys; Mage = 20 years old) at the moment of the transition from the Pediatric Oncology Unit to the Transition Unit of the Childhood Cancer Survivors.

Results

At the moment of transition, 38% of survivors showed a positive condition in all the four health domains without any kind of impairment. Biological (37%) and psychological areas (44%) were found to be those with major incidence of impairments. Association phenomena were found between psychological and social condition (p < 0.05) and between social and assistant condition (p < 0.05). Biological condition was also significantly associated with the type of cancer (χ = 6,2414, p < 0.05).

Conclusion

Although many survivors entered in adult care system without any impairment, the biopsychosocial approach highlighted that there is a presence of impairments in at least one of the main health domains.

Keywords: biopsychosocial; childhood cancer survivors; psycho-oncology; transition

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About the article

Received: 2018-08-18

Accepted: 2018-10-04

Published Online: 2018-12-18


Compliance with ethical standards

Funding: None.

Conflict of interest statement: None.

Ethical approval: All procedures performed in the study involving human subjects were in accordance with the ethical standards of the institutional research committee (Prot. N° 0018330 A/2.4.8). This article does not contain any studies with animals performed by any of the authors.

Informed consent: Informed consent was obtained from all individuals participants included in the study.


Citation Information: International Journal of Adolescent Medicine and Health, 20180189, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0189.

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