Pediatric Cancer Clinical Trial
Official title:
SALTO -2 ( Long Term Monitoring In Oncology ) : Getting Long-term Management of Adult Children Cured of Childhood Cancer in Rhône-Alpes, Multicentric Study
Children cancers are rare and survival rate are around 75%. 1 French adult out of 850 is
estimated as a children-cancer-survivor. Chemotherapy, radiotherapy or surgical complications
can lead to a late risk of death. A regularly support, a therapeutic education, a support of
the psychological difficulties have a positive impact on the quality of life and on long-term
health for patients surviving to a cancer.
The ARCERRA exists, registering around 150 new cases a year. They coordinated, from 2011 to
2014, a multicentric study with a long term follow up in oncology (SALTO). 150 patients
diagnosed between 1987 and 1992 were included, and the study demonstrated the feasibility and
utility for patients and their physicians of a long-term follow-up coupled with an interview
with a psychologist in Rhône-Alpes-Auvergne.
The primary objective of SALTO-2 project is to know the becoming of young adults that
survived to pediatric cancer, diagnosed in Rhône-Alpes between 1993 and 1999. The second
objective is in one hand to study the psychological becoming and on another hand, to
ameliorate their lifestyle thanks to different documents created specially for them.
Children cancers are rare and survival rate are around 75%. 1 French adult out of 850 is
considered as a children-cancer-survivor. Chemotherapy, radiotherapy or surgical
complications can lead to a late risk of death estimated in literature at 14%. A regularly
support, a therapeutic education, a support of the psychological difficulties have a positive
impact on the quality of life and on long-term health for patients surviving to a cancer.
Many countries developed structures able to take care for a long term this kind of patients.
In France, such structures are going to be developed.
The register of cancers concerning children of Rhône-Alpes (ARCERRA) exists since 1987,
registering around 150 new cases a year. They coordinated, from 2011 to 2014, a multicentric
study with a long term follow up in oncology (SALTO). 150 patients diagnosed between 1987 and
1992 were included, and the study demonstrated the feasibility and utility for patients and
their physicians of a long-term follow-up coupled with an interview with a psychologist in
Rhône-Alpes-Auvergne.
The primary objective of SALTO-2 project is to know the becoming of young adults that
survived to pediatric cancer, diagnosed in Rhône-Alpes between 1993 and 1999. The second
objective is in one hand to study the psychological becoming and on another hand, to
ameliorate their lifestyle thanks to different documents created specially for them.
This is a prospective cohort study of patients surviving cancer (excluding leukemia)
diagnosed between 1993 and 1999 in the Rhône- Alpes region before age 15 years. A
questionnaire concerning their general situation and their professional life, their shape,
and their quality of life will be sent to them. A consultation with an oncologist and an
internist if possible will be planned. The two physicians will adapt the consultation
according to the SFCE (French society of struggle against cancers and leukemia of children
and teenagers) recommendations. They will give the two SFCE's documents.
After that, a consultation with a psychologist will be proposed, with a questionnaire MINI
evaluating psychological aspect.
Two years later, a new questionnaire will be delivered to the patients, to check the new
events during this period. It will be added to a satisfaction survey, allowing the measure of
documents' impact.
The results will allow the description of the long term impacts for these patients, to answer
their eventually questions.
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