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Published in: Supportive Care in Cancer 10/2011

Open Access 01-10-2011 | Original Article

Explorative study on the aftercare of pediatric brain tumor survivors: a parents’ perspective

Authors: Eline J. Aukema, Bob F. Last, A. Y. Netteke Schouten-van Meeteren, Martha A. Grootenhuis

Published in: Supportive Care in Cancer | Issue 10/2011

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Abstract

Purpose

Whilst the need for aftercare for long-term sequelae of brain tumor survivors is well known and evident, information from a parent’s perspective is lacking on whether the need for aftercare is detected in time, and whether the aftercare is timely initiated and meets the needs for aftercare.

Methods

A survey regarding aftercare in five domains of long-term sequelae (neurocognitive, physical, emotional, social and parenting problems) was sent to 57 parents of survivors treated for a brain tumor in our center.

Results

Forty-two (74%) parents participated in this study. With a mean period of 8.1 years (SD = 3.9) since start of treatment, the majority of the survivors (mean age = 14.7 years, SD = 3.8) needed aftercare in several domains of functioning. This need was highest and most met for physical sequelae (N = 34), and lowest but still substantial and least met for parental difficulties (N = 11). Parents of survivors with surgery only as treatment reported a similar need for aftercare as those of survivors with adjuvant therapy. Most of the survivors received aftercare; however, substantial delay of aftercare and self-referral for aftercare were frequently reported. Furthermore, parents showed a lack of knowledge about and use of aftercare services.

Conclusions

Increased awareness for the need for psychosocial aftercare is required. Coaching, psycho-educative programs about coping with the long-term sequelae and information about available specialized aftercare services are required to meet the needs of brain tumor survivors and their parents more adequately.
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Metadata
Title
Explorative study on the aftercare of pediatric brain tumor survivors: a parents’ perspective
Authors
Eline J. Aukema
Bob F. Last
A. Y. Netteke Schouten-van Meeteren
Martha A. Grootenhuis
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 10/2011
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-0995-6

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