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. 2019 Sep;28(5):e13116.
doi: 10.1111/ecc.13116. Epub 2019 Jun 11.

Paediatric surgery for childhood cancer: Lasting experiences and needs of children and parents

Mark G Gabriel  1   2 , Claire E Wakefield  1   2 , Janine Vetsch  1   2 , Jonathan S Karpelowsky  3   4   5 , Anne-Sophie E Darlington  6 , Richard J Cohn  1   2 , Christina Signorelli  1   2 ; ANZCHOG Survivorship Study Group
Collaborators, Affiliations

Paediatric surgery for childhood cancer: Lasting experiences and needs of children and parents

Mark G Gabriel et al. Eur J Cancer Care (Engl). 2019 Sep.

Abstract

Objective: Surgery for paediatric cancer presents many stresses on patients and families. The authors aimed to understand the long-term impact of childhood cancer surgery on survivors and parents.

Methods: The study recruited participants from 11 Australia/New Zealand hospitals for telephone interviews. The authors used descriptive statistics to analyse participants' quantitative distress ratings and conducted thematic analysis of shared surgical experiences and needs.

Results: Of 32 participants (n = 17 survivors, n = 15 parents), survivors' mean age at surgery was 6.9 (SD = 5.17) and parents' children were 2.1 years old (SD = 1.41) at time of surgery. Survivors had surgery on average 15.2 years ago (SD = 6.72) and parents' children 11.5 years ago (SD = 3.94). Parents and survivors rated surgery as highly distressing. Pre-operatively, survivors recalled experiencing fear and pain mainly associated with pre-operative procedures. Post-operatively, survivors reported immobility and some lasting behavioural disturbances. Parents described pre- and intra-operative anxiety and stress and some lasting post-operative psychological disturbances. Experiences appeared to improve with clear/consistent communication from hospital staff, proximity to hospital, and with support for parents and children post-operatively.

Conclusions: Surgical treatment for childhood cancer can have a lasting impact for survivors and parents. Better information provision may improve families' surgical experience whilst reducing anxiety, distress and physical discomfort.

Keywords: children; paediatric cancer; parents; psychosocial; surgery.

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References

REFERENCES

    1. Anderson, P. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychology, 8, 71-82.
    1. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101.
    1. Brewer, S., Gleditsch, S. L., Syblik, D., Tietjens, M. E., & Vacik, H. W. (2006). Pediatric Anxiety: Child Life Intervention in day surgery. Journal of Pediatric Nursing, 21, 13-22.
    1. Coffey, J. C., Wang, J., Smith, M., Bouchier-Hayes, D., Cotter, T., & Redmond, H. (2003). Excisional surgery for cancer cure: Therapy at a cost. The Lancet Oncology, 4, 760-768.
    1. Corman, H. H., Hornick, E. J., Kritchman, M., & Terestman, N. (1958). Emotional reactions of surgical patients to hospitalization, anesthesia and surgery. The American Journal of Surgery, 96, 646-653.

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