Educational attainment among long-term survivors of cancer in childhood and adolescence: a Norwegian population-based cohort study
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The number of young cancer survivors has increased over the past few decades due to improvement in treatment regimens, and understanding of long-term effects among the survivors has become even more important. Educational achievements and choice of educational fields were explored here.
Five-year cancer survivors born in Norway during 1965–1985 (diagnosed <19 years) were included in our analysis by linking Norwegian population-based registries. Cox regression was applied to study the educational attainment among survivors of central nervous system (CNS) tumours, those assumed to have received CNS-directed therapy, and other cancer survivors relative to the cancer-free population. Logistic regression was used to compare the choice of educational fields between the cancer survivors at undergraduate and graduate level and the cancer-free population.
Overall, a lower proportion of the cancer survivors completed intermediate (67 vs. 70 %), undergraduate (31 vs. 35 %) and graduate education (7 vs. 9 %) compared with the cancer-free population. Deficits in completion of an educational level were mainly observed among survivors of CNS-tumours and those assumed to have received CNS-directed therapy. Choices of educational fields among cancer survivors were in general similar with the cancer-free population at both undergraduate and graduate levels.
Survivors of CNS-tumours and those assumed to have received CNS-directed therapy were at increased risk for educational impairments compared with the cancer-free population. Choices of educational fields were in general similar.
Implications for Cancer Survivors
Careful follow-up of the survivors of CNS-tumours and those assumed to have received CNS-directed therapy is important at each level of education.
KeywordsFive-year cancer survivors Educational achievements Children Adolescents Childhood cancer Norway
This study was supported by the Norwegian Cancer Society.
Conflict of interest
The authors declare no conflict of interest.
- 1.Ghaderi S, Lie RT, Moster D, Ruud E, Syse A, Wesenberg F, et al. Cancer in childhood, adolescence, and young adults: a population-based study of changes in risk of cancer death during four decades in Norway. Cancer Causes Control. 2012;23(8):1297–305. doi: 10.1007/s10552-012-0007-x.PubMedCrossRefGoogle Scholar
- 2.Ghaderi S, Engeland A, Moster D, Ruud E, Syse A, Wesenberg F, et al. Increased uptake of social security benefits among long-term survivors of cancer in childhood, adolescence and young adulthood: a Norwegian population-based cohort study. Br J Cancer. 2013. doi: 10.1038/bjc.2013.107.PubMedPubMedCentralGoogle Scholar
- 8.Lorenzi M, McMillan AJ, Siegel LS, Zumbo BD, Glickman V, Spinelli JJ, et al. Educational outcomes among survivors of childhood cancer in British Columbia, Canada: report of the Childhood/Adolescent/Young Adult Cancer Survivors (CAYACS) Program. Cancer. 2009;115(10):2234–45. doi: 10.1002/cncr.24267.PubMedCrossRefGoogle Scholar
- 11.Lahteenmaki PM, Harila-Saari A, Pukkala EI, Kyyronen P, Salmi TT, Sankila R. Scholastic achievements of children with brain tumors at the end of comprehensive education: a nationwide, register-based study. Neurology. 2007;69(3):296–305. doi: 10.1212/01.wnl.0000265816.44697.b4.PubMedCrossRefGoogle Scholar
- 14.Norway CRo. Cancer incidence, mortality, survival and prevalence in Norway. 2011. http://www.kreftregisteretno/no/Generelt/Nyheter/Cancer-in-Norway-2010/. Accessed 7 March 2013.
- 15.Hammer H. The central population registry in medical research. TidsskrNor Laegeforen. 2002;122(26):2550.Google Scholar
- 16.Norway S. Individually based education. 2013. http://www.ssb.no/english/subjects/04/90/nos_d361_en/. Accessed 7 March 2013.
- 17.Molven O, Ferkis J. Healthcare, welfare and law. Health legislation as a mirror of the Norwegian welfare state. 2011.Google Scholar
- 24.Gustafsson G, Schmiegelow K, Forestier E, Clausen N, Glomstein A, Jonmundsson G, et al. Improving outcome through two decades in childhood ALL in the Nordic countries: the impact of high-dose methotrexate in the reduction of CNS irradiation. Nordic Society of Pediatric Haematology and Oncology (NOPHO). Leukemia. 2000;14(12):2267–75.PubMedCrossRefGoogle Scholar
- 26.Research NMoEa. European Agency for Development in Special Needs Education. 2012. http://www.european-agencyorg/country-information/norway/norwegian-files/Gen_Education_in_Norway.pdf.