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Questionnaire And Linkage-Based Outcomes in Dutch Childhood Cancer Survivors: Methodology of the Dccss Later Study Part 1
Late Effects of TreamentAllPublicationEU-CAYAS-NET

Questionnaire And Linkage-Based Outcomes in Dutch Childhood Cancer Survivors: Methodology of the Dccss Later Study Part 1

The Dutch Childhood Cancer Survivor Study LATER cohort (1963-2001) focuses on long-term health outcomes in childhood cancer survivors. It comprises 5-year survivors diagnosed before age 18 in seven pediatric oncology centers in the Netherlands. Data on diagnosis, treatment, and health outcomes were collected via questionnaires and medical registries. The cohort includes 6165 survivors with extensive data. The study aims to uncover risks and risk factors for adverse health outcomes, aiding risk stratification, surveillance guidelines, and intervention development. The data gathered will serve as a crucial foundation for future follow-up studies, providing valuable insights into the impact of childhood cancer on survivors' health in the long term.

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Childhood cancer survivors are at risk for developing long-term adverse health outcomes. To identify the risk of and risk factors for specific health outcomes, well-established cohorts are needed with detailed information on childhood cancer diagnosis, treatment, and health outcomes. We describe the design, methodology, characteristics, and data availability of the Dutch Childhood Cancer Survivor Study LATER cohort (1963-2001) part 1; questionnaire and linkage studies.

The LATER cohort includes 5-year childhood cancer survivors, diagnosed in the period 1963-2001, and before the age of 18 in any of the seven former pediatric oncology centers in the Netherlands. Information on health outcomes from survivors and invited siblings of survivors was collected by questionnaires and linkages to medical registries.

In total, 6165 survivors were included in the LATER cohort. Extensive data on diagnosis and treatment have been collected. Information on a variety of health outcomes has been ascertained by the LATER questionnaire study and linkages with several registries for subsequent tumors, health care use, and hospitalizations.

Conclusion: Research with data of the LATER cohort will provide new insights into risks of and risk factors for long-term health outcomes. This can enhance risk stratification for childhood cancer survivors and inform surveillance guidelines and development of interventions to prevent (the impact of) long-term adverse health outcomes. The data collected will be a solid baseline foundation for future follow-up studies.

This article provides informational support only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider for medical decisions.

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This content was created during the EU-CAYAS-NET project, co-funded under the EU4Health Programme in 2022-2025 (Grant Agreement No. 101056918).

Continue reading · Late Effects of TreamentOutcome Indicators Make Quality of Life After Pediatric Cancer MeasurableThe focus of childhood cancer treatment is to achieve a cure for all patients. With improving survival rates, the emphasis has shifted towards assessing long-term health outcomes as a measure of quality care. The International Childhood Cancer Outcome Project involved various stakeholders, including survivors, pediatric oncologists, medical, nursing, and paramedical care providers, as well as psychosocial and neurocognitive care providers. They collaborated to develop a set of core outcomes for different types of childhood cancers, allowing for outcome-based evaluation of childhood cancer care. Through surveys and online focus groups, unique candidate outcome lists were created for 17 types of childhood cancer. A two-round Delphi survey involving 435 healthcare providers from 68 institutions resulted in the selection of four to eight physical core outcomes and three aspects of quality of life per pediatric cancer subtype. These core outcomes, measured through various instruments, provide valuable information to patients, survivors, and healthcare providers, enabling assessment of institutional progress and comparisons with other facilities.

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