Solid Tumor in Children
Conditions
Brief summary
The survival rate of children with cancer has improved significantly in recent years thanks to the progress of different therapies. The neurocognitive sequelae related to treatments and illness are more or less well known. Four factors seem to be associated with neurocognitive sequelae: treatment, the tumor itself, environmental factors like the socio-economic status of parents and biological factors. Main purpose of the study is to establish a score to assess the risk of neurocognitive sequelae in these children based on these factors (treatment, tumor, and environmental factors)
Interventions
The WISC-V (Weschler, 2016) which is measured with several indices: Verbal Comprehension Index (VCI), Visual Spatial Index (VSI), Working Memory Index (WMI), Fluid Reasoning Index (FRI), Processing Speed Index (PSI), and Full Scale IS (FSIQ).
The NEPSY-II (Korkman et al., 2012). The Narrative Memory subtest is designed to assess verbal memory using organised language material.
The Child Executive Function Evaluation Battery CEF (Roy et al., 2021), which aims to evaluate the four main components of executive function (inhibition, working memory, flexibility and planning).
The CONNERS 3 long version (Conners, 2008), which assesses attentional skills by means of a questionnaire to be completed by parents.
The 'BRIEF' (Gioia et al., 2013; parent version, teacher version), which is a behavioural evaluation inventory of executive functions completed by parents and teachers and which makes it possible to determine whether the child has, for example, difficulties with organisation, planning or behavioural regulation.
The PEDS-QL quality of life (Tessier et al., 2009) that will be completed by the parents and the patient concerns the day to- day functioning of the child (in school, relationships to others, physical abilities and emotional state).
The 'fatigue' version of the PEDS-QL (Tessier et al., 2009: parent and child-adolescent version for the brain tumour cohort) which assesses fatigue in everyday life.
The Family Functioning Inventory FAD (Speranza et al., 2006) is used to assess the family functioning of the child and his/her family. The short version is used as an indicator of general functioning.
The 'fatigue' version of the PEDS-QL (Tessier et al., 2009: child version for the extra-cerebral tumour cohort) which assesses fatigue in everyday life.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient aged 6 to 16 years and 11 months during the study period * Type of pathology: solid tumor * Place of treatment and follow-up: Gustave Roussy * Minimum time from the end of the initial treatment: * For patients who have not received treatment with methotrexate: 6 months * For patients being treated with methotrexate: none * Obtaining the non-opposition of parents / legal representatives * Affiliation to a social security scheme.
Exclusion criteria
* Patients with other pathologies associated with mental retardation (autism, genetic syndrome ...) * Patients lost to follow-up * Deceased patients * Patients treated for a pathology whose prognosis is involved in the very short term (infiltrating glioma of the brainstem, recurrence of the pathology during treatment) * Non-French speaking patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Descriptive analysis of possible neurocognitive deficits according to the pathology and treatments received. | Up to 60 months |
| Univariate analysis to identify risk factors related to cognitive disorders. | Up to 60 months |
| Multiple regression analysis to determine the most significant risk factors and examine the interactions between these factors. | Up to 60 months |
Countries
France