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Title: Childhood cancer, age at diagnosis and educational attainment: A meta-analysis.
Austin Authors: Gummersall, Timothy;Skaczkowski, Gemma ;Wilson, Carlene J 
Affiliation: School of Psychology & Public Health, La Trobe University, Plenty Road & Kingsbury Drive, Bundoora, Victoria, 3086, Australia
Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jan-2020
Date: 2019-11-25
Publication information: Critical reviews in oncology/hematology 2020; 145: 102838
Abstract: Despite improved mortality rates, cognitive and academic difficulties are evident in some childhood cancer survivor groups. This meta-analysis aims to determine whether: 1) survivors have lower educational attainment than non-cancer controls; 2) educational attainment varies according to cancer type (CNS versus non-CNS); and 3) whether an early age of diagnosis confers greater disadvantage. A systematic search utilising the terms "neoplasms", "childhood", "educational attainment" and other related terms retrieved 2256 records from Embase, Medline and PsycINFO. Eleven studies satisfied the inclusion criteria. Survivors were less likely than controls to graduate from high school (OR = 0.74, 95 % CI: [0.60; 0.92]) or university (OR = 0.74, 95 % CI: [0.58; 0.94]). Although educational attainment in survivors of CNS cancer is reduced, non-CNS cancer survivors tend to attain similar educational status to controls. Additionally, there is some evidence that a diagnosis prior to adolescence may reduce the likelihood of high school, but not university, graduation.
DOI: 10.1016/j.critrevonc.2019.102838
ORCID: 0000-0002-1883-4690
Journal: Critical reviews in oncology/hematology
PubMed URL: 31786347
Type: Journal Article
Subjects: Adolescence
Educational attainment
Appears in Collections:Journal articles

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