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Educational attainment in survivors of childhood cancer in Denmark, Finland, and Sweden

Mogensen, Hanna ; Tettamanti, Giorgio ; Frederiksen, Line Elmerdahl ; Talbäck, Mats ; Härkonen, Juho ; Modig, Karin ; Pedersen, Camilla ; Krøyer, Anja ; Hirvonen, Elli and Kyrönlahti, Anniina , et al. (2023) In British Journal of Cancer
Abstract

Background: Survivors of childhood cancer may face difficulties at school. We investigated whether childhood cancer affects attainment of upper secondary education, in a register-based cohort study from Denmark, Finland, and Sweden, where we limit bias from selection and participation. Methods: From the national cancer registers, we identified all long-term survivors of childhood cancer diagnosed aged 0–14 years in 1971–2005 (n = 7629), compared them to matched population comparisons (n = 35,411) and siblings (n = 6114), using odds ratios (OR) and 95% confidence intervals (CI). Results: Overall, 6127 survivors (80%) had attained upper secondary education by age 25, compared to 84% among comparison groups. Elevated OR for not attaining... (More)

Background: Survivors of childhood cancer may face difficulties at school. We investigated whether childhood cancer affects attainment of upper secondary education, in a register-based cohort study from Denmark, Finland, and Sweden, where we limit bias from selection and participation. Methods: From the national cancer registers, we identified all long-term survivors of childhood cancer diagnosed aged 0–14 years in 1971–2005 (n = 7629), compared them to matched population comparisons (n = 35,411) and siblings (n = 6114), using odds ratios (OR) and 95% confidence intervals (CI). Results: Overall, 6127 survivors (80%) had attained upper secondary education by age 25, compared to 84% among comparison groups. Elevated OR for not attaining this level were mainly confined to survivors of central nervous system (CNS) tumours (ORSurv_PopComp2.05, 95%CI: 1.83–2.29). Other risk groups were survivors who had spent more time in hospital around cancer diagnosis and those who had hospital contacts in early adulthood, particularly psychiatric. Survivors of all cancer types were less likely to have attained upper secondary education without delay. Conclusions: Although survivors of childhood cancer experienced delays in their education, many had caught up by age 25. Except for survivors of CNS tumours, survivors attained upper secondary education to almost the same extent as their peers.

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publication status
epub
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British Journal of Cancer
publisher
Nature Publishing Group
external identifiers
  • pmid:37993542
  • scopus:85177547921
ISSN
0007-0920
DOI
10.1038/s41416-023-02499-1
language
English
LU publication?
yes
additional info
Funding Information: This work was supported by NordForsk under grant 76111, and the Swedish Childhood Cancer Foundation under grant PR2020-0130 and PR2022-0155. The funding sources had no role in the design of the study, collection, analysis, and interpretation of the data, writing of the manuscript, or the decision to submit the manuscript for publication. Open access funding provided by Karolinska Institute. Publisher Copyright: © 2023, The Author(s).
id
3c3197f5-9aa6-46e7-a6be-54f5f7d4efea
date added to LUP
2024-01-10 11:16:10
date last changed
2024-04-25 07:12:30
@article{3c3197f5-9aa6-46e7-a6be-54f5f7d4efea,
  abstract     = {{<p>Background: Survivors of childhood cancer may face difficulties at school. We investigated whether childhood cancer affects attainment of upper secondary education, in a register-based cohort study from Denmark, Finland, and Sweden, where we limit bias from selection and participation. Methods: From the national cancer registers, we identified all long-term survivors of childhood cancer diagnosed aged 0–14 years in 1971–2005 (n = 7629), compared them to matched population comparisons (n = 35,411) and siblings (n = 6114), using odds ratios (OR) and 95% confidence intervals (CI). Results: Overall, 6127 survivors (80%) had attained upper secondary education by age 25, compared to 84% among comparison groups. Elevated OR for not attaining this level were mainly confined to survivors of central nervous system (CNS) tumours (OR<sub>Surv_PopComp</sub>2.05, 95%CI: 1.83–2.29). Other risk groups were survivors who had spent more time in hospital around cancer diagnosis and those who had hospital contacts in early adulthood, particularly psychiatric. Survivors of all cancer types were less likely to have attained upper secondary education without delay. Conclusions: Although survivors of childhood cancer experienced delays in their education, many had caught up by age 25. Except for survivors of CNS tumours, survivors attained upper secondary education to almost the same extent as their peers.</p>}},
  author       = {{Mogensen, Hanna and Tettamanti, Giorgio and Frederiksen, Line Elmerdahl and Talbäck, Mats and Härkonen, Juho and Modig, Karin and Pedersen, Camilla and Krøyer, Anja and Hirvonen, Elli and Kyrönlahti, Anniina and Heyman, Mats and Holmqvist, Anna Sällfors and Hasle, Henrik and Madanat-Harjuoja, Laura and Malila, Nea and Winther, Jeanette Falck and Erdmann, Friederike and Feychting, Maria}},
  issn         = {{0007-0920}},
  language     = {{eng}},
  publisher    = {{Nature Publishing Group}},
  series       = {{British Journal of Cancer}},
  title        = {{Educational attainment in survivors of childhood cancer in Denmark, Finland, and Sweden}},
  url          = {{http://dx.doi.org/10.1038/s41416-023-02499-1}},
  doi          = {{10.1038/s41416-023-02499-1}},
  year         = {{2023}},
}