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Pediatr Blood Cancer. 2018 Jan;65(1). doi: 10.1002/pbc.26743. Epub 2017 Sep 20.

Household material hardship in families of children post-chemotherapy.

Bilodeau M1,2,3, Ma C1,2,4, Al-Sayegh H1,2, Wolfe J1,2,3,4, Bona K1,2,3,4.

Author information

1
Department of Medicine, Boston Children's Hospital, Boston, Massachusetts.
2
Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
3
Division of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.
4
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Abstract

Poverty is an important patient-reported outcome of therapy and a potential predictor of outcome disparities in pediatric cancer. We previously identified that nearly 30% of pediatric cancer families experience household material hardship (HMH), a concrete measure of poverty including food, energy, or housing insecurity, during the first 6 months of chemotherapy. We conducted a follow-up survey in a subcohort of these families at least 1 year off-therapy and found that 32% reported HMH in early survivorship. Persistently high concrete resource needs off-therapy may have significance for child health and quality of life, and thus represent targets for future investigation.

KEYWORDS:

outcomes; pediatric oncology; postchemotherapy; poverty; quality of life; survivorship

PMID:
28941160
PMCID:
PMC6042835
DOI:
10.1002/pbc.26743
[Indexed for MEDLINE]
Free PMC Article

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