Evaluation of the functional capacity and quality of life of children and adolescents during and after cancer treatment.

Autor: Kuhn B; Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil., Moussalle LD; Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil., Lukrafka JL; Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil., Penna GB; Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil., Soares Júnior AO; Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2021 Sep 01; Vol. 40, pp. e2020127. Date of Electronic Publication: 2021 Sep 01 (Print Publication: 2021).
DOI: 10.1590/1984-0462/2022/40/2020127
Abstrakt: Objective: To evaluate the functional capacity and quality of life of children and adolescents during cancer treatment and post-treatment.
Methods: Cross-sectional study of patients during cancer treatment and post-treatment, assessed by the 6-minute walk test (6MWT) and the Pediatric Quality of Life ™ questionnaire (cancer module).
Results: Sixty-five patients, aged 11.2±3.5 years, mostly males (50.8%) and white (90.8%), with high incidence of hematological cancers (81.5%) participated in the study. The performance in the 6MWT was 23.1% inferior comparing the mean predicted and achieved (584.3±5 and 447.7±78.6 m, respectively). The percentage difference between the predicted and achieved 6MWT, and the different phases of cancer treatment were significantly different between patients in treatment (73.7±12.8) and post-treatment (84.5±9.1). When grouped by the different diagnoses, it was possible to observe that the distance covered by the patients with leukemia showed results closer to that predicted (80.7±11.7). Regarding the health-related quality of life questionnaire (HRQL), the child's perception (78.0±14.56) was better than that reported by their parents (72.4±17.74). However, when we compared HRQL with the 6MWT, there was no association between them (p=0.597).
Conclusions: Children and adolescents undergoing cancer treatment or post-treatment showed a 23% deficit in functional capacity. In relation to HRQL results, children's perception was higher than that of their parents.
Databáze: MEDLINE
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