Back Pain Among Long-term Survivors of Childhood Leukemia

Autor: Lynn Gargan, Angela M Orlino, Cindy J. Cochran, Beverly Kleiber, Alan C Farrow-Gillespie, Daniel C. Bowers, Aleksandra A. Foxwell, Terri Griffith, Julie N. Germann
Rok vydání: 2012
Předmět:
Zdroj: Journal of Pediatric Hematology/Oncology. 34:624-629
ISSN: 1077-4114
DOI: 10.1097/mph.0b013e31827080de
Popis: Background The objectives of this study are to determine the prevalence and relative risk (RR) of back pain and identify possible mechanisms of back pain among childhood acute lymphoblastic leukemia (ALL) survivors. Methods Surveys were mailed to 5 + -year survivors of childhood ALL aged 13 to 25 years. Survivors' siblings were also invited to participate in the study. Prevalence of back pain and hip pain among ALL survivors was determined and compared with siblings. Sex, treatment with radiation therapy, obesity, and physical activity were examined for an association with back pain and hip pain. Results Forty-four of 99 (44.4%) ALL survivors reported back pain compared with 11 of 52 (21.2%) their siblings (P = 0.007; RR: 2.01; 95% confidence interval = 1.15-3.56). In contrast, 10 of 99 (10.1%) ALL survivors reported experiencing hip pain compared with 1 of 52 (2.0%) siblings experiencing hip pain [P = 0.07; RR: 4.95 (0.65 to 37.57)]. Twenty-six of 43 female survivors reported back pain compared with 18 of 56 male survivors who reported back pain (P = 0.005). Obesity, physical activity, and treatment with radiation therapy were not associated with back pain or hip pain. Conclusions This is the first study demonstrating an increased frequency of back pain among survivors of childhood ALL. Future studies are needed to better define the causes of back pain among childhood ALL survivors.
Databáze: OpenAIRE