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Title: Emotional and Behavioral Functioning After Conformal Radiation Therapy for Pediatric Ependymoma

Purpose: The standard of care for pediatric patients with ependymoma involves postoperative radiation therapy. Prior research suggests that conformal radiation therapy (CRT) is associated with relative sparing of cognitive and academic functioning, but little is known about the effect of CRT on emotional and behavioral functioning. Methods and Materials: A total of 113 patients with pediatric ependymoma underwent CRT using photons as part of their enrollment on an institutional trial. Patients completed annual evaluations of neurocognitive functioning during the first 5 years after CRT. Emotional and behavioral functioning was assessed via the Child Behavior Checklist. Results: Before CRT, emotional and behavioral functioning were commensurate with those of the normative population and within normal limits. After 5 years, means remained within normal limits but were significantly below the normative mean. Linear mixed models revealed a significant increase in attention problems over time. These problems were associated with age at diagnosis/CRT, tumor location, and extent of resection. A higher-than-expected incidence of school problems was present at all assessment points after baseline. Conclusions: The use of photon CRT for ependymoma is associated with relatively stable emotional and behavioral functioning during the first 5 years after treatment. The exception is an increase in attention problems. Results suggestmore » that intervening earlier in the survivorship period—during the first year posttreatment—may be beneficial.« less
Authors:
;  [1] ;  [2] ;  [3] ;  [4] ;  [5]
  1. Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee (United States)
  2. Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee (United States)
  3. (United States)
  4. Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee (United States)
  5. Division of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee (United States)
Publication Date:
OSTI Identifier:
22416489
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Radiation Oncology, Biology and Physics; Journal Volume: 88; Journal Issue: 4; Other Information: Copyright (c) 2014 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BEHAVIOR; CHILDREN; DIAGNOSIS; EVALUATION; NEOPLASMS; PATIENTS; PEDIATRICS; PHOTONS; RADIOTHERAPY