Lönnerblad Malin, Van't Hooft Ingrid, Blomgren Klas, Berglund Eva
Department of Special Education, Stockholm University, Stockholm, Sweden.
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
BMJ Paediatr Open. 2020 Mar 15;4(1):e000619. doi: 10.1136/bmjpo-2019-000619. eCollection 2020.
Children treated for brain tumour (hereafter termed paediatric brain tumour survivors (PBTS)) often need extra support in school because of late-appearing side effects after their treatment. We explored how this group of children perform in the five practical and aesthetic (PRAEST) subjects: home and consumer studies, physical education and health, art, crafts and music.
In this nationwide population-based study of data from the Swedish Childhood Cancer Registry and Statistics Sweden, we included 475 children born between 1988 and 1996, diagnosed with a brain tumour before their 15th birthday. We compared their grades in PRAEST subjects with those of 2197 matched controls. We also investigated if there were any differences between girls and boys, children diagnosed at different ages, and children with high-grade or low-grade tumours.
The odds for failing a subject were two to three times higher for girls treated for a brain tumour compared with their controls in all five PRAEST subjects, whereas there were no significant differences between the boys and their controls in any subject. PBTS had lower average grades from year 9 in all PRAEST subjects, and girls differed from their controls in all five subjects, while boys differed in physical education and health and music. PBTS treated for high-grade tumours neither did have significantly different average grades nor did they fail a subject to a significantly higher extent than PBTS treated for low-grade tumours.
Children treated for a brain tumour, especially girls, are at risk of lower average grades or failing PRAEST subjects. All children treated for brain tumour may need extra support as these subjects are important for their well-being and future skills.
因脑肿瘤接受治疗的儿童（以下简称儿童脑肿瘤幸存者）由于治疗后出现的迟发性副作用，在学校往往需要额外的支持。我们探讨了这组儿童在五个实践与美学（PRAEST）科目中的表现：家庭与消费研究、体育与健康、艺术、手工艺和音乐。
在这项基于瑞典儿童癌症登记处和瑞典统计局数据的全国性人群研究中，我们纳入了1988年至1996年出生、15岁前被诊断为脑肿瘤的475名儿童。我们将他们在PRAEST科目的成绩与2197名匹配的对照组儿童的成绩进行了比较。我们还调查了女孩和男孩、不同年龄诊断出的儿童以及高级别或低级别肿瘤儿童之间是否存在差异。
在所有五个PRAEST科目中，接受脑肿瘤治疗的女孩不及格的几率是对照组女孩的两到三倍，而男孩和对照组男孩在任何科目中均无显著差异。儿童脑肿瘤幸存者在所有PRAEST科目中9年级的平均成绩较低，女孩在所有五个科目中与对照组存在差异，而男孩在体育与健康和音乐科目中存在差异。接受高级别肿瘤治疗的儿童脑肿瘤幸存者的平均成绩没有显著差异，不及格的程度也没有比接受低级别肿瘤治疗的儿童脑肿瘤幸存者显著更高。
因脑肿瘤接受治疗的儿童，尤其是女孩，有平均成绩较低或PRAEST科目不及格的风险。所有因脑肿瘤接受治疗的儿童可能都需要额外的支持，因为这些科目对他们的幸福和未来技能很重要。
