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儿童脑肿瘤幸存者的内分泌疾病:单中心研究。

Endocrine Disorders in Childhood Brain Tumour Survivors: A Single-Centre Study.

机构信息

Department of Paediatrics, Universiti Sains Malaysia Hospital.

Department of Biostatistics and Research Methodology, School of Medical Science, Universiti Sains Malaysia.

出版信息

J ASEAN Fed Endocr Soc. 2024;39(1):12-17. doi: 10.15605/jafes.039.01.05. Epub 2023 Dec 22.


DOI:10.15605/jafes.039.01.05
PMID:38863912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11166355/
Abstract

OBJECTIVE: The study aims to determine the prevalence and risk factors for endocrine disorders in childhood brain tumour survivors. METHODOLOGY: Included in the study were 124 childhood brain tumour survivors aged 18 years old or younger with either stable disease or in remission, and had survived for at least 2 years after diagnosis. Demographic data (age at diagnosis, gender, ethnicity, socioeconomic status), clinical clues for endocrine disorders, anthropometrics (weight, height, midparental height), pubertal staging, tumour-related characteristics, treatment modalities and endocrine laboratory measurements at diagnosis and during follow up were obtained. Logistic regression was applied to evaluate risk factors for endocrine disorders in childhood brain tumour survivors. RESULTS: The prevalence of endocrine disorders in childhood brain tumour survivors was 62.1%. The risk factors were high BMI [adjusted odds ratio (OR) 1.29, 95% CI: 1.12 to 1.5], high-risk site [adjusted odds ratio (OR) 7.15, 95% CI: 1.41 to 36.3] and chemotherapy [adjusted odds ratio (OR) 0.18, 95% CI: 0.05 to 0.62]. CONCLUSION: The prevalence of endocrine disorders in childhood brain tumour survivors in our centre was 62.1%. The significant risk factors were high BMI, tumour location (suprasellar and intrasellar) and chemotherapy.

摘要

目的:本研究旨在确定儿童脑肿瘤幸存者内分泌紊乱的患病率和危险因素。

方法:本研究纳入了 124 名年龄在 18 岁或以下的患有稳定疾病或缓解期的儿童脑肿瘤幸存者,且在诊断后至少存活 2 年。收集了人口统计学数据(诊断时的年龄、性别、种族、社会经济状况)、内分泌紊乱的临床线索、人体测量学(体重、身高、父母身高中位数)、青春期分期、肿瘤相关特征、治疗方式以及诊断时和随访期间的内分泌实验室测量值。应用逻辑回归评估儿童脑肿瘤幸存者发生内分泌紊乱的危险因素。

结果:儿童脑肿瘤幸存者中内分泌紊乱的患病率为 62.1%。危险因素包括高 BMI(调整后的优势比 [OR] 1.29,95%CI:1.12 至 1.5)、高危部位(鞍上和鞍内)和化疗(调整后的 OR 0.18,95%CI:0.05 至 0.62)。

结论:本中心儿童脑肿瘤幸存者内分泌紊乱的患病率为 62.1%。显著的危险因素包括高 BMI、肿瘤位置(鞍上和鞍内)和化疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/11166355/40176011129b/JAFES-39-1-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/11166355/40176011129b/JAFES-39-1-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74f1/11166355/40176011129b/JAFES-39-1-12-g001.jpg

相似文献

[1]
Endocrine Disorders in Childhood Brain Tumour Survivors: A Single-Centre Study.

J ASEAN Fed Endocr Soc. 2024

[2]
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[3]
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[4]
[Early endocrine complications in childhood cancer survivors].

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[5]
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Pediatr Blood Cancer. 2014-12

[6]
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J Endocrinol Invest. 2021-11

[7]
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Eur J Endocrinol. 2021-9-6

[8]
DIAGNOSING AND MONITORING ENDOCRINE DYSFUNCTION, DIABETES, AND OBESITY IN A COHORT OF ADULT SURVIVORS OF CHILDHOOD CANCER.

Endocr Pract. 2017-12

[9]
Endocrine Complications in Children and Adolescents With Non-Central Nervous System Solid Tumors.

Front Endocrinol (Lausanne). 2021

[10]
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Horm Res Paediatr. 2014

本文引用的文献

[1]
Growth Hormone Deficiency in Childhood Intracranial Germ Cell Tumor Survivors.

J Endocrinol Metab. 2022-6

[2]
New Developments in the Pathogenesis, Therapeutic Targeting, and Treatment of Pediatric Medulloblastoma.

Cancers (Basel). 2022-5-3

[3]
Prevalence and Risk Factors for Endocrine Disorders in Childhood Brain Tumors From a Single Tertiary Center in Malaysia.

J Pediatr Hematol Oncol. 2022-5-1

[4]
Growth hormone deficiency and other endocrinopathies after childhood brain tumors: results from a close follow-up in a cohort of 242 patients.

J Endocrinol Invest. 2021-11

[5]
Bidirectional gut-brain communication: A role for orexin-A.

Neurochem Int. 2020-12

[6]
The effects of hypogonadism on quality of life in survivors of germ cell tumors treated with surgery alone versus surgery plus platinum-based chemotherapy.

Support Care Cancer. 2019-11-9

[7]
Prevalence of Endocrine Disorders in Childhood Brain Tumor Survivors in South Korea.

In Vivo. 2019

[8]
Syndrome of inappropriate antidiuretic hormone secretion and Leser-Trélat syndrome as uncommon paraneoplastic manifestations of renal malignancy - a geriatric experience: a case report.

J Med Case Rep. 2019-6-21

[9]
Transient blindness as the primary symptom of acute hyponatremia post surgery.

J Pediatr Intensive Care. 2012-9

[10]
Adverse Health Outcomes in Relationship to Hypogonadism After Chemotherapy: A Multicenter Study of Testicular Cancer Survivors.

J Natl Compr Canc Netw. 2019-5-1

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