Department of Paediatrics, Universiti Sains Malaysia Hospital.
Department of Biostatistics and Research Methodology, School of Medical Science, Universiti Sains Malaysia.
J ASEAN Fed Endocr Soc. 2024;39(1):12-17. doi: 10.15605/jafes.039.01.05. Epub 2023 Dec 22.
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.
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。
J ASEAN Fed Endocr Soc. 2024
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