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- Title
Marriage and fertility in long-term survivors of childhood, adolescent and young adult (AYA) high-grade sarcoma.
- Authors
Yonemoto, Tsukasa; Takahashi, Miyako; Maru, Mitsue; Tomioka, Akiko; Saito, Masahiro; Araki, Yuko; Tazaki, Makiko; Tsuchiya, Miyako; Iwata, Shintaro; Kamoda, Hiroto; Ishii, Takeshi
- Abstract
Purpose: We investigated the marital status and the presence or absence of children in survivors of childhood, adolescent and young adult (AYA) high-grade sarcoma and examined the influence of these factors on the quality of life (QOL) of these survivors. Methods: Thirty-eight survivors of childhood and AYA high-grade sarcoma (18 males, 20 females) participated in a questionnaire survey on marital status and presence or absence of children, as well as on the health-related QOL (HR-QOL), using the Short Form 36 Health Survey. Diagnoses among these survivors were osteosarcoma (28 participants), Ewing's sarcoma (4 participants), synovial sarcoma (4 participants) and others (2 participants). Results: Of the 18 males who participated in the survey, eight (44.4 %) were married, of whom five (62.5 %) had children. Fifteen (75.0 %) of the 20 females were married, of whom 14 (93.3 %) had children. The proportions of surviving male patients who were married and who had children, respectively, were lower than those of surviving female patients. The proportion of ifosfamide-treated men with children was significantly lower than that of non-ifosfamide-treated men ( p = 0.018). With respect to the relationship between marital status and HR-QOL, the scores for the vitality and mental health domains of the SF-36 of survivors who were married were significantly higher than those of unmarried survivors. Conclusions: The results of our questionnaire survey reveal that among the male survivors of high-grade sarcoma, the proportions of those who were married and of those with children were lower than those of female survivors, suggesting that strategies providing support for marriage and child-rearing may be necessary for the male survivor group. In the married group, mental QOL was high.
- Subjects
CANCER treatment; SARCOMA; HUMAN fertility; TUMOR grading; MARITAL status; QUALITY of life; HEALTH surveys
- Publication
International Journal of Clinical Oncology, 2016, Vol 21, Issue 4, p801
- ISSN
1341-9625
- Publication type
Article
- DOI
10.1007/s10147-016-0948-2