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- Title
Patient-Reported Outcomes of Accelerated Aging: A Novel Approach to Investigate Second Cancer Risk in Adolescent and Young Adult (18−39 Years) Cancer Survivors.
- Authors
Meer, Daniël J van der; Zevenbergen, Susan; Vlooswijk, Carla; Bijlsma, Rhodé M; Kaal, Suzanne E J; Kerst, Jan Martijn; Tromp, Jacqueline M; Bos, Monique E M M; van der Hulle, Tom; Lalisang, Roy I; Nuver, Janine; Kouwenhoven, Mathilde C M; Graaf, Winette T A van der; Husson, Olga
- Abstract
Background Adolescent and young adult cancer survivors (AYAs, aged 18-39 years at first diagnosis) have a higher second cancer risk. Accelerated aging is hypothesized as underlying mechanism and has been described clinically by 6 indicators; fatigue, low quality of sleep, low mood, lack of motivation, subjective memory complaints, and poor exercise tolerance. Using patient-reported outcomes, we aimed to identify clusters of accelerated aging among AYA cancer survivors and to investigate their association with second cancer development. Patients and Methods Patient, tumor, and treatment data were obtained from the Netherlands Cancer Registry. Patient-reported clinical indicators and second cancer data were obtained from the SURVivors (5-20 years) of cancer in AYAs (SURVAYA) questionnaire study between 1999 and 2015. Latent class and multivariable logistic regression analyses were performed. Results In total, n = 3734 AYA survivors with known second cancer status (n = 278 [7.4%] second cancers) were included. Four latent clusters were identified and named based on their clinical indicator features; (1) high accelerated aging (31.3%), (2) intermediate accelerated aging without poor exercise tolerance (15.1%), (3) intermediate accelerated aging without lack of motivation (27.4%), and (4) low accelerated aging (26.2%). AYAs in the high accelerated aging cluster were more likely to have second cancer (odds ratio: 1.6; 95% CI, 1.1-2.3) compared to the low accelerated aging cluster. Conclusion AYAs with a higher burden of accelerated aging were more likely to develop a second cancer. Validation of the clinical indicators and how to best capture them is needed to improve (early) detection of AYAs at high risk of developing second cancer.
- Subjects
TUMOR treatment; SELF-evaluation; RESEARCH funding; CANCER patients; DESCRIPTIVE statistics; SLEEP duration; AGING; EXERCISE tolerance; HEALTH outcome assessment; SOCIODEMOGRAPHIC factors; DATA analysis software; CONFIDENCE intervals; SECONDARY primary cancer; DISEASE complications
- Publication
Oncologist, 2024, Vol 29, Issue 4, pe526
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1093/oncolo/oyad307