Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Socioeconomic position and maintenance therapy in children with acute lymphoblastic leukemia: A national cohort study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Characteristics of white blood cell count in acute lymphoblastic leukemia: A COST LEGEND phenotype-genotype study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Clinical evidence for a biological effect of epigenetically active decitabine in relapsed or progressive rhabdoid tumors

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Anti-CD19 CAR T cells administration was feasible in a child with primary hepatitis B infection

    Publikation: Bidrag til tidsskriftLetterForskningpeer review

  1. The Inflammatory Response after Moderate Contusion Spinal Cord Injury: A Time Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Asparaginase encapsulated in erythrocytes as second-line treatment in hypersensitive patients with acute lymphoblastic leukaemia

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Characteristics of white blood cell count in acute lymphoblastic leukemia: A COST LEGEND phenotype-genotype study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: Socioeconomic differences in survival among children with acute lymphoblastic leukemia (ALL) have been reported in high-income countries and there is an unmet need for strategies to identify vulnerable patient subgroups. Reported differences in survival for children from families with different socioeconomic positions seem to arise when starting maintenance therapy. This could reflect reduced physician's compliance or family adherence to maintenance therapy.

METHODS: This nationwide cohort study with extensive monitoring of systemic methotrexate (MTX)/6-mercaptopurine (6MP) dosing and metabolite levels, retrospectively investigated 173 Danish children treated according to The Nordic Society for Pediatric Hematology and Oncology ALL2008 protocol from 2008 to 2016.

RESULTS: Significantly lower prescribed doses of MTX and 6MP were seen in the children in families with short parental education (short vs. medium vs. higher education: mMTX: 13.8, 16.2, and 18.6 mg/m2 /week; p < .01; m6MP: 47.4, 64.9, and 66.1 mg/m2 /day; p = .03) or parents unemployed/not in workforce (unemployed/not in workforce vs. mixed vs. at work: mMTX: 15.0, 19.9, and 17.2 mg/m2 /week; p < .01; m6MP: 54.8, 72.0, and 65.1 mg/m2 /day; p < .01). When assessing family adherence by analyzing MTX and 6MP metabolite levels, including per prescribed dose of MTX and 6MP, we found no significant differences by levels of parental education, affiliation to work market, or income (p > .05 for all comparisons).

CONCLUSIONS: These results indicate that inferior physician compliance to protocol recommendations on drug dosage rather than families' adherence to therapy may contribute to the association between socioeconomic position and cure rates in childhood ALL, although precise mechanisms remain to be explored.

OriginalsprogEngelsk
Artikelnummere29508
TidsskriftPediatric Blood & Cancer
Vol/bind69
Udgave nummer7
Sider (fra-til)e29508
ISSN1545-5009
DOI
StatusUdgivet - jul. 2022

Bibliografisk note

© 2021 Wiley Periodicals LLC.

ID: 78101533