» Articles » PMID: 38863912

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

Overview
Specialty Endocrinology
Date 2024 Jun 12
PMID 38863912
Authors
Affiliations
Soon will be listed here.
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.

References
1.
Yalcin B, Kremer L, van Dalen E . High-dose chemotherapy and autologous haematopoietic stem cell rescue for children with high-risk neuroblastoma. Cochrane Database Syst Rev. 2015; (10):CD006301. PMC: 8783746. DOI: 10.1002/14651858.CD006301.pub4. View

2.
Kumar M, Foster J, Sharan S, DeRibaupierre S, McKillop S, Kornecki A . Transient blindness as the primary symptom of acute hyponatremia post surgery. J Pediatr Intensive Care. 2019; 1(3):169-172. PMC: 6530693. DOI: 10.3233/PIC-2012-028. View

3.
Shaw S . Endocrine late effects in survivors of pediatric brain tumors. J Pediatr Oncol Nurs. 2009; 26(5):295-302. DOI: 10.1177/1043454209343180. View

4.
Clement S, Schouten-van Meeteren A, Kremer L, van Trotsenburg A, Caron H, van Santen H . High prevalence of early hypothalamic-pituitary damage in childhood brain tumor survivors: need for standardized follow-up programs. Pediatr Blood Cancer. 2014; 61(12):2285-9. DOI: 10.1002/pbc.25176. View

5.
Chemaitilly W, Li Z, Huang S, Ness K, Clark K, Green D . Anterior hypopituitarism in adult survivors of childhood cancers treated with cranial radiotherapy: a report from the St Jude Lifetime Cohort study. J Clin Oncol. 2015; 33(5):492-500. PMC: 4314596. DOI: 10.1200/JCO.2014.56.7933. View