Assessment of health-related quality of life among parents of children with solid tumors in Serbia
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ORIGINAL ARTICLE
Assessment of health-related quality of life among parents of children with solid tumors in Serbia Vesna Ilic 1 & Marina Nikitovic 1,2 & Gorica Maric 3 & Aleksa Jovanovic 3 & Lejla Paripovic 1 & Jelena Bokun 1 & Dragana Stanic 1,2 & Marija Popovic Vukovic 1 & Darija Kisic Tepavcevic 3 & Tatjana Pekmezovic 3 Received: 8 May 2019 / Accepted: 4 February 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The aim of the study was to assess health-related quality of life (HRQoL) and contributing factors among parents of children with solid tumors in Serbia. Methods The cross-sectional study included 51 parents of children treated for different solid tumors at the Institute of Oncology and Radiology of Serbia. Parents filled out validated Serbian version of SF-36 questionnaire. Hierarchical multiple regression analysis was conducted to identify predictors of total score of SF-36. Results Almost all parents (94.1%) were mothers and average age was 38.6 ± 6.7 years. Majority of children had brain tumors (43.1%), followed by bone tumors (37.3%). The hierarchical regression analysis showed that socio-demographic characteristics explained 26% of the variance (p > 0.05) of the total score of SF-36. Addition of quality of life of children assessed by parents in the second model caused an increase of 21% in the variance explained (p < 0.05). After adding the Beck Depression Inventory score in the third block, an additional 18% of the variance in total score was explained (p < 0.05). Conclusions This study showed that HRQoL measured by SF-36 in parents of children with cancer is strongly influenced by depression and quality of life of children assessed by parents. Keywords Health-related quality of life . Childhood cancer . Parents . Hierarchical regression analysis
Introduction Childhood malignant tumors are very rare compared with adult population. According to the latest data from World Health Organization (WHO), cancer incidence rate among children aged 0–14 is 140.6 per million person-years and 155.8 per million person-years in children aged 0–19 [1]. However, parents of children experiencing malignant disease are faced with numerous problems arising from high demands of caring for their child. This in turn may substantially expose them to considerable stress, which has implications for their health-related quality of life (HRQoL).
* Tatjana Pekmezovic [email protected] 1
Institute of Oncology and Radiology of Serbia, Belgrade, Serbia
2
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
3
Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Visegradska 26A, Belgrade 11000, Serbia
Problems affecting parents during oncologic treatment of their children differ with the type of cancer as well as with the age of children. The most common malignant solid tumors in childhood are central nervous system tumors, followed by bone tumors (osteosarcoma and Ewing’s sarcoma) and soft tissue sarcomas. Duration of primary oncologic treatment differs
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