Back pain among long-term survivors of childhood leukemia

The objectives of this study are to determine the prevalence and relative risk (RR) of back pain and identify possible mechanisms of back pain among childhood acute lymphoblastic leukemia (ALL) survivors. Surveys were mailed to 5 + -year survivors of childhood ALL aged 13 to 25 years. Survivors'...

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Veröffentlicht in:Journal of pediatric hematology/oncology 2012-11, Vol.34 (8), p.624-629
Hauptverfasser: Bowers, Daniel C, Griffith, Terri, Gargan, Lynn, Cochran, Cindy J, Kleiber, Beverly, Foxwell, Aleksandra, Farrow-Gillespie, Alan, Orlino, Angela, Germann, Julie N
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container_end_page 629
container_issue 8
container_start_page 624
container_title Journal of pediatric hematology/oncology
container_volume 34
creator Bowers, Daniel C
Griffith, Terri
Gargan, Lynn
Cochran, Cindy J
Kleiber, Beverly
Foxwell, Aleksandra
Farrow-Gillespie, Alan
Orlino, Angela
Germann, Julie N
description The objectives of this study are to determine the prevalence and relative risk (RR) of back pain and identify possible mechanisms of back pain among childhood acute lymphoblastic leukemia (ALL) survivors. Surveys were mailed to 5 + -year survivors of childhood ALL aged 13 to 25 years. Survivors' siblings were also invited to participate in the study. Prevalence of back pain and hip pain among ALL survivors was determined and compared with siblings. Sex, treatment with radiation therapy, obesity, and physical activity were examined for an association with back pain and hip pain. Forty-four of 99 (44.4%) ALL survivors reported back pain compared with 11 of 52 (21.2%) their siblings (P = 0.007; RR: 2.01; 95% confidence interval = 1.15-3.56). In contrast, 10 of 99 (10.1%) ALL survivors reported experiencing hip pain compared with 1 of 52 (2.0%) siblings experiencing hip pain [P = 0.07; RR: 4.95 (0.65 to 37.57)]. Twenty-six of 43 female survivors reported back pain compared with 18 of 56 male survivors who reported back pain (P = 0.005). Obesity, physical activity, and treatment with radiation therapy were not associated with back pain or hip pain. This is the first study demonstrating an increased frequency of back pain among survivors of childhood ALL. Future studies are needed to better define the causes of back pain among childhood ALL survivors.
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Surveys were mailed to 5 + -year survivors of childhood ALL aged 13 to 25 years. Survivors' siblings were also invited to participate in the study. Prevalence of back pain and hip pain among ALL survivors was determined and compared with siblings. Sex, treatment with radiation therapy, obesity, and physical activity were examined for an association with back pain and hip pain. Forty-four of 99 (44.4%) ALL survivors reported back pain compared with 11 of 52 (21.2%) their siblings (P = 0.007; RR: 2.01; 95% confidence interval = 1.15-3.56). In contrast, 10 of 99 (10.1%) ALL survivors reported experiencing hip pain compared with 1 of 52 (2.0%) siblings experiencing hip pain [P = 0.07; RR: 4.95 (0.65 to 37.57)]. Twenty-six of 43 female survivors reported back pain compared with 18 of 56 male survivors who reported back pain (P = 0.005). Obesity, physical activity, and treatment with radiation therapy were not associated with back pain or hip pain. 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This is the first study demonstrating an increased frequency of back pain among survivors of childhood ALL. 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subjects Adolescent
Adult
Arthralgia - epidemiology
Back Injuries - epidemiology
Back Pain - epidemiology
Female
Health Surveys
Hip Joint
Humans
Male
Motor Activity
Obesity - epidemiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - therapy
Prevalence
Radiotherapy
Risk
Siblings
Spinal Puncture - adverse effects
Survivors
Young Adult
title Back pain among long-term survivors of childhood leukemia
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