Function and disability profile in pediatric cancer outpatients
DOI:
https://doi.org/10.28957/rcmfr.328Keywords:
International Classification of Functioning, Disability and Health, Cancer, Rehabilitation, Child development, Evaluation of disabilityAbstract
Introduction. Childhood cancer, although it has a low prevalence, generates a high impact on the goals of
development and functionality expected for age, an impact thatcan be described using the nomenclature proposed bythe International Classification of Functioning, Disability and Health (ICF).
Objective. To describe the functioning and disability profiles of the patients under 18 years of age seen in the outpatient clinic of the Oncology Rehabilitation Service of the National Cancer Institute (Instituto Nacional de Cancerología) of Bogota (Colombia).
Methods. Retrospective cross-sectional observational study. Functionality and disability profiles were constructed using multiple correspondence analysis.
Results. A total of 127 medical records were included and analyzed in three age groups. In the group from 0 to 5 years of age (15.75%) there was a predominance of lymphoblastic leukemia (40%) and tumors of the central nervous system (20%) with greater involvement of structures of the nervous system, sensory functions and mobility.In the group between 6 and 10 years of age (19.68%) the most frequent diagnosis was the tumor of the central nervous system (56%), with greater involvement in the domains of activities and participation. In the group between 11 and 18 years of age (64.56%) osteomusculartumors predominated (52.43%), with involvement of structuresrelated to motion, sensory functions associated with pain, neuromusculoskeletal functions, and limitations of mobility and participation in majorlife activities.
Conclusion. The functional domain with the greatest statistical weight in the construction of functional profiles is that of activities and participation, which must be evaluated with age-adjusted measures in order to facilitate the rehabilitation follow-up in terms of development and participation goals expected for age.
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