Achievement of life goals by adult survivors of modern treatment for childhood cancer

摘要: To assess the impact of diagnosis and modern treatment childhood cancer on achievement adult goals, authors evaluated employment, health life insurance coverage, marriage, divorce, reproduction in 227 former pediatric patients. Each area was relation to a common set disease demographic factors that included age at follow-up, diagnosis, gender, marital status, history recurrence, diagnosis. Patients were younger than 20 years their diagnoses made between January 1, 1960, December 31, 1984. The median 11.4 years, follow-up 26.6 years. percentage unemployed male respondents did not differ from population norms. female respondents, however, slightly higher United States population. Approximately 11% survivors reported some form employment-related discrimination, level significantly lower prior reports. Company-offered provided 92.4% full-time 90.0% part-time employed respondents. Life purchased by 60% men 55% women. These percentages those for Twenty-four percent with had difficulty obtaining it. Fifty-eight subjects married or lived as married. women Twenty who have divorced separated no longer live Women aged 24 less likely marry, 35 44 frequency divorce similarly In general, influence decision marry but occasionally (20%) important dissolve relationship. Many patients indicated influenced children. current study suggests most achieve goals. Additional research is necessary define populations greatest risk failure these