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Long-term sequelae and quality of life after childhood-onset craniopharyngioma: results of a Spanish multicenter study.
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  • Maria Pérez-Torres Lobato,
  • Mariona Morell Daniel,
  • Palma Solano-Páez,
  • Marina Ortiz Palacios,
  • Ángela Menárgez López,
  • Melissa Panesso Romero,
  • Felisa Vázquez-Gómez,
  • José Luis Moreno,
  • ALVARO LASSALETTA,
  • Vicente Santa-Maria Lopez,
  • Miriam Pavon Mengual,
  • Eduardo Quiroga,
  • Miguel Alejandro García Ariza,
  • Maria Mora Matilla,
  • Garrido Carmen,
  • Jaime Verdú-Amorós,
  • Cristina Nova Lozano,
  • María Vieito Villar,
  • Esteban Xavier Cordero Asanza,
  • Maria Clemente Leon,
  • Mónica Ramos,
  • Lucas Moreno,
  • Anna Llort Sales
Maria Pérez-Torres Lobato
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Mariona Morell Daniel
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Palma Solano-Páez
Hospital Universitario Virgen del Rocio
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Marina Ortiz Palacios
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Ángela Menárgez López
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Melissa Panesso Romero
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Felisa Vázquez-Gómez
Hospital Infantil Universitario Nino Jesus
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José Luis Moreno
Hospital Infantil Universitario Nino Jesus
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ALVARO LASSALETTA
Hospital Infantil Universitario Nino Jesus
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Vicente Santa-Maria Lopez
Hospital Sant Joan de Deu
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Miriam Pavon Mengual
Hospital Sant Joan de Deu
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Eduardo Quiroga
Hospital Universitario Virgen del Rocio
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Miguel Alejandro García Ariza
Hospital Universitario Cruces
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Maria Mora Matilla
Hospital Perpetuo Socorro de Badajoz
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Garrido Carmen
Hospital Materno Infantil Gregorio Maranon
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Jaime Verdú-Amorós
Hospital Universitari i Politecnic La Fe
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Cristina Nova Lozano
Hospital Universitari i Politecnic La Fe
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María Vieito Villar
Vall d'Hebron Institut d'Oncologia
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Esteban Xavier Cordero Asanza
Hospital Universitari Vall d'Hebron
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Maria Clemente Leon
Hospital Universitari Vall d'Hebron
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Mónica Ramos
Hospital Universitari Vall d'Hebron
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Lucas Moreno
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron

Corresponding Author:lucas.moreno@vallhebron.cat

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Anna Llort Sales
Hospital Infantil i l'Hospital de la Dona de Vall d'Hebron
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Abstract

Purpose: We aim to describe the characteristics of patients with childhood-onset craniopharyngioma and to analyze factors that impair quality of life (QoL) in this population. Methods: multicenter national study including patients treated between 2008-2022, from 2 to 25 years of age diagnosed with craniopharyngioma. QoL was assessed once during patient’s follow-up by age-adapted versions Pediatric Quality of Life Inventory (PedsQL TM) questionnaire. Results: Sixty-six patients were included. Median age at diagnosis was 5 years (IQR 3-8), while median follow-up was 7.4 years (IQR 2.8-9.7). Most craniopharyngioma were suprasellar (93.9%) and 59.7% had hypothalamic involvement (HI). All patients underwent surgery, 44.4% received radiotherapy and 23.6%, intra-cystic therapy. Most frequent long-term complications were visual deficit (72.7%) and endocrine impairment (94.5%). Patients exhibited hypothyroidism requiring hormone replacement (92.4%), hypocortisolism (80.3%), diabetes insipidus (86.4%) and/or growth hormone therapy (50%). When parents evaluated QoL, PedsQL TM median score was 53.8 points out of 100 (IQR 41-71.6). Higher scores were noted when patients assessed their own QoL [median-score 64.8 (IQR 57.3-81.8)], observing statistical-significant differences (p=0.019). QoL was impaired by repeated surgeries (r -0.44; p=0.014), HI [median-score 51.5 (IQR 39-63.8) vs 76.4 (59-84.8); p=0.001], radiotherapy [median-score 51.9 (IQR 38.1-61.3) vs 63.8 (IQR 49-82.5); p=0.02] and longer follow-up (r-0.3; p=0.01). Conclusion: In our study, most patients had significant comorbidities and low overall QoL scores, which was mainly affected by repeated surgery, radiation, and HI. The complex management of these patients requires multidisciplinary teams that can warrant the hypothalamic preservation and prompt intervention to prevent and identify sequelae.
Submitted to Pediatric Blood & Cancer
12 Jun 2024Submission Checks Completed
12 Jun 2024Assigned to Editor
12 Jun 2024Review(s) Completed, Editorial Evaluation Pending
12 Jun 2024Reviewer(s) Assigned
02 Jul 2024Editorial Decision: Revise Minor
27 Aug 20241st Revision Received
27 Aug 2024Submission Checks Completed
27 Aug 2024Assigned to Editor
28 Aug 2024Review(s) Completed, Editorial Evaluation Pending
28 Aug 2024Reviewer(s) Assigned
10 Sep 2024Editorial Decision: Accept