Educational and occupational outcomes in Swedish children treated for sarcomas: A nationwide registry-based study.

Abstract

Many children treated for cancer experience a negative impact on their academic performance; however, most studies of children treated for sarcomas have not investigated academic performance. Our aim was to explore how Swedish children treated for sarcomas perform academically, as well as how they adjust to life afterwards. We compared 167 pediatric sarcoma survivors with 776 matched, non-sibling controls without a history of cancer, in a retrospective cohort study using data from nationwide registries. Primary outcomes were grades at the end of compulsory education, high school eligibility, post-compulsory education (i.e., education after school Year 9), employment, and sickness or activity compensation. Pediatric sarcoma survivors were more likely to be ineligible for high school (odds ratio [OR] 1.76; p=.045) and more likely to fail Swedish (OR 2.12; p=.046), mathematics (OR 2.27; p=.011), and/or physical education (OR 2.24; p=.004), compared with controls. Survivors were less likely to have been employed (OR 0.58; p=.027) and received sickness or activity compensation more often (OR 2.49; p=.008) compared with controls. Pediatric sarcoma survivors have poorer academic performance compared to peers without cancer in multiple school subjects. Survivors seem to catch up during post-compulsory education, but might struggle to find employment.