Psychological difficulties
Greater social deprivation was not significantly associated with the report of psychological difficulties at consultation. However, significant differences were noted between care centers. Psychological difficulties were reported in 196 children (19.5%) (Supplemental appendix 2). At consultation, associated risk factors were tumor relapse and the diagnosis of bone tumors. Psychological support was reported for 70% of the patients. Over time, the diagnosis of a bone tumor was a risk factor for psychological difficulty (HR = 2.04, CI: 1.05 – 3.96), whereas a solid tumor was a protective factor (HR = 0.53, CI: 0.30 – 0.93). Nethertheless, a trend could be noted for the increased EDI-score (p = 0.064).