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).