Population
This French multicentric study focused on the children from the RECAPGO database (REcueil des CAncers Pédiatriques du Grand Ouest ) who received psychosocial evaluation. This evaluation consisted of a questionnaire that reported the learning and psychological difficulties of children. All the children included in the database were eligible to this evaluation. There was no difference noted between children who received the evaluation and those who did not according to the SES (Table 1). This questionnaire was completed by oncologist pediatricians during the years of close follow-up required after the end of the child’s hospital treatment. Each difficulty was reported independently (i.e., school and psychological). We defined the psychosocial follow-up as completing at least one assessment for these two questionnaire items at least once during the follow-up period.
The RECAPGO database results from a collaboration among seven French care centers, reported as the French children’s oncology study Group GOCE (Grand Ouest pour les Cancers de l’Enfant ). This prospective database has been open since 01/01/2013, and aims to include all patients aged under 25 years diagnosed with a cancer, a hematological malignancy, an aplastic anemia, or a Langerhans cell histiocysis at the participating centers. We included patients recorded at diagnosis with a single tumor experience. Patients with no known address at diagnosis, those living outside of the GOCE departments, those with no estimated social deprivation score, those aged over 18 years and those with missing tumor type data were excluded. One center did not complete the psychosocial questionnaire and was excluded from the analysis (Figure 1).