{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:08:18Z","timestamp":1792631298639,"version":"4.5.0"},"reference-count":79,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002653","name":"Yorkshire Cancer Research","doi-asserted-by":"publisher","award":["L389FB"],"award-info":[{"award-number":["L389FB"]}],"id":[{"id":"10.13039\/501100002653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Long\u2010term issues following diagnosis and treatment of a childhood brain tumour often become apparent as the survivor enters adolescence and young adulthood. Their caregivers may additionally face long\u2010term impacts on their emotional and psychological functioning. This review synthesised evidence on the issues and supportive care needs of adolescent and young adult (AYA) survivors of a brain tumour diagnosed in childhood and their caregivers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Electronic databases were searched up until September 2017. All studies reporting on issues or needs of childhood brain tumour survivors (aged 14\u201039) and their caregivers were included. Narrative synthesis methods were used to summarise, integrate, and interpret findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010six articles (49 studies) met the inclusion criteria. Social issues (ie, isolation and impaired daily functioning) were most commonly reported by survivors, followed by cognitive (ie, impaired memory and attention) and physical issues (ie, endocrine dysfunctions and fatigue). Survivors experienced poorer social functioning and sexual functioning and were less likely to be employed or have children, when compared with other AYA cancer survivors. Caregivers experienced reduced support as the survivor moved into young adulthood. Caregivers reported uncertainty, increased responsibilities, and problems maintaining their own self\u2013well\u2010being and family relationships. Few studies reported on supportive care needs. Survivors expressed a need for better educational support and age\u2010specific psychosocial services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Surviving a childhood brain tumour can be particularly challenging for AYA survivors and their caregivers. Robust structured research is needed to identify specific support needs of both survivors and their caregivers and how these can be optimally addressed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4989","type":"journal-article","created":{"date-parts":[[2019,1,18]],"date-time":"2019-01-18T16:18:29Z","timestamp":1547828309000},"page":"477-487","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Long\u2010term issues and supportive care needs of adolescent and young adult childhood brain tumour survivors and their caregivers: A systematic review"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6683-8098","authenticated-orcid":false,"given":"Emma","family":"Nicklin","sequence":"first","affiliation":[{"name":"Leeds Institute of Medical Research at St. James's, Faculty of Medicine and Health University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1899-5942","authenticated-orcid":false,"given":"Galina","family":"Velikova","sequence":"additional","affiliation":[{"name":"Leeds Institute of Medical Research at St. James's, Faculty of Medicine and Health University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2077-0419","authenticated-orcid":false,"given":"Claire","family":"Hulme","sequence":"additional","affiliation":[{"name":"Institute of Health Research University of Exeter Medical School  Exeter UK"},{"name":"Leeds Institute of Health Sciences, Faculty of Medicine and Health University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1405-1856","authenticated-orcid":false,"given":"Rocio","family":"Rodriguez Lopez","sequence":"additional","affiliation":[{"name":"Leeds Institute of Health Sciences, Faculty of Medicine and Health University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1814-5120","authenticated-orcid":false,"given":"Adam","family":"Glaser","sequence":"additional","affiliation":[{"name":"Leeds Institute of Medical Research at St. James's, Faculty of Medicine and Health University of Leeds  Leeds UK"},{"name":"Leeds Cancer Centre Leeds Teaching Hospitals NHS Trust  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Kwok\u2010Williams","sequence":"additional","affiliation":[{"name":"Leeds Cancer Centre Leeds Teaching Hospitals NHS Trust  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0409-7949","authenticated-orcid":false,"given":"Florien","family":"Boele","sequence":"additional","affiliation":[{"name":"Leeds Institute of Medical Research at St. James's, Faculty of Medicine and Health University of Leeds  Leeds UK"},{"name":"Leeds Institute of Health Sciences, Faculty of Medicine and Health University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2]]},"reference":[{"issue":"4","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/neuonc\/nov189","article-title":"CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2008\u20102012","volume":"17","author":"Ostrom QT","year":"2015","journal-title":"Neuro Oncol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2014.12.003"},{"key":"e_1_2_8_4_1","volume-title":"SEER Cancer Statistics Review, 1975\u20102014","author":"Howlader N","year":"2017"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02845539"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2217\/cns.15.43"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2012.04.006"},{"key":"e_1_2_8_8_1","unstructured":"National Collaborating Centre for Cancer(2006)Improving outcomes for people with brain and other CNS tumours. 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