2025 Volume 62 Issue 5 Pages 332-341
We investigated the mobility and social outcomes among childhood cancer survivors, as well as the factors influencing mobility, and the relationship between mobility and social outcomes.
Patients and methods: A questionnaire was conducted from August to October 2024 among patients of junior high school age and above, who were attending long-term follow-up outpatient clinics and their parents.
Results: Fifty-seven cases were included. Age 21.9±7.2 years. 29 males and 28 females. In 31 cases, both the individual and parent responded, while in 16 cases only the individual responded, and in 10 cases only the parent responded. Childhood cancer survivors were more likely to use disability employment support services and less likely to have a driver’s license. A total of 8.8% participants were accompanied by their parents to and from work or school. In about 20% of the cases, parents reported that mobility affected their choice of where to work or attend school, and that the child’s transport affected their lives and employment. Seven patients were aware of mobility support services, and only one patient used them. Brain tumors, motor impairment, visual and visual field impairment, hearing impairment, neurocognitive dysfunction, and residual epileptic seizures with loss of consciousness and falls were associated with mobility capability. The group with lower mobility had a significantly higher utilization rate of reasonable accommodation, special support, and disability employment support services.
Conclusions: Childhood cancer survivors often experience reduced mobility compared to the general population. With proper assessment, training, and access on social services, individuals with reduced mobility can actively participate in society.