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Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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Princess Máxima Center for Pediatric Oncology, AB Utrecht, The Netherlands
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Introduction Endocrine disorders affect up to 60% of childhood cancer survivors (CCS) ( 1 ). Cancer, brain tumors and their treatments have been associated with a higher risk of deficiencies in growth hormone (GH), thyroid hormone and sex
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Radiotherapy Related Research, The Christie NHS Foundation Trust, Manchester, UK
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Radiotherapy Related Research, The Christie NHS Foundation Trust, Manchester, UK
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cancer survivors following cranial irradiation. GH, growth hormone; TSH, thyroid stimulating hormone; LH/FSH, luteinizing and follicle-stimulating hormone; ACTH, adrenocorticoptropin. ‘Photon’ indicates the use of photon-beam RT, and ‘Proton’ refers to
Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
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Department of Pediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark
Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark
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survivors of other childhood cancers, childhood brain tumor survivors are among those at highest risk of both cognitive and physical sequelae ( 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ). Endocrine complications are, however, some of the most frequent
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Division of Cardiovascular and Diabetes Research, Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM), University of Leeds, Leeds, UK
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Background Improvements in childhood and young adult (CAYA; 0–24 years) cancer therapy have led to dramatic improvements in survival in the last few decades of the 20th century; however, recent improvements in survival rates have been more
Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Department of Radiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands
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Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center, Lundlaan, EA Utrecht, The Netherlands
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Introduction Endocrine complications are common in up to 60% of childhood cancer survivors (CCS) ( 1 ). Deprived bone health, ranging from low bone mineral density (BMD) to bone pain and fractures, is a prevalent late effect, and brain tumor
Office for Rare Conditions, Royal Hospital for Children & Queen Elizabeth University Hospital, Glasgow, UK
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Department of Paediatric Endocrinology, Ghent University Hospital, Ghent, Belgium
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Department of Medicine & Clinical Epidemiology, Leiden University Medical Centre, Leiden, the Netherlands
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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Amsterdam Gastroenterology Endocrinology and Metabolism, Amsterdam, the Netherlands
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Office for Rare Conditions, Royal Hospital for Children & Queen Elizabeth University Hospital, Glasgow, UK
Department of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, the Netherlands
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133 (10%) 1230 (90%) 1363 22 (5, 27) 0.6 (0, 38) 7.2 Thyroid 17 89 (25%) 260 (75%) 349 22 (2, 27) 0.2 (0, 6.3) 2.4 Adults (≥18 years) Adrenal 17 230 (23%) 751 (77%) 981 24 (5, 27) 1
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hypothalamic–pituitary–thyroid axis (HPT): the basal free thyroxine level was below the reference values (7.64–16.3 pmol/L), while the thyroid-stimulating hormone level was lower, normal, or slightly higher than the reference values (0.49–4.91uIU
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Academic Centre for Growth, Erasmus University Medical Centre, Rotterdam, the Netherlands
Dutch Growth Research Foundation, Rotterdam, the Netherlands
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Diabeter, National Diabetes Care and Research Centre, Rotterdam, the Netherlands
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Department of Paediatrics, Leiden University Medical Centre, Leiden, the Netherlands
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Academic Centre for Growth, Erasmus University Medical Centre, Rotterdam, the Netherlands
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improve transition ( n = 10), had an intellectual disability and transferred to ID-care ( n = 28) or died ( n = 8, mostly cancer-related). Another 49 patients were referred to another hospital or to the general practitioner. Figure 1 Inclusion and
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Department of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands
Endo-ERN European Reference Network on Rare endocrine conditions
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Endo-ERN European Reference Network on Rare endocrine conditions
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Division of Endocrinology and Metabolism, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, Greece
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was present in 79.3% of the patients, thyroid-stimulating hormone deficiency in 89.5%, adrenocorticotropic hormone deficiency in 86.1% and luteinizing hormone/follicle-stimulating hormone deficiency in 77.6%. Posterior pituitary deficiency (arginine
Division of Epidemiology and Biometry, Carl von Ossietzky University, Oldenburg, Germany
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Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
Department of Pediatrics, McMaster Children’s Hospital and McMaster University, Hamilton, Ontario, Canada
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increases the risk of cardiovascular complications and may result in a shorter life expectancy compared to a healthy population of the same age ( 16 , 17 , 18 , 19 ). In contrast to other cancer survivors, children with childhood-onset CP suffer from