Survivorship to Osteosarcomas and Social Reinsertion

Authors

  • Marina Leorne Cruz Mesquita Instituto Nacional de Câncer (INCA), Curso de Aperfeiçoamento Fellow em Pesquisa e Estudos Qualitativos em Oncologia. Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-9020-591X
  • Rildo Pereira da Silva Instituto Nacional de Câncer (INCA), Coordenação de Pesquisa, Comitê de Ética em Pesquisa. Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0001-6818-4748
  • Antonio Tadeu Cheriff dos Santos Instituto Nacional de Câncer (INCA), Divisão de Pesquisa Populacional, Núcleo de Pesquisa e Estudos Qualitativos. Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-3577-0772
  • Fernando Lopes Tavares de Lima Instituto Nacional de Câncer (INCA), Divisão de Pesquisa Populacional, Núcleo de Pesquisa e Estudos Qualitativos. Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-8618-7608

DOI:

https://doi.org/10.32635/2176-9745.RBC.2023v69n2.3548

Keywords:

bone neoplasms, cancer survivors/psychology, adolescent, psychoanalysis, qualitative research

Abstract

Introduction: Patients with bone cancer are a unique population with poorly investigated psychosocial needs. Objective: To understand the process and impact of social reintegration on the daily lives of adolescents and young adults after treatment and oncological follow-up of bone cancers. Method: Qualitative, exploratory, hermeneutic-based investigation with data obtained from semistructured interviews with 12 bone cancer survivors. Results: The empirical material was organized into three categories: Social reintegration into the family, Social reintegration at school and Insertion into social-labor life, which are challenging and involve a complex concept of coping with the stigmas and limitations imposed by the disease and its treatment. Conclusion: The emotions and experiences of cancer survivors indicate social life as a place of challenges and uncertainties, losses and grief. It is extremely important to count with specialized multidisciplinary support, as well as family and social background to enable this group to face cancer treatment related challenges.

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References

Instituto Nacional de Câncer José Alencar Gomes da Silva. Incidência, mortalidade e morbidade hospitalar por câncer em crianças, adolescentes e adultos jovens no Brasil: Informações dos registros de câncer e do sistema de mortalidade [Internet]. Rio de Janeiro: INCA; 2016 [acesso 2022 dez 7]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//incidencia_mortalidade_morbidade.pdf

Santos MO, Lima FCS, Martins LFL, et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Rev Bras Cancerol. 2023;69(1):e-213700. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700 DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700

Instituto Nacional de Câncer [Internet]. Rio de Janeiro: INCA; [data desconhecida]. Câncer infanto-juvenil; 2022 jun 4 [atualizado 2023 jan 13; acesso 2023 fev 22]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/tipos/infantojuvenil

Naves JF. Avaliação de qualidade de vida e bem-estar subjetivo em oncologia: um estudo com sobreviventes de câncer ósseo [dissertação na Internet]. Brasília (DF): Universidade de Brasília; 2013 [acesso 2022 dez 7]. Disponível em: https://repositorio.unb.br/handle/10482/13494

Shapiro CL. Cancer survivorship. N Engl J Med. 2018;379(25):2438-50. doi: https://doi.org/10.1056/NEJMra1712502 DOI: https://doi.org/10.1056/NEJMra1712502

Ness KK, Hudson MM, Jones KE, et al. Effect of temporal changes in therapeutic exposure on self-reported health status in childhood cancer survivors. Ann Intern Med. 2017;166(2):89-98. doi: https://doi.org/10.7326/M16-0742 DOI: https://doi.org/10.7326/M16-0742

Wu WW, Liang SY, Hung GY, et al. The experiences of adolescents with osteosarcoma during the one-year of treatment in Taiwan. J Child Health Care. 2016;20(4):473-82. doi: https://doi.org/10.1177/1367493515616203 DOI: https://doi.org/10.1177/1367493515616203

Hydeman JA, Uwazurike OC, Adeyemi EI, et al. Survivorship needs of adolescent and young adult cancer survivors: a concept mapping analysis. J Cancer Surviv. 2019;13(1):34-42. doi: https://doi.org/10.1007/s11764-018-0725-5 DOI: https://doi.org/10.1007/s11764-018-0725-5

Psihogios AM, Schwartz LA, Deatrick JA, et al. Preferences for cancer survivorship care among adolescents and young adults who experienced healthcare transitions and their parents. J Cancer Surviv. 2019;13(4):620-31. doi: https://doi.org/10.1007/s11764-019-00781-x DOI: https://doi.org/10.1007/s11764-019-00781-x

Santos ATC, Silva RP, Almeida LM, et al. Cancer survivorship needs in Brazil: Patient and family perspective. PLoS One. 2020;15(10):e0239811. doi: https://doi.org/10.1371/journal.pone.0239811 DOI: https://doi.org/10.1371/journal.pone.0239811

Bury M. Chronic illness as biographical disruption. Sociol Health Illn. 1982;4(2):167-82. doi: https://doi.org/10.1111/1467-9566.ep11339939 DOI: https://doi.org/10.1111/1467-9566.ep11339939

Bury M. Biographical disruption. Tempus, Actas de Saúde Colet [Internet]. 2011 [cited 2022 Dec 7];5(2):33-5. Available from: https://tempusactas.unb.br/index.php/tempus/article/view/961

Little M, Jordens CF, Paul K, et al. Liminality: a major category of the experience of cancer illness. Soc Sci Med. 1998;47(10):1485-94. doi: https://doi.org/10.1016/s0277-9536(98)00248-2 DOI: https://doi.org/10.1016/S0277-9536(98)00248-2

Fardell JE, Wakefield CE, Patterson P, et al. Narrative review of the educational, vocational, and financial needs of adolescents and young adults with cancer: recommendations for support and research. J Adolesc Young Adult Oncol. 2018;7(2):143-7. doi: https://doi.org/10.1089/jayao.2017.0086 DOI: https://doi.org/10.1089/jayao.2017.0086

Warner EL, Kent EE, Trevino KM, et al. Social well-being among adolescents and young adults with cancer: a systematic review. Cancer. 2016;122(7):1029-37. doi: https://doi.org/10.1002/cncr.29866 DOI: https://doi.org/10.1002/cncr.29866

Brock H, Friedrich M, Sender A, et al. Work ability and cognitive impairments in young adult cancer patients: associated factors and changes over time-results from the AYA-Leipzig study. J Cancer Surviv. 2022;16(4):771-80. doi: https://doi.org/10.1007/s11764-021-01071-1 DOI: https://doi.org/10.1007/s11764-021-01071-1

Minayo MCS, organizadora. et al. Pesquisa social: teoria, método e criatividade. Petrópolis (RJ): Vozes; 2007.

Minayo MCS. O Desafio do conhecimento: pesquisa qualitativa em saúde. 11. ed. São Paulo: Hucitec; 2008.

Mullan F. Seasons of survival: reflections of a physician with cancer. N Engl J Med. 1985;313(4):270-3. doi: https://doi.org/10.1056/NEJM198507253130421 DOI: https://doi.org/10.1056/NEJM198507253130421

Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção 1:59.

World Health Organization. Young people's health: a challenge for society: report of a WHO study group on young people and "health for all by the year 2000" [Internet]. Geneva: WHO; 1986 [cited 2022 Dec 7]. (World Health Organization technical report series; n. 731). Available from: https://apps.who.int/iris/handle/10665/41720

Fontes BC. A entrevista biográfica na sociologia. Rev Soc Hum. 2019;32(3):83-97. doi: https://doi.org/10.5902/2317175837238 DOI: https://doi.org/10.5902/2317175837238

Charon R. Narrative and medicine. N Engl J Med. 2004;350(9):862-4. doi: https://doi.org/10.1056/NEJMp038249 DOI: https://doi.org/10.1056/NEJMp038249

Frank AW. From sick role to narrative subject: an analytic memoir. Health (London). 2016;20(1):9-21. doi: https://doi.org/10.1177/1363459315615395 DOI: https://doi.org/10.1177/1363459315615395

Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753-60. doi: https://doi.org/10.1177/1049732315617444 DOI: https://doi.org/10.1177/1049732315617444

Gomes R. Análise e interpretação de dados de pesquisa qualitativa. In: Minayo MCS, organizadora. Pesquisa social: teoria, método e criatividade. Petrópolis (RJ): Vozes; 2007. p. 79-108.

Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qualitative Research. 2001;1(3):385-405. doi: https://doi.org/10.1177/146879410100100307 DOI: https://doi.org/10.1177/146879410100100307

Aronson J. A pragmatic view of thematic analysis. Qual Rep. 1994;2(1):1-3. doi: https://doi.org/10.46743/2160-3715/1995.2069 DOI: https://doi.org/10.46743/2160-3715/1995.2069

Freud S. Três ensaios sobre a teoria da sexualidade. Rio de Janeiro: Imago; 1997.

Freud S. Sobre o narcisismo: uma introdução. Rio de Janeiro: Imago; 1996.

Freud S. O Eu e o Id (1923). Rio de Janeiro: Imago; 1996.

Lacan J. Escritos. Rio de Janeiro: Jorge Zahar; 1998. Capitulo 2, O estádio do espelho como formador da função do eu; p. 97-103.

Peikert ML, Inhestern L, Bergelt C. Psychosocial interventions for rehabilitation and reintegration into daily life of pediatric cancer survivors and their families: a systematic review. PLoS One. 2018;13(4):e0196151. doi: https://doi.org/10.1371/journal.pone.0196151 DOI: https://doi.org/10.1371/journal.pone.0196151

Ayub RCP. O olhar de psicanalistas que escutam a adolescência: singularidades da clínica atual [dissertação na Internet]. Porto Alegre: Pontifícia Universidade Católica do Rio Grande do Sul; 2009 [acesso 2022 dez 7]. Disponível em: https://tede2.pucrs.br/tede2/handle/tede/699

Gea MR. Corpos marcados: adolescência e ideais na contemporaneidade [dissertação na Internet]. São Paulo: Universidade de São Paulo; 2013 [acesso 2022 dez 7]. Disponível em: http://www.teses.usp.br/teses/disponiveis/47/47134/tde-30072013-095819

Cardoso MR, organizador. Adolescentes. 2. ed. São Paulo: Escuta; 2011. Parte I, Tatuando o desamparo; p. 25.

Bicalho C, Araujo A, Botti N. Processo de adolescer relacionado ao adoecimento e tratamento do câncer. Psic Saúde & Doenças. 2019;20(1):74-87. doi: https://doi.org/10.15309/19psd200106 DOI: https://doi.org/10.15309/19psd200106

Gibson TM, Li C, Armstrong GT, et al. Perceptions of future health and cancer risk in adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Cancer. 2018;124(16):3436-44. doi: https://doi.org/10.1002/cncr.31397 DOI: https://doi.org/10.1002/cncr.31397

Parry C. Embracing uncertainty: an exploration of the experiences of childhood cancer survivors. Qual Health Res. 2003;13(2):227-46. doi: https://doi.org/10.1177/1049732302239600 DOI: https://doi.org/10.1177/1049732302239600

Stone DS, Ganz PA, Pavlish C, et al. Young adult cancer survivors and work: a systematic review. J Cancer Surviv. 2017;11(6):765-81. doi: https://doi.org/10.1007/s11764-017-06143. DOI: https://doi.org/10.1007/s11764-017-0614-3

Larsen MH, Larsen EH, Ruud E, et al. "I have to do things differently now, but I make it work" -young childhood cancer survivors' experiences of self-management in everyday living. J Cancer Surviv. 2022;16(4):728-40. doi: https://doi.org/10.1007/s11764-021-01066-y DOI: https://doi.org/10.1007/s11764-021-01066-y

Ortiz MCA, Lima RAG. Experiências de familiares de crianças e adolescentes, após o término do tratamento contra câncer: subsídios para o cuidado de enfermagem. Rev Latino-Am Enfermagem. 2007;15(3):1-7. doi: https://doi.org/10.1590/S0104-11692007000300008 DOI: https://doi.org/10.1590/S0104-11692007000300008

Quintana AM, Wottrich SH, Camargo VP, et al. Lutos e lutas: reestruturações familiares diante do câncer em uma criança/adolescente. Psicol Argum. 2011;29(65):143-54. doi: https://doi.org/10.7213/rpa.v29i65.20035 DOI: https://doi.org/10.7213/rpa.v29i65.20035

Camara CT. A reinserção escolar de crianças e adolescentes com câncer após o término do tratamento: subsídios para o cuidado de enfermagem [dissertação na Internet]. Ribeirão Preto (SP): Escola de Enfermagem de Ribeirão Preto; 2011 doi: https://doi.org/10.11606/D.22.2011.tde-28112011-160557 DOI: https://doi.org/10.11606/D.22.2011.tde-28112011-160557

Grinyer A. The biographical impact of teenage and adolescent cancer. Chronic Illn. 2007;3(4):265-77. doi: https://doi.org/10.1177/1742395307085335 DOI: https://doi.org/10.1177/1742395307085335

Leuteritz K, Friedrich M, Sender A, et al. Return to work and employment situation of young adult cancer survivors: results from the adolescent and young adult-Leipzig study. J Adolesc Young Adult Oncol. 2021;10(2):226-33. doi: https://doi.org/10.1089/jayao.2020.0055 DOI: https://doi.org/10.1089/jayao.2020.0055

Bleyer A. Latest estimates of survival rates of the 24 most common cancers in adolescent and young adult americans. J Adolesc Young Adult Oncol. 2011;1(1):37-42. doi: https://doi.org/10.1089/jayao.2010.0005 DOI: https://doi.org/10.1089/jayao.2010.0005

Published

2023-04-11

How to Cite

1.
Mesquita MLC, Silva RP da, Santos ATC dos, Lima FLT de. Survivorship to Osteosarcomas and Social Reinsertion. Rev. Bras. Cancerol. [Internet]. 2023 Apr. 11 [cited 2024 Dec. 23];69(2):e-113548. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3548

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