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            <funder>Agence Nationale de la Recherche, ANR; Fondation ARC pour la Recherche sur le Cancer, ARC; Ligue Contre le Cancer: RAB20035LLA; Université Paris-Saclay: 9R_2019_PSU000101141_Upsud; École Polytechnique, Université Paris-Saclay; Sciences et Technologies de l'information et de la Communication, Université Paris-Saclay, STIC DS; fr:STIC; Fondation Gustave Roussy</funder>
            <funder>This work were supported by Université Paris-Saclay (Grant no. 9R_2019_PSU000101141_Upsud), Ligue Contre le Cancer (Grant no. N°RAB20035LLA), French Society of Cancer in Children and adolescents, Fondation Gustave Roussy (Grant no. PSI Interval), Fondation ARC pour la Recherche sur le Cancer (Grant no. POPHarC program), Agence Nationale de la Recherche (Grant no. ANR, HOPE-EPI project).</funder>
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                <title level="j">Scientific Reports</title>
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                  <publisher>Nature Publishing Group</publisher>
                  <biblScope unit="volume">12</biblScope>
                  <biblScope unit="issue">1</biblScope>
                  <biblScope unit="pp">18068</biblScope>
                  <date type="datePub">2022-10</date>
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              <p>The late effects of treatments for childhood cancers may lead to severe and multiple health conditions requiring hospitalisation. We aimed to estimate the hospitalisation rate among childhood cancer survivors (CCS) in France, to compare them with the general population and to investigate the associated factors. We matched total of 5439 5-year solid CCS diagnosed before the age of 21 between 1945 and 2000 by sex, birth year and region of residence to 386,073 individuals of the French general population. After linkage with the national hospital discharge database, we estimated the relative hospitalisation rate (RHR), the absolute excess risks (AERs) and the relative bed-day ratio (RBDR) during 2006–2018. We used generalised linear models to estimate associations between hospitalisation and survivor characteristics. Overall, the RHR was 2.49 (95% confidence interval [CI] 2.46–2.52) and the RBDR was 3.49 (95% CI 3.46–3.51). We found that neoplasm-related hospitalisations had the highest AER (105.8 per 1000 person-years), followed by genitourinary system diseases (34.4 per 1000 person-years) and cardiovascular diseases (19.2 per 1000 person-years). In adjusted analysis, CCS treated with chemotherapy (risk ratio [RR] 1.62, 95% CI 1.53–1.70), radiotherapy (RR 2.11, 95% CI 1.99–2.24) or both (RR 2.59, 95% CI 2.46–2.73) had a higher risk of hospitalisation than the ones who had not received any of these treatments. CCS treated during the past decades by chemotherapy and/or radiotherapy now had a higher hospitalisation risk for all main categories of diagnosis than the general population. Prevention strategies and medical surveillance programmes may promote a long-term decrease in the hospitalisation rate among CSS.</p>
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