Cancer Epidemiology, Biomarkers & Prevention

Aging measures not consistently linked to cancer in survivors

An observational study of 4,272 childhood cancer survivors found no consistent link between aging measures and later malignancies; median follow-ups were 5.9, 5.0 and 4.9 years.

Cohort study of 4,272 childhood cancer survivors, median 5.9 years (frailty)Biomarkers

Limit: Frailty and chronic conditions were self-reported

Edited by Boris Djordjevic · AgingResearch.News

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An observational cohort study of 4,272 childhood cancer survivors examined whether accelerated aging measures were linked to later cancers. Researchers assessed self-reported physical frailty, accumulated chronic illnesses, and an index combining health and functioning. Median follow-up was 5.9 years for frailty, 5.0 years for chronic illness scores and 4.9 years for the combined index.

After accounting for participants’ backgrounds, cancer treatments and risk factors that can change, none of the measures was associated with later malignant cancers. Frailty and chronic illness scores were also not associated with benign meningiomas or nonmelanoma skin cancers. Higher scores on the combined index were linked only to benign meningiomas, noncancerous tumors of the membranes around the brain and spinal cord.

Why it matters

Childhood cancer survivors face treatment-related risks of later cancers. The authors emphasized treatment exposures as established risk factors and the importance of long-term surveillance in survivorship care.

Caveats

This observational study could not establish cause and effect, and frailty and chronic conditions were self-reported. Blood-based measures of biological aging were unavailable.