Abdi Birhanu, Michael Shawel Lemma, Biruk Habtamu, Nahom Wondwossen Worku, Monas Kitessa, Shambel Nigusie, Galana Mamo Ayana, Yehenaw Tenaw, Selamawit Sete, Bedasa Taye Merga, Ibsa Mussa
Chronic disease comorbidity and associated factors among cancer patients in eastern Ethiopia
Frontiers in oncology
children born major congenital anomalies cas lower academic achievement compared peers existing evidence restricted number specific cas investigate academic outcomes ages 11 16 children major isolated structural cas children turner syndromes populationbased cohort study linked data approximately 11000 schoolaged children born major cas 19942004 registered four regional ca registries england education data national pupil database npd comparison group random sample children without major cas background population recorded npd frequency matched 51 children cas birth year sex geographical area overall 719 730 809 children isolated structural cas achieved expected attainment level age 11 compared 783 806 867 comparison group english language mathematics science respectively children nervous system cas whole lowest proportion achieved expected attainment age 11 age 16 469 children cas achieved expected level compared 525 peers major cas associated 9 95 confidence interval ci 8 11 12 95 ci 9 14 less likely achieve expected levels ages 11 16 respectively adjustment socioeconomic deprivation although many children isolated cas achieved expected academic level ages 11 16 higher risk underachievement compared peers stark yet cautiously encouraging results important counselling parents children specific cas also highlight possible need special education support reduce potential academic difficulties