Skip to main content
Top
Published in: Journal of Genetic Counseling 4/2015

01-08-2015 | Original Research

Health-Related Quality of Life in Patients with MPS II

Authors: Mary Needham, Wendy Packman, Natasha Quinn, Maxwell Rappoport, Christa Aoki, Alan Bostrom, Matthew Cordova, Sandra Macias, Cynthia Morgan, Seymour Packman

Published in: Journal of Genetic Counseling | Issue 4/2015

Login to get access

Abstract

Mucopolysaccharidosis type II (MPS II), also known as Hunter syndrome, is a chronic and progressive X-linked lysosomal disease that mainly affects males. The National MPS Society (2013) reports that MPS II affects 1 in 100,000 to 1 in 150,000 males worldwide. Two distinct forms of the disease are based on age of onset and clinical course: attenuated and severe. MPS II affects many organ systems including the nervous, cardiovascular, gastrointestinal and respiratory systems. Clinical manifestations can include progressive hearing loss, mental impairment, and enlarged liver and spleen. This study focuses on the health-related quality of life of individuals (HRQOL) with MPS II as measured by the parent and self-report versions of the Pediatric Quality of Life Inventory (PedsQL™). Both parents of patients with MPS II as well as patients themselves reported lower scores on all domains of the PedsQL™ (physical, emotional, social and school functioning) indicating that children with MPS II have an overall lower HRQOL when compared to a healthy sample. When compared with patients with other chronic illnesses (cancer, MSUD, galactosemia,), the MPS II sample had significantly lower scores on a number of PedsQL™ scales, suggesting an overall lower HRQOL. No significant relationships were found using scores from parent or self report PedsQL™ measures and length of time on ERT.
Literature
go back to reference Brown, M. B. (1999). The mucopolysaccharidoses. In S. Goldstein & C. R. Reynolds (Eds.), Handbook of neurodevelopmental and genetic disorders in children (pp. 317–336). New York: The Guilford Press. Brown, M. B. (1999). The mucopolysaccharidoses. In S. Goldstein & C. R. Reynolds (Eds.), Handbook of neurodevelopmental and genetic disorders in children (pp. 317–336). New York: The Guilford Press.
go back to reference Cohen, J. S., & Biesecker, B. S. (2010). Quality of life in rare genetic conditions: a systematic review of the literature. American Journal of Medicine and Genetic A, 152A(5), 1136–1156.CrossRef Cohen, J. S., & Biesecker, B. S. (2010). Quality of life in rare genetic conditions: a systematic review of the literature. American Journal of Medicine and Genetic A, 152A(5), 1136–1156.CrossRef
go back to reference DeCivita, M., Regier, D., Alamagir, A. H., Anis, A. H., Fitzgerald, M. J., & Marra, C. A. (2005). Evaluating health-related quality-of-life studies in paediatric populations. Pharmaco Economics, 23, 659–685.CrossRef DeCivita, M., Regier, D., Alamagir, A. H., Anis, A. H., Fitzgerald, M. J., & Marra, C. A. (2005). Evaluating health-related quality-of-life studies in paediatric populations. Pharmaco Economics, 23, 659–685.CrossRef
go back to reference Food and Drug Administration. (2006). Treatment for Hunter syndrome approved. FDA Consumer, September-October 2006:4. Food and Drug Administration. (2006). Treatment for Hunter syndrome approved. FDA Consumer, September-October 2006:4.
go back to reference Froissart, R., Maire, I., Millat, G., Cudry, S., Birot, A. M., Bonnett, V., Bouton, O., & Boson, D. (1998). Identification of iduronate sulftatase gene alterations in 70 unrelated Hunter patients. Clinical Genetics, 53, 362–368.PubMedCrossRef Froissart, R., Maire, I., Millat, G., Cudry, S., Birot, A. M., Bonnett, V., Bouton, O., & Boson, D. (1998). Identification of iduronate sulftatase gene alterations in 70 unrelated Hunter patients. Clinical Genetics, 53, 362–368.PubMedCrossRef
go back to reference Froissart, R., Da Silva, I. M., & Maire, I. (2007). Mucopolysaccharidosis type II: an update on mutation spectrum. Acta Pædactrica, 96, 71–77.CrossRef Froissart, R., Da Silva, I. M., & Maire, I. (2007). Mucopolysaccharidosis type II: an update on mutation spectrum. Acta Pædactrica, 96, 71–77.CrossRef
go back to reference Gold, J. I., Yetwin, A. K., Mahrer, N. E., Carson, M. C., Griffin, A. T., Palmer, S. N., & Joseph, M. H. (2009). Pediatric chronic pain and health-related quality of life. Journal of Pediatric Nursing, 24(2), 141–150.PubMedCrossRef Gold, J. I., Yetwin, A. K., Mahrer, N. E., Carson, M. C., Griffin, A. T., Palmer, S. N., & Joseph, M. H. (2009). Pediatric chronic pain and health-related quality of life. Journal of Pediatric Nursing, 24(2), 141–150.PubMedCrossRef
go back to reference Grootenhuis, M. A., Koopman, H. M., Verrips, E. G. H., Vogels, A. G. C., & Last, B. F. (2007). Health-related quality of life problems of children aged 8–11 years with a chronic disease. Developmental Neurorehabilitation, 10, 27–33.PubMedCrossRef Grootenhuis, M. A., Koopman, H. M., Verrips, E. G. H., Vogels, A. G. C., & Last, B. F. (2007). Health-related quality of life problems of children aged 8–11 years with a chronic disease. Developmental Neurorehabilitation, 10, 27–33.PubMedCrossRef
go back to reference Hale S., Merritt J. L., Scott C. R., Hahn S., Schubert P., Raff M. 2008. Quality-of-life changes in MPS II patients receiving enzyme replacement therapy. Poster presentation at Lysosomal Disease Network (WORLD) Symposium. Hale S., Merritt J. L., Scott C. R., Hahn S., Schubert P., Raff M. 2008. Quality-of-life changes in MPS II patients receiving enzyme replacement therapy. Poster presentation at Lysosomal Disease Network (WORLD) Symposium.
go back to reference Martin, R., Beck, M., Eng, C., Giugliani, R., Harmatz, P., & Muñoz, V. (2008). Recognition and diagnosis of mucopolysaccharidosis II (Hunter Syndrome). Pediatrics, 121, 377–386.CrossRef Martin, R., Beck, M., Eng, C., Giugliani, R., Harmatz, P., & Muñoz, V. (2008). Recognition and diagnosis of mucopolysaccharidosis II (Hunter Syndrome). Pediatrics, 121, 377–386.CrossRef
go back to reference Meijer, S. A., Sinnema, G., Bijstra, J. O., Mellenbergh, G. J., & Wolters, W. H. G. (2000). Social functioning in children with a chronic illness. The Journal of Child Psychology and Psychiatry, 41, 309–317.PubMedCrossRef Meijer, S. A., Sinnema, G., Bijstra, J. O., Mellenbergh, G. J., & Wolters, W. H. G. (2000). Social functioning in children with a chronic illness. The Journal of Child Psychology and Psychiatry, 41, 309–317.PubMedCrossRef
go back to reference Muenzer, J., Bodamer, O., Burton, B., Clarke, L., Frenking, G. S., Giugliani, R., Jones, S., Rojas, M. V. M., Scarpa, M., Beck, M., & Harmatz, P. (2012). The role of enzyme replacement therapy in severe Hunter syndrome—an expert panel consensus. European Journal of Pediatrics, 171, 181–188.PubMedCentralPubMedCrossRef Muenzer, J., Bodamer, O., Burton, B., Clarke, L., Frenking, G. S., Giugliani, R., Jones, S., Rojas, M. V. M., Scarpa, M., Beck, M., & Harmatz, P. (2012). The role of enzyme replacement therapy in severe Hunter syndrome—an expert panel consensus. European Journal of Pediatrics, 171, 181–188.PubMedCentralPubMedCrossRef
go back to reference Needham, M. C., Packman, W., Rappoport, M., Quinn, N., Morgan, C., Cordova, M., Macias, S., & Packman, S. (2014). MPS II: adaptive functioning of patients and impact on the family system. Journal of Genetic Counseling, 23(3), 330–338. doi:10.1007/s10897–013–9665–4.PubMedCrossRef Needham, M. C., Packman, W., Rappoport, M., Quinn, N., Morgan, C., Cordova, M., Macias, S., & Packman, S. (2014). MPS II: adaptive functioning of patients and impact on the family system. Journal of Genetic Counseling, 23(3), 330–338. doi:10.​1007/​s10897–013–9665–4.PubMedCrossRef
go back to reference Raluy-Callado, M., Chen, W. H., Whiteman, D. A., Fang, J., & Wiklund, I. (2013). The impact of Hunter syndrome (mucopolyasccharidosis type II) on health-related quality of life. Orphanet Journal of Rare Diseases, 8, 1–10.CrossRef Raluy-Callado, M., Chen, W. H., Whiteman, D. A., Fang, J., & Wiklund, I. (2013). The impact of Hunter syndrome (mucopolyasccharidosis type II) on health-related quality of life. Orphanet Journal of Rare Diseases, 8, 1–10.CrossRef
go back to reference Schwartz, I., Ribeiro, M. G., Mota, J. G., Toralles, M. B. P., Correia, P., & Horovitz, D. (2007). A clinical study of 77 patients with mucopolysaccharidosis type II. Acta Pædactrica, 96, 63–70.CrossRef Schwartz, I., Ribeiro, M. G., Mota, J. G., Toralles, M. B. P., Correia, P., & Horovitz, D. (2007). A clinical study of 77 patients with mucopolysaccharidosis type II. Acta Pædactrica, 96, 63–70.CrossRef
go back to reference Sparrow S. S., Cicchetti D. V., Balla D. A. (2005). Vineland adaptive behavior scales (2nd ed.): survey forms manual. Circle Pines; AGS Publishing. Sparrow S. S., Cicchetti D. V., Balla D. A. (2005). Vineland adaptive behavior scales (2nd ed.): survey forms manual. Circle Pines; AGS Publishing.
go back to reference Taylor S. E., Aspinwall L. G. (1996). Psychosocial aspects of chronic illness. In P. T. Costa & G. R. VandenBos (Eds.), Psychological aspects of serious illness: Chronic conditions, fatal diseases, and clinical care: 7–60. Taylor S. E., Aspinwall L. G. (1996). Psychosocial aspects of chronic illness. In P. T. Costa & G. R. VandenBos (Eds.), Psychological aspects of serious illness: Chronic conditions, fatal diseases, and clinical care: 7–60.
go back to reference Varni, J. W., Seid, M., & Kurtin, P. S. (2001). The PedsQL™™ 4.0: reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care, 39, 800–812.PubMedCrossRef Varni, J. W., Seid, M., & Kurtin, P. S. (2001). The PedsQL™™ 4.0: reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care, 39, 800–812.PubMedCrossRef
go back to reference Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. (2002). The PedsQL™ in pediatric cancer: reliability and validity of the pediatric quality of life inventoryTM generic core scale, multidimensional fatigue scale, and cancer module. Cancer, 94, 2090–2106.PubMedCrossRef Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. (2002). The PedsQL™ in pediatric cancer: reliability and validity of the pediatric quality of life inventoryTM generic core scale, multidimensional fatigue scale, and cancer module. Cancer, 94, 2090–2106.PubMedCrossRef
go back to reference Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 generic core scales. Health and Quality of Life Outcomes, 5, 1.PubMedCentralPubMedCrossRef Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 generic core scales. Health and Quality of Life Outcomes, 5, 1.PubMedCentralPubMedCrossRef
go back to reference Vierling S. C. (2011). Psychosocial functioning, health-related quality of life, and family impact in patients with classical galactosemia (Doctoral dissertation). Retrieved from Palo Alto University. Vierling S. C. (2011). Psychosocial functioning, health-related quality of life, and family impact in patients with classical galactosemia (Doctoral dissertation). Retrieved from Palo Alto University.
go back to reference Wraith, J. E. (2008). Enzyme replacement therapy with idursulfase in patients with mucopolysaccharidosis type 2. Acta Paedactrica, 97, 76–78.CrossRef Wraith, J. E. (2008). Enzyme replacement therapy with idursulfase in patients with mucopolysaccharidosis type 2. Acta Paedactrica, 97, 76–78.CrossRef
go back to reference Wraith, J. E., Scarpa, M., Beck, M., Bodamer, O. A., De Meirleir, L., & Guffon, N. (2008). Mucopolysaccharidosis type II (Hunter syndrome): a clinical review and recommendations for treatment in the era of enzyme replacement therapy. European Journal of Pediatrics, 167, 267.PubMedCentralPubMedCrossRef Wraith, J. E., Scarpa, M., Beck, M., Bodamer, O. A., De Meirleir, L., & Guffon, N. (2008). Mucopolysaccharidosis type II (Hunter syndrome): a clinical review and recommendations for treatment in the era of enzyme replacement therapy. European Journal of Pediatrics, 167, 267.PubMedCentralPubMedCrossRef
go back to reference Young, I. D., & Harper, P. S. (1981). Psychosocial problems in Hunter syndrome. Child Care Health Development, 7, 201–209.CrossRef Young, I. D., & Harper, P. S. (1981). Psychosocial problems in Hunter syndrome. Child Care Health Development, 7, 201–209.CrossRef
Metadata
Title
Health-Related Quality of Life in Patients with MPS II
Authors
Mary Needham
Wendy Packman
Natasha Quinn
Maxwell Rappoport
Christa Aoki
Alan Bostrom
Matthew Cordova
Sandra Macias
Cynthia Morgan
Seymour Packman
Publication date
01-08-2015
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 4/2015
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-014-9791-7

Other articles of this Issue 4/2015

Journal of Genetic Counseling 4/2015 Go to the issue