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Open Access 01-12-2013 | Research

Health-related quality of life and its determinants in children with a congenital diaphragmatic hernia

Authors: Fabrice Michel, Karine Baumstarck, Agathe Gosselin, Pierre Le Coz, Thierry Merrot, Sophie Hassid, Kathia Chaumoître, Julie Berbis, Claude Martin, Pascal Auquier, PACA Group Research for Quality of Life of children with a congenital diaphragmatic hernia

Published in: Orphanet Journal of Rare Diseases | Issue 1/2013

Abstract

Background

The development of new therapeutics has led to progress in the early management of congenital diaphragmatic hernia (CDH) in pediatric intensive care units (PICU). Little is known about the impact on the quality of life (QoL) of children and their family. The aim of this study was to assess the impact of CDH treated according to the most recent concepts and methods outlined above on child survivors’ QoL and their parents’ QoL.

Patients and methods

This study incorporated a cross-sectional design performed in two PICU (Marseille, France). Families of CDH survivors born between 1999 and 2008 were eligible. The following data were recorded: socio-demographics, antenatal history and delivery, initial hospitalization history. Self-reported data were collected by mail, including current clinical problems of the children (13-symptom list), children’s QoL (Kidscreen-27 questionnaire), and parents’ QoL (Short-Form 36 questionnaire). Children’s QoL score was compared with controls and QoL of survivors of childhood leukemia. Parent’s QoL was compared with controls. Non-parametric statistics were employed.

Results

Forty-two families agreed to participate and questionnaires were completed by 32 of them. Twenty-one children had a current clinical problems related to CDH. All the QoL scores of CHD survivors were significantly lower compared with controls. The physical well-being dimension was significantly higher for CHD survivors compared with survivors of childhood leukemia. Gastro-esophageal reflux at discharge, antenatal diagnosis, length of stay in the PICU, and neuropsychological and respiratory issues significantly impacted QoL scores of children. The parents of CHD survivors had significantly poorer score in emotional role dimension compared with controls.

Conclusion

The impact of CDH on QoL seems to be important and must be understood by clinicians who treat these children and their parents.

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Title: Health-related quality of life and its determinants in children with a congenital diaphragmatic hernia
Authors: Fabrice Michel
Karine Baumstarck
Agathe Gosselin
Pierre Le Coz
Thierry Merrot
Sophie Hassid
Kathia Chaumoître
Julie Berbis
Claude Martin
Pascal Auquier
PACA Group Research for Quality of Life of children with a congenital diaphragmatic hernia
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Orphanet Journal of Rare Diseases / Issue 1/2013
Electronic ISSN: 1750-1172
DOI: https://doi.org/10.1186/1750-1172-8-89

At a glance: The STEP trials

Springer Medicine

Health-related quality of life and its determinants in children with a congenital diaphragmatic hernia

Abstract

Background

Patients and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusion

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