TY - JOUR
T1 - Longitudinal Health Status and Quality of Life in Congenital Diaphragmatic Hernia
AU - Sreeram, Isabel I.
AU - Schnater, Johannes M.
AU - van Rosmalen, Joost
AU - Cochius-Den Otter, Suzan C.M.
AU - Peters, Nina C.J.
AU - Rottier, Robbert J.
AU - Gischler, Saskia J.
AU - Wijnen, Rene M.H.
AU - IJsselstijn, Hanneke
AU - Rietman, Andre B.
N1 - Publisher Copyright:
Copyright © 2023 by the American Academy of Pediatrics.
PY - 2023/6
Y1 - 2023/6
N2 - OBJECTIVES: To longitudinally evaluate self-reported health status (HS) and quality of life (QoL) a in 8- and 12-year-old survivors of congenital diaphragmatic hernia (CDH). We hypothesized that HS would improve with age—as associated health problems tend to decline—whereas QoL would decrease, as the children start to compare themselves with peers. METHODS: Self-reported HS and QoL of 133 children born between 1999 and 2013 who had joined our standardized follow-up program were routinely assessed at the ages of 8 and 12 with generic, internationally validated, standardized instruments. Longitudinal evaluation of total and subscale scores was performed using general linear model analyses. In addition, we compared these scores to sex- and age-specific normative data. RESULTS: Between ages 8 and 12, boys born with CDH perceived a decline in HS (mean difference 7.15, P < .001). Self-reported QoL did not change over time in both boys and girls. At both ages, HS was significantly lower than that of healthy peers (effect size 5 0.71, P 5 .001 for boys, and effect size 5 0.69, P 5 .003 for girls), whereas differences in QoL were small. CONCLUSIONS: Children born with CDH are at risk for declining HS between 8 and 12 years, but not QoL, compared with healthy peers. Given that children born with CDH tend to grow into deficits, our findings highlight the need for continued somatic and psychological assessments in adolescent and adult CDH survivors.
AB - OBJECTIVES: To longitudinally evaluate self-reported health status (HS) and quality of life (QoL) a in 8- and 12-year-old survivors of congenital diaphragmatic hernia (CDH). We hypothesized that HS would improve with age—as associated health problems tend to decline—whereas QoL would decrease, as the children start to compare themselves with peers. METHODS: Self-reported HS and QoL of 133 children born between 1999 and 2013 who had joined our standardized follow-up program were routinely assessed at the ages of 8 and 12 with generic, internationally validated, standardized instruments. Longitudinal evaluation of total and subscale scores was performed using general linear model analyses. In addition, we compared these scores to sex- and age-specific normative data. RESULTS: Between ages 8 and 12, boys born with CDH perceived a decline in HS (mean difference 7.15, P < .001). Self-reported QoL did not change over time in both boys and girls. At both ages, HS was significantly lower than that of healthy peers (effect size 5 0.71, P 5 .001 for boys, and effect size 5 0.69, P 5 .003 for girls), whereas differences in QoL were small. CONCLUSIONS: Children born with CDH are at risk for declining HS between 8 and 12 years, but not QoL, compared with healthy peers. Given that children born with CDH tend to grow into deficits, our findings highlight the need for continued somatic and psychological assessments in adolescent and adult CDH survivors.
UR - http://www.scopus.com/inward/record.url?scp=85161709043&partnerID=8YFLogxK
U2 - 10.1542/peds.2022-060385
DO - 10.1542/peds.2022-060385
M3 - Article
C2 - 37199110
AN - SCOPUS:85161709043
SN - 0031-4005
VL - 151
JO - Pediatrics
JF - Pediatrics
IS - 6
M1 - e2022060385
ER -