Quality of life in chronic illness: children, parents and paediatricians have different, but stable perceptions
Aim: Quality of life assessments can be helpful to estimate the well‐being of chronically ill children. The aim of this study was to investigate the differences in perception of health‐related quality of life (HRQoL) among children, parents and paediatricians at the time of diagnosis and after initi...
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Published in | Acta Paediatrica Vol. 97; no. 8; pp. 1118 - 1124 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.08.2008
Blackwell |
Subjects | |
Online Access | Get full text |
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Summary: | Aim: Quality of life assessments can be helpful to estimate the well‐being of chronically ill children. The aim of this study was to investigate the differences in perception of health‐related quality of life (HRQoL) among children, parents and paediatricians at the time of diagnosis and after initial treatment in four chronic diseases.
Methods: HRQoL was assessed with the Health Utilities Index mark 3 (HUI3). The HUI3 consists of eight attributes (vision, hearing, speech, ambulation, dexterity, emotion, cognition and pain).
Results: Nineteen paediatricians and 60 patients (aged 10–17 years) and their parents with newly diagnosed acute lymphoblastic leukaemia, juvenile idiopathic arthritis, asthma or with cystic fibrosis admitted for pneumonia participated in the study.
Health and well‐being perceptions were clearly different among paediatricians, parents and patients, both at diagnosis and after initial treatment. Perception differences were more prominent in the subjective attributes, emotion and pain. The agreement for these attributes was 23% and 5%, respectively. Paediatricians assessed the patients to have less pain than the patients and parents did. The reverse was true for the attribute emotion. At follow‐up, the agreement was higher for the attributes ambulation and pain.
Conclusion: At the onset of a chronic disease and after initial treatment, paediatricians, parents and children have different perceptions of the child's quality of life, particularly as to the subjective attributes pain and emotion. In view of these differences in perception among patients, their caregivers and paediatricians, this study suggests that whenever possible, multi‐respondent assessment of HRQoL should be considered. |
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Bibliography: | ark:/67375/WNG-BNQ4J4HK-7 istex:BDDA5F00D1644B9610CEFC5879F110E7C9F9DADB ArticleID:APA847 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0803-5253 1651-2227 |
DOI: | 10.1111/j.1651-2227.2008.00847.x |