Quality of life in children with end-stage renal disease based on a PedsQL ESRD module
- 26 July 2012
- journal article
- Published by Springer Science and Business Media LLC in Pediatric Nephrology
- Vol. 27 (12), 2293-2300
- https://doi.org/10.1007/s00467-012-2262-1
Abstract
Health-related quality of life (HRQOL) is an essential subject for children with end-stage renal disease (ESRD) and their families. We performed a cross-sectional investigation of HRQOL in children undergoing renal replacement therapies, such as dialysis and renal transplantation, using the 34-item Pediatric Quality of Life Inventory 3.0 End-Stage Renal Disease (PedsQL 3.0 ESRD) module. We assessed 92 ESRD patients aged 2–18 from four Korean university hospitals. The male:female ratio was 44:48, and the most common cause of ESRD was chronic glomerulonephritis. Fifty-five children were treated by dialysis, and 37 received renal transplantation. Transplant patients had better HRQOL than dialysis patients in two domains in parent proxy reports: “About my kidney disease” and “Worry.” In child self-reports, transplant patients had better HRQOL than dialysis patients in one domain: Treatment problems. However, there were no significant differences in total QOL scores between peritoneal dialysis (PD) and transplant patients in child self-reports. In addition, there were differences in the ESRD module scores between child self- and parent proxy reports. Children usually reported better QOL than their parents. Child self-reports showed significantly higher QOL scores than parent proxy reports in the domains of General fatigue, Family & peer interaction, and Worry. Children on PD self-reported a significantly higher QOL than children on hemodialysis (HD). The PedsQL 3.0 ESRD module may be useful as an ESRD-specific instrument to evaluate HRQOL in children; however, a larger, longitudinal prospective study is warranted.Keywords
This publication has 23 references indexed in Scilit:
- Behavioral disorders and low quality of life in children and adolescents with chronic kidney diseasePediatric Nephrology, 2010
- Quality of life in children with chronic kidney disease (with child and parent assessments)Pediatric Nephrology, 2010
- Overview of chronic kidney disease in childrenCurrent Opinion in Pediatrics, 2010
- Child and parental perspectives of multidimensional quality of life outcomes after kidney transplantationPediatric Transplantation, 2009
- Pediatric end stage renal disease health-related quality of life differs by modality: a PedsQL ESRD analysisPediatric Nephrology, 2009
- Outcome after renal transplantation. Part II: Quality of life and psychosocial adjustmentPediatric Nephrology, 2008
- Health-related quality of life in pediatric patients with ESRDPediatric Nephrology, 2006
- The impact of delayed development on the quality of life of adults with end-stage renal disease since childhoodPediatric Nephrology, 2006
- Long-Term Survival of Children with End-Stage Renal DiseaseNew England Journal of Medicine, 2004
- Survival on renal replacement therapy in Europe: is there a 'centre effect'?Nephrology Dialysis Transplantation, 1996