Marta Murillo1,2, Joan Bel1,2, Jacobo Pérez3,4, Raquel Corripio3,4, Gemma Carreras5, Xavier Herrero6, Josep-Maria Mengibar6, Dolors Rodriguez-Arjona7, Ulrike Ravens-Sieberer8, Hein Raat9, Luis Rajmil10. 1. Pediatric Service, University Hospital Germans Trias i Pujol, Ctra de Canyet s/n, Badalona, Barcelona, 08916, Spain. 2. Autonomous University of Barcelona, Barcelona, Spain. 3. Department of Pediatric Endocrine, Hospital of Sabadell, Corporació Sanitària Parc Taulí, Parc Taulí s/n, 08208, Sabadell, Spain. 4. University Institute Parc Taulí-UAB, Autonomous University of Barcelona, Campus d'Excelència Internacional, Sabadell, Spain. 5. Pediatric Endocrinology, Hospital Sant Pau, Autonomous University of Barcelona, c/Sant Quintí 89, 08026, Barcelona, Spain. 6. Corporació de Salut del Maresme i la Selva, Sant Jaume, 209-217, 08370, Calella, Spain. 7. Catalan Agency for Health Quality and Assessment, Roc Boronat 81-95, 08005, Barcelona, Spain. 8. Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg- Eppendorf, Martinistr. 52 (W29), 20246, Hamburg, Germany. 9. Department of Public Health, Erasmus MC - University Medical Center Rotterdam, 3075 EA, Rotterdam, The Netherlands. 10. Health Services Research Unit, IMIM-Hospital del Mar Institute of Medical Research, Barcelona Biomedical Research Park (office 138.03), Dr Aiguader 88, 08003, Barcelona, Spain. lrajmil@imim.es.
Abstract
PURPOSE: To test whether the systematic monitoring of health-related quality of life (HRQOL) in clinical practice in Spanish pediatric patients with T1DM helps improve their daily life in a multicenter longitudinal study. METHODS:One hundred thirty-six patients participated, recruited from five centers in Barcelona, Spain (72 girls, mean age 13.4 years). Complete data were collected for 119 patients (85%). Pediatricians were randomly assigned to the HRQOL intervention (n = 70), or control group (n = 49). The intervention group discussed the results of HRQOL face to face with the physician, quarterly over a year. The control group received care as usual. HRQOL was assessed using KIDSCREEN-27 collected online. Standardized mean differences (effect size, ES) and generalized estimating equation (GEE) were computed to compare group differences between baseline and follow-up, taking into account sociodemographic and clinical variables. RESULTS: Statistically significant higher scores were seen in the intervention group at follow-up for the dimensions of Psychological well-being (ES = 0.56), School environment (ES = 0.56), and the KIDSCREEN-10 index (ES = 0.63). No differences were found in the control group. GEE analysis showed an improvement in HRQOL at follow-up with statistically significant association of the intervention on Psychological well-being (B = 4.32; p 0.03 for the interaction of group by follow-up) and School environment (B = 4.64; p 0.02 for the same interaction term). CONCLUSIONS: Routine assessment and face-to-face patient-physician discussion of HRQOL results improved HRQOL scores after a year of follow-up, especially in Psychological well-being and school environment. The results support the routinary use of HRQOL assessment in clinical practice.
RCT Entities:
PURPOSE: To test whether the systematic monitoring of health-related quality of life (HRQOL) in clinical practice in Spanish pediatric patients with T1DM helps improve their daily life in a multicenter longitudinal study. METHODS: One hundred thirty-six patients participated, recruited from five centers in Barcelona, Spain (72 girls, mean age 13.4 years). Complete data were collected for 119 patients (85%). Pediatricians were randomly assigned to the HRQOL intervention (n = 70), or control group (n = 49). The intervention group discussed the results of HRQOL face to face with the physician, quarterly over a year. The control group received care as usual. HRQOL was assessed using KIDSCREEN-27 collected online. Standardized mean differences (effect size, ES) and generalized estimating equation (GEE) were computed to compare group differences between baseline and follow-up, taking into account sociodemographic and clinical variables. RESULTS: Statistically significant higher scores were seen in the intervention group at follow-up for the dimensions of Psychological well-being (ES = 0.56), School environment (ES = 0.56), and the KIDSCREEN-10 index (ES = 0.63). No differences were found in the control group. GEE analysis showed an improvement in HRQOL at follow-up with statistically significant association of the intervention on Psychological well-being (B = 4.32; p 0.03 for the interaction of group by follow-up) and School environment (B = 4.64; p 0.02 for the same interaction term). CONCLUSIONS: Routine assessment and face-to-face patient-physician discussion of HRQOL results improved HRQOL scores after a year of follow-up, especially in Psychological well-being and school environment. The results support the routinary use of HRQOL assessment in clinical practice.
Entities:
Keywords:
Adolescents; Children; Health-related quality of life; Pediatric; Type 1 diabetes
Authors: A Carrascosa Lezcano; J M Fernández García; C Fernández Ramos; A Ferrández Longás; J P López-Siguero; E Sánchez González; B Sobradillo Ruiz; D Yeste Fernández Journal: An Pediatr (Barc) Date: 2008-06 Impact factor: 1.500
Authors: Pamela S King; Cynthia A Berg; Jonathan Butner; Linda M Drew; Carol Foster; David Donaldson; Mary Murray; Michael Swinyard; Deborah J Wiebe Journal: J Adolesc Health Date: 2011-12-03 Impact factor: 5.012
Authors: Lotte Haverman; Vivian Engelen; Marion A J van Rossum; Hugo S A Heymans; Martha A Grootenhuis Journal: BMC Pediatr Date: 2011-01-12 Impact factor: 2.125
Authors: Chris Gibbons; Ian Porter; Daniela C Gonçalves-Bradley; Stanimir Stoilov; Ignacio Ricci-Cabello; Elena Tsangaris; Jaheeda Gangannagaripalli; Antoinette Davey; Elizabeth J Gibbons; Anna Kotzeva; Jonathan Evans; Philip J van der Wees; Evangelos Kontopantelis; Joanne Greenhalgh; Peter Bower; Jordi Alonso; Jose M Valderas Journal: Cochrane Database Syst Rev Date: 2021-10-12