Health-related quality of life of children and adolescents with osteogenesis imperfecta: a cross-sectional study using PedsQL

Background: Osteogenesis imperfecta (OI) is a disorder of bone formation leading to low mineral density and fractures. Children and adolescents with OI require periodic medical follow up, corrective surgery, drug therapy and physical therapy, as well as specific daily care practices. In addition, th...

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Detalles Bibliográficos
Autores: Vanz, Ana Paula, Lee, Juliana van de Sande, Pinheiro, Bruna de Souza, Zambrano, Marina Bauer, Brizola, Evelise Silva, Rocha, Neusa Sica da, Schwartz, Ida Vanessa Doederlein, Pires, Maria Marlene de Souza, Felix, Temis Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Repositório Institucional da UFRGS
Idioma:inglés
OAI Identifier:oai:www.lume.ufrgs.br:10183/212749
Acceso en línea:http://hdl.handle.net/10183/212749
Access Level:acceso abierto
Palabra clave:Osteogênese imperfeita
Qualidade de vida
Criança
Adolescente
Perfil de impacto da doença
Osteogenesis imperfecta
Quality of life
Sickness impact profile
Child
Adolescent
Descripción
Sumario:Background: Osteogenesis imperfecta (OI) is a disorder of bone formation leading to low mineral density and fractures. Children and adolescents with OI require periodic medical follow up, corrective surgery, drug therapy and physical therapy, as well as specific daily care practices. In addition, they have an increased incidence of fractures, which require immobilization and cause severe discomfort and short-term disability. This study evaluated the health-related quality of life of children and adolescents with OI in two reference centers for OI treatment in southern Brazil. Methods: In this prospective cross-sectional study, the Pediatric Quality of Life Inventory (PedsQLTM) was applied in two university-affiliated reference centers for OI treatment in southern Brazil. Children and adolescents aged ≥ 5 years with clinical diagnoses of OI were included. Clinical data and socioeconomic status was evaluated. Results: The sample consisted of 52 children and adolescents with OI (aged 5-17 years); 26 (50%) participants with type I OI, 13 (25%) type IV, 12 (23.1 %) type III, and 1 (1.9%) type V OI. Physical and social functioning domains differed significantly according to clinical presentation of OI with lowest scores in the severe type (OI type III). Pain seems to be the variable that is most associated with impact on the PedsQL domains. Conclusions: Overall, this study revealed differences in physical functioning and social functioning in relation to OI clinical presentation. These results reinforcing the importance of the clinical management of these patients with the aim of functional improvement and importance of pain control.