Health-related quality of life of children treated for non-syndromic craniosynostosis

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Health-related quality of life of children treated for non-syndromic craniosynostosis

Kljajić, Marizela (author)

Maltese, Giovanni (author)

Tarnow, Peter (author)

Sand, Peter (author): Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology

Kölby, Lars (author)

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(creator_code:org_t)

2023
2023
English.
In: Journal of Plastic Surgery and Hand Surgery. - 2000-656X. ; 57:1-6

Related links:: https://gup.ub.gu.se...; show more...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Health-related quality of life (HRQoL) allows the acquisition of the subjective perspective of patients regarding their health and function; yet a very few studies have been evaluated HRQoL of patients treated for craniosynostosis (CS). In this retrospective, descriptive cohort study, school-aged children (7–16 years) treated for non-syndromic CS were assessed using the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales. Seventy-three patients and their parents responded to the PedsQL (response rate: 80.2%). Patients generally estimated average HRQoL with no difference compared to the normal population sample. Further, no difference in HRQoL was found between treated sagittal (SS) or metopic synostosis. In the SS group, surgical methods involving spring-assisted surgery and pi-plasty were unrelated to HRQoL outcomes. Additionally, HRQoL was highly correlated with intelligence quotient (IQ, r = 0.42; p = 0.0004) and adaptive behavior skills (ABAS, r = 0.57; p = 0.0001). Furthermore, differences were observed in estimated physical function (p = 0.002) and school function (p = 0.012) between self- and proxy reports (i.e. parents estimated child HRQoL as higher than did the children). Children treated for CS have a generally average HRQoL, and neither CS type nor surgical method influenced HRQoL outcomes. Moreover, children and parents estimated HRQoL differently, suggesting the importance of using both self- and proxy reporting in patient-reported measures. HRQoL was strongly related to IQ and ABAS, indicating that the PedsQL can be used as a screening instrument to identify craniofacial patients in need of further psychological assessment.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
SOCIAL SCIENCES -- Psychology (hsv//eng)

Keyword

craniofacial
Craniosynostosis
health-related quality of life
HRQoL
metopic
PedsQL
pi-plasty
sagittal
spring-assisted surgery

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art (subject category)

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By the author/editor: Kljajić, Marizel ...; Maltese, Giovann ...; Tarnow, Peter; Sand, Peter; Kölby, Lars

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...

SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

Articles in the publication: Journal of Plast ...

By the university: University of Gothenburg

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