Pediatric Nephrology

, Volume 24, Issue 8, pp 1553–1560 | Cite as

Pediatric end stage renal disease health-related quality of life differs by modality: a PedsQL ESRD analysis

  • Stuart L. Goldstein
  • Nicole M. Rosburg
  • Bradley A. Warady
  • Mouin Seikaly
  • Ruth McDonald
  • Christine Limbers
  • James W. Varni
Original Article


We previously validated the 34-item PedsQL 3.0 End Stage Renal Disease (ESRD) Module designed to measure pediatric ESRD-specific health-related quality of life (HRQOL) in children and adolescents receiving maintenance dialysis or with a renal transplant. The study reported here was undertaken to assess for potential HRQOL differences between ESRD modality in children with ESRD and their parents using the PedsQL 3.0 ESRD Module. Parents of patients with a renal transplant reported a significantly higher HRQOL for their children than parents of pediatric patients receiving dialysis on all ESRD Module Scales except the Perceived Physical Appearance Scale, with the majority of the effect sizes in the medium range. Pediatric renal transplant patients self-reported comparable HRQOL to pediatric patients receiving dialysis across the ESRD Module Scales, with the exception of the Family and Peer Interaction Scale, in which pediatric renal transplant patients self-reported significantly higher HRQOL than pediatric patients receiving dialysis. Our cross-sectional data suggest that parents of children with ESRD observe a positive impact from renal transplantation on the majority of HRQOL domains compared to dialysis, whereas children self-report generally non-significant small effect size differences in favor of renal transplantation. These findings suggest that the PedsQL ESRD 3.0 Module may be used to identify ESRD- and modality-specific challenges that impact pediatric patient HRQOL.


Children Dialysis End-stage renal disease Health-related quality of life Renal transplant 



This work was supported (SLG, NMR and JWV) by the Franklin McDonald/Fresenius Medical Care Young Investigator Grant from the National Kidney Foundation. Competing Interests: Dr. Varni holds the copyright and the trademark for the PedsQL and receives financial compensation from the Mapi Research Trust, which is a nonprofit research institute that charges distribution fees to for-profit companies that use the Pediatric Quality of Life Inventory.

Supplementary material

467_2009_1174_MOESM1_ESM.pdf (64 kb)
ESM 1 (PDF 32.8 kb)


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Copyright information

© IPNA 2009

Authors and Affiliations

  • Stuart L. Goldstein
    • 1
  • Nicole M. Rosburg
    • 2
  • Bradley A. Warady
    • 3
  • Mouin Seikaly
    • 4
  • Ruth McDonald
    • 5
  • Christine Limbers
    • 6
  • James W. Varni
    • 6
  1. 1.Texas Children’s HospitalBaylor College of MedicineHoustonUSA
  2. 2.Texas Children’s HospitalHoustonUSA
  3. 3.Children’s Mercy Hospital and ClinicsKansas CityUSA
  4. 4.Children’s Medical Center, DallasDallasUSA
  5. 5.Children’s Hospital and Regional Medical CenterSeattleUSA
  6. 6.Texas A&M UniversityCollege StationUSA

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