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Systematic review of quality of life in Turner syndrome

Abstract

Purpose

This study aimed to systematically review the available literature on “quality of life” (QoL) or “health-related quality of life” (HRQoL) in Turner syndrome (TS) patients and to analyze the relations among height, puberty, and the use of growth hormone (GH) and the QoL of TS patients.

Methods

An electronic bibliographic search was conducted through the PubMed, Embase, Bireme, Scopus, and Web of Science databases. The main terms were “Quality of Life” and “Turner syndrome.”

Results

Among the databases, 559 articles were found; after the selection process, 13 studies were selected. A quality assessment was conducted, and all the studies were of high quality. Eight well-known QoL questionnaires were used, and the selected studies presented factors that may be related to the QoL of TS patients, such as height, puberty, and GH use. However, a more detailed understanding of which factors are associated with the QoL of TS patients is still needed, which may be due to the lack of specific QoL instruments involving important aspects related to TS.

Conclusion

The QoL of TS patients appears to be compromised, but existing data regarding the relations among height, puberty, and GH and QoL are still controversial. Although these factors should be carefully considered in TS patients, it was not possible to determine whether they have a significant relation with the QoL of TS patients.

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Funding

This study was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). Doctoral Fellowship Number 140965/2015-7.

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Correspondence to Carolina Trombeta Reis.

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All authors declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Reis, C.T., de Assumpção, M.S., Guerra-Junior, G. et al. Systematic review of quality of life in Turner syndrome. Qual Life Res 27, 1985–2006 (2018). https://doi.org/10.1007/s11136-018-1810-y

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Keywords

  • Quality of life
  • Turner syndrome
  • Body height
  • Puberty
  • Growth hormone