Abstract
Chronic kidney disease (CKD) would be expected to impact upon the quality of life (QoL) of children and young people; therefore, it is important that they are given the means to express their opinions about how they perceive their own QoL. We used the Generic Children’s Quality of Life Measure (GCQ) in 225 paediatric renal patients (118 male, mean age 13.6 years, range 6.2–18.9 years) from seven UK centres. Of these, 47 were on dialysis (23 on haemodialysis), 128 were post-transplant (47 pre-emptive) and 49 had advanced CKD. A comparison between the 124 renal patients (65 male, mean age 11.2 years) in the same age range as the general population (6–14 years) showed a higher GCQ QoL score for the renal patients (p = 0.02). Analysis of the whole group of renal patients (n = 225) revealed no significant difference between the mean GCQ scores of participants in various treatment modalities (p = 0.26) and no significant differences between gender (p = 0.90) and age group (p = 0.44). The results indicate that young people can perceive their QoL as good despite living with what others may perceive as severe limitations. This may seem counter-intuitive, but QoL is a subjective measure and thus may be difficult to predict from observable limitations (health status). The GCQ is an ideal measure for use in annual departmental audits of generic paediatric QoL and may help to individualise the work of psychosocial teams with each patient.
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References
McDonald SP, Craig JC (2004) Long-term survival of children with end-stage renal disease. N Engl J Med 350:2654–2662
Clarke S-A, Eiser C (2004) The measurement of health-related quality of life (QOL) in paediatric clinical trials: a systematic review. Health Qual Life Outcomes 2:66
Watson AR (1997) Stress and burden of care in families with children commencing renal replacement therapy. Adv Perit Dial 13:300–304
Kinsella E, Zeltzer P, Dignan T, Winter J, Breatnach F, Bouffet E (2006) Safety of summer camp for children with chronic and/or life threatening illness. Eur J Onc Nurs 10:304–310
Fukunishi I, Honda M (1995) School adjustment of children with end-stage renal disease. Pediatr Nephrol 9:553–557
WHOQOL Group (1995) The World Health Organisation Quality of Life Assessment (WHOQOL): position paper from the World Health Organisation. Soc Sci Med 41:1403–1409
Campbell A (1976) Subjective measures of well-being. Am Psychol 31:117–124
Taylor RM, Wray J, Gibson F (2010) Measuring quality of life in children and young people after transplantation: methodological considerations. Pediatr Transplant 14:445–458
Varni JW, Burwinkle TM (2004). Health-related quality of life measurement in paediatric clinical practise. In: Proc of Measuring Child Health. Critical challenges in developing and applying health status and outcome measures, pp 24–25
Stam H, Hartman EE, Deurloo JA, Groothoff J, Grootenhuis MA (2006) Young Adult Patients with a history of pediatric disease: Impact on course of life and transition into adulthood. J Adolesc Health 39:4–13
Lavigne JV, Faier-Rouman J (1992) Psychological adjustment to pediatric physical disorders: A meta-analytic review. J Pediatr Psychol 17:133–157
Houtzager BA, Grootenhuis MA, Last BF (1999) Adjustment of siblings to childhood cancer: a literature review. Support Care Cancer 7:302–320
Goldstein SL, Rosburg NM, Warady BA, Seikaly M, McDonald R, Limbers C, Varni JW (2009) Pediatric end stage renal disease health-related quality of life differs by modality: a PedsQL ESRD analysis. Pediatr Nephrol 24:1553–1560
Buyan N, Turkmen MA, Bilge I, Baskin E, Haberal M, Bilginer Y, Mir S, Emre S, Akman S, Ozkaya O, Fidan K, Alpay H, Kavukcu S, Sever L, Ozcakar ZB, Dogrucan N (2010) Quality of life in children with chronic kidney disease (with child and parent assessments). Pediatr Nephrol 25:1487–1496
Riano-Galan I, Malaga S, Rajmil L, Ariceta G, Navarro M, Loris C, Vallo A (2009) Quality of life of adolescents with end-stage renal disease and kidney transplant. Pediatr Nephrol 24:1561–1568
Wiedebusch S, Konrad M, Foppe H, Reichwald-Klugger E, Schaefer F, Schreiber V, Muthny FA (2010) Health-related quality of life, psychosocial strains, and coping in parents of children with chronic renal failure. Pediatr Nephrol 25:1477–1485
Jirojanakul P, Skevington SM, Hudson J (2003) Predicting young children’s quality of life. Soc Sci Med 57:1277–1288
Collier J, MacKinlay D, Phillips D (2000) Norm values for the Generic Children’s Quality of Life Measure (GCQ) from a large school-based sample. Qual Life Res 9:617–623
Collier J, MacKinlay D (2008) Generic Children’s Quality of Life Measure (GCQ) professional manual. Hogrefe, Oxford
Maxwell H, MacKinlay D, Watson AR (2009) Quality of life or health status in children with chronic kidney disease. Pediatr Nephrol 25:1191–1192
Collier J, MacKinlay DRE (1997) Development of a generic child quality of life measure. Health Update 28:12–16
Lewis MA, Shaw J, Sinha M, Adalat S, Hussain F, Inward C (2009) UK renal registry 11th annual report. Nephron Clin Prac 111[Suppl 1]:c257–c267
Wallander JL, Varni JW (1998) Effects of pediatric chronic physical disorders on child and family adjustment. J Child Psychol Psychiat 39:29–46
Newacheck PW, Halfon N (1998) Prevalence and impact of disabling chronic conditions in childhood. Am J Pub Health 88:610–617
Eijsermans RM, Creemers DG, Helders PJ, Schroder CH (2004) Motor performance, exercise tolerance, and health-related quality of life in children on dialysis. Pediatr Nephrol 19:1262–1266
Dickinson HO, Parkinson KN, Ravens-Sieberer U, Schirripa G, Thyen U, Arnaud C, Beckung E, Fauconnier J, McManus V, Michelsen SI, Parkes J, Colver AF (2007) Self-reported quality of life of 8–12 year old children with cerebral palsy: a cross-sectional European study. Lancet 369:592–597
Colver A (2008) Measuring quality of life in studies of disabled children. Paediatr Child Health 18:423–426
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Heath, J., MacKinlay, D., Watson, A.R. et al. Self-reported quality of life in children and young people with chronic kidney disease. Pediatr Nephrol 26, 767–773 (2011). https://doi.org/10.1007/s00467-011-1784-2
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DOI: https://doi.org/10.1007/s00467-011-1784-2