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Evaluation of quality of life by young adult survivors of severe chronic kidney disease in infancy

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Abstract

Background

The health related quality of life (HRQoL) of young adults treated for chronic kidney disease (CKD) stage 4/5 from infancy is unknown.

Methods

A HRQoL questionnaire was sent to all 41 patients aged >16 years from a previously characterised cohort of infants with CKD stage 4/5 born between 1986 and 1997. Patient scores were compared with a previously reported cohort of patients who needed renal replacement therapy (RRT) in mid childhood and in the normal population.

Results

All patients (11 women) completed the questionnaire at a median (range) age of 19.2 (16.3–23.4) years. At the time of the survey, 5 (12.5 %) were on dialysis, 35 (85.5 %) had a functioning kidney transplant, one (2 %) was still conservatively treated and 22 (54 %) had comorbidities; 68 % were either studying or in paid employment, with 17 % actively seeking employment. Although patients described a lower HRQoL than a healthy, age-matched UK group, in some aspects, scores were comparable with patients needing RRT in later childhood. Lower scores were associated with comorbidities, dialysis at last follow-up, more than one treatment modality change and short stature.

Conclusions

Our survey demonstrates very encouraging results for long-term HRQoL of infants with severe CKD and highlights the negative impact of comorbidities. These data will help clinicians to counsel and inform families.

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Abbreviations

CKD:

Chronic kidney disease

ESKD:

End-stage kidney disease

HRQoL:

Health-related quality of life

RRT:

Renal replacement therapy

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Acknowledgments

We thank H. Stam and M.A. Grootenhuis from the Netherlands’ Emma Children’s Hospital for giving us The Course of Life questionnaire.

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Authors and Affiliations

  1. Renal Unit, Great Ormond St Hospital for Children NHS Trust, Great Ormond St, London, WC1N 3JH, UK

    Djalila Mekahli, Sarah Ledermann, Ambrose Gullett & Lesley Rees

  2. Department of Pediatric Nephrology, University Hospitals Leuven, Leuven, Belgium

    Djalila Mekahli

  3. Renal Office, Great Ormond St Hospital for Children NHS Foundation Trust, Great Ormond St, London, WC1N 3JH, UK

    Lesley Rees

Authors
  1. Djalila Mekahli
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  2. Sarah Ledermann
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  3. Ambrose Gullett
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  4. Lesley Rees
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Correspondence to Lesley Rees.

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Mekahli, D., Ledermann, S., Gullett, A. et al. Evaluation of quality of life by young adult survivors of severe chronic kidney disease in infancy. Pediatr Nephrol 29, 1387–1393 (2014). https://doi.org/10.1007/s00467-014-2785-8

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  • DOI: https://doi.org/10.1007/s00467-014-2785-8

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