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Measuring quality of life in children with spinal muscular atrophy: a systematic literature review

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A Correction to this article was published on 14 September 2018

This article has been updated

Abstract

Objectives

Spinal muscular atrophy (SMA) is a rare, hereditary, autosomal recessive neuromuscular disorder that, in its most severe forms, impacts infants and children. Once symptomatic, it is characterized clinically by a distinct inability to achieve motor milestones, such as the ability to lift the head, sit, stand, or walk. Quality of life (QOL) measurement in very young infants presents a particular challenge. Therefore, this review aims to highlight commonly used measurement tools and identifies future research opportunities for QOL measurement in SMA.

Methods

A systematic literature review was carried out focusing on the various tools used to measure QOL in children < 18 years of age with formally diagnosed SMA type I, II, or III. Although the disease area of interest was SMA, data on Duchenne’s muscular dystrophy were also included because of the rare nature of SMA.

Results

The Pediatric Quality of Life Inventory was the most commonly utilized tool to measure QOL in children; this included the generic and neuromuscular modules. No disease-specific tool to capture QOL in children with SMA was identified. Additionally, no measurement tools exist for very young infants (i.e., under 12 months) with SMA Type 1.

Conclusions

Evolving standards of care will lead to increased interest by stakeholders, on the methods used to measure QOL in infants and children across all types of SMA. Generic tools may not adequately capture QOL changes in SMA, especially given the age group affected by the disease. Further research is required to explore the scope for a disease-focused approach.

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Change history

  • 14 September 2018

    In the original publication of the article, the co-author name “Stefan Boes” has been mistakenly missed out. This has been updated in this correction.

References

  1. Lunn, M. R., & Wang, C. H. (2008). Spinal muscular atrophy. The Lancet, 371(9630), 2120–2133.

    Article  Google Scholar 

  2. Finkel, R. S., et al. (2016). Treatment of infantile-onset spinal muscular atrophy with Nusinersen: A phase 2, open-label, dose-escalation study. The Lancet, 388(10063), 3017–3026.

    Article  CAS  Google Scholar 

  3. Luan, X., et al. (2016). Infantile spinal muscular atrophy with respiratory distress type I presenting without respiratory involvement: Novel mutations and review of the literature. Brain Development, 38(7), 685–689.

    Article  Google Scholar 

  4. European Medicines Agency. (2017). Spinraza. Retrieved August 07, 2017, from http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/004312/human_med_002119.jsp&mid=WC0b01ac058001d124.

  5. Kocova, H., et al. (2014). Health-related quality of life in children and adolescents with spinal muscular atrophy in the Czech Republic. Pediatric Neurology, 50(6), 591–594.

    Article  Google Scholar 

  6. Khanna, D., & Tsevat, J. (2007). Health-related quality of life: An introduction. American Journal of Managed Care, 13(Suppl 9), S218–S223.

    PubMed  Google Scholar 

  7. O’Reilly, D., et al. (2015). Evidence-based decision-making 3: Health technology assessment. Methods in Molecular Biology, 1281, 417–441.

    Article  Google Scholar 

  8. de Oliveira, C. M., & Araújo, A. P. D. Q. C. (2011). Self-reported quality of life has no correlation with functional status in children and adolescents with spinal muscular atrophy. European Journal of Paediatric Neurology, 15(1), 36–39.

    Article  Google Scholar 

  9. Eiser, C., & Morse, R. (2001). A review of measures of quality of life for children with chronic illness. Archives of Disease in Childhood, 84(3), 205–211.

    Article  CAS  Google Scholar 

  10. Liberati, A., et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ, 339, b2700.

    Article  Google Scholar 

  11. Matza, L. S., et al. (2004). Assessment of health-related quality of life in children: A review of conceptual, methodological, and regulatory issues. Value in Health, 7(1), 79–92.

    Article  Google Scholar 

  12. Sturaro, C., et al. (2011). The role of peer relationships in the development of early school-age externalizing problems. Child Development, 82(3), 758–765.

    Article  Google Scholar 

  13. Eiser, C., & Morse, R. (2001). Quality-of-life measures in chronic diseases of childhood. Health Technology Assessment (Winchester, England), 5(4), 1–157.

    CAS  Google Scholar 

  14. Clarke, S.-A., & Eiser, C. (2004). The measurement of health-related quality of life (QOL) in paediatric clinical trials: A systematic review. Health and Quality of life Outcomes, 2(1), 1.

    Article  Google Scholar 

  15. Iannaccone, S. T., & Hynan, L. S. (2003). Reliability of 4 outcome measures in pediatric spinal muscular atrophy. Archives of Neurology, 60(8), 1130–1136.

    Article  Google Scholar 

  16. Iannaccone, S. T. (2002). Outcome measures for pediatric spinal muscular atrophy. Archives of Neurology, 59(9), 1445–1450.

    Article  Google Scholar 

  17. Davis, S. E., et al. (2010). The PedsQL™ in pediatric patients with Duchenne muscular dystrophy: Feasibility, reliability, and validity of the pediatric quality of life inventory neuromuscular module and generic core scales. Journal of Clinical Neuromuscular Disease, 11(3), 97–109.

    Article  Google Scholar 

  18. Wallander, J. L., Schmitt, M., & Koot, H. M. (2001). Quality of life measurement in children and adolescents: Issues, instruments, and applications. Journal of Clinical Psychology, 57(4), 571–585.

    Article  CAS  Google Scholar 

  19. Solans, M., et al. (2008). Health-related quality of life measurement in children and adolescents: A systematic review of generic and disease-specific instruments. Value in Health, 11(4), 742–764.

    Article  Google Scholar 

  20. Lohr, K. N. (2002). Assessing health status and quality-of-life instruments: Attributes and review criteria. Quality of Life Research, 11(3), 193–205.

    Article  Google Scholar 

  21. Davis, E., et al. (2016). Measuring the quality of life of children and adolescents☆, in reference module in biomedical sciences. New York: Elsevier.

    Google Scholar 

  22. Iannaccone, S. T., et al. (2009). The PedsQL in pediatric patients with spinal muscular atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19(12), 805–812.

    Article  Google Scholar 

  23. Hu, J., et al. (2013). Reliability and validity of the Chinese version of the Pediatric Quality Of Life InventoryTM (PedsQLTM) 3.0 neuromuscular module in children with Duchenne muscular dystrophy. Health Quality of Life Outcomes, 11, 47.

    Article  Google Scholar 

  24. Messina, S., et al. (2016). Health-related quality of life and functional changes in DMD: A 12-month longitudinal cohort study. Neuromuscular Disorders, 26(3), 189–196.

    Article  Google Scholar 

  25. Uzark, K., et al. (2012). Health-related quality of life in children and adolescents with Duchenne muscular dystrophy. Pediatrics, 130(6), e1559–e1566.

    Article  Google Scholar 

  26. Bach, J. R., et al. (2003). Spinal muscular atrophy type 1 quality of life. American Journal of Physical Medicine & Rehabilitation, 82(2), 137–142.

    Article  Google Scholar 

  27. Houwen-van Opstal, S. L., et al. (2014). Health-related quality of life and its relation to disease severity in boys with Duchenne muscular dystrophy: Satisfied boys, worrying parents—a case-control study. Journal of Child Neurology, 29(11), 1486–1495.

    Article  CAS  Google Scholar 

  28. Pangalila, R. F., et al. (2015). Quality of life of adult men with Duchenne muscular dystrophy in the Netherlands: Implications for care. Journal of Rehabilitation Medicine, 47(2), 161–166.

    Article  Google Scholar 

  29. Zamani, G., et al. (2016). The quality of life in boys with Duchenne muscular dystrophy. Neuromuscular Disorders, 26(7), 423–427.

    Article  Google Scholar 

  30. Kohler, M., et al. (2005). Quality of life, physical disability, and respiratory impairment in Duchenne muscular dystrophy. American Journal of Respiratory and Critical Care Medicine, 172(8), 1032–1036.

    Article  Google Scholar 

  31. Iannaccone, S. T., et al. (2009). The PedsQL™ in pediatric patients with spinal muscular atrophy: Feasibility, reliability, and validity of the Pediatric Quality of Life Inventory™ Generic Core Scales and Neuromuscular Module. Neuromuscular Disorders, 19(12), 805–812.

    Article  Google Scholar 

  32. de Oliveira, C. M., & Alexandra, P. (2011). Self-reported quality of life has no correlation with functional status in children and adolescents with spinal muscular atrophy. European Journal of Paediatric Neurology, 15(1), 36–39.

    Article  Google Scholar 

  33. Bendixen, R. M., et al. (2012). Participation and quality of life in children with Duchenne muscular dystrophy using the international classification of functioning, disability, and health. Health Quality of Life Outcomes, 10, 43.

    Article  Google Scholar 

  34. Wei, Y., et al. (2016). Factors associated with health-related quality of life in children with Duchenne muscular dystrophy. Journal of Child Neurology, 31(7), 879–886.

    Article  Google Scholar 

  35. Baiardini, I., et al. (2011). Quality of life in Duchenne muscular dystrophy: Subjective impact on children and parents. Journal of Child Neurology, 26, 707–713.

    Article  Google Scholar 

  36. McDonald, C. M., et al. (2010). Relationship between clinical outcome measures and parent proxy reports of health-related quality of life in ambulatory children with Duchenne muscular dystrophy. Journal of Child Neurology, 25(9), 1130–1144.

    Article  Google Scholar 

  37. Desai, A. D., et al. (2014). Validity and responsiveness of the pediatric quality of life inventory (pedsql) 4.0 generic core scales in the pediatric inpatient setting. JAMA Pediatrics, 168(12), 1114–1121.

    Article  Google Scholar 

  38. Varni, J. (2017). Pediatric Quality Of Life Inventory™ Neuromuscular Module (PedsQL™ Neuromuscular Module). Retrieved from https://eprovide.mapi-trust.org/instruments/pediatric-quality-of-life-inventory-neuromuscular-module.

  39. Bann, C. M., et al. (2015). Measuring quality of life in muscular dystrophy. Neurology, 84(10), 1034–1042.

    Article  Google Scholar 

  40. Grootenhuis, M. A., de Boone, J., & van der Kooi, A. J. (2007). Living with muscular dystrophy: Health related quality of life consequences for children and adults. Health and Quality of Life Outcomes, 5, 31.

    Article  Google Scholar 

  41. Bray, P., et al. (2010). Feasibility of a computerized method to measure quality of “everyday” life in children with neuromuscular disorders. Physical & Occupational Therapy In Pediatrics, 30(1), 43–53.

    Article  Google Scholar 

  42. Lai, J.-S., et al. (2012). Quality-of-life measures in children with neurological conditions pediatric neuro-QOL. Neurorehabilitation and Neural Repair, 26(1), 36–47.

    Article  Google Scholar 

  43. Vuillerot, C., et al. (2010). Self-perception of quality of life by adolescents with neuromuscular diseases. Journal of Adolescent Health, 46(1), 70–76.

    Article  Google Scholar 

  44. Bjornson, K. F., & McLaughlin, J. F. (2001). The measurement of health-related quality of life (HRQL) in children with cerebral palsy. European Journal of Neurology, 8(s5), 183–193.

    Article  Google Scholar 

  45. Brunner, H. I., et al. (2003). Preference-based measurement of health-related quality of life (HRQL) in children with chronic musculoskeletal disorders (MSKDs). Medical Decision Making, 23(4), 314–322.

    Article  CAS  Google Scholar 

  46. Mabugu, T., Revill, P., & van den Berg, B. (2013). The methodological challenges for the estimation of quality of life in children for use in economic evaluation in low-income countries. Value in Health Regional Issues, 2(2), 231–239.

    Article  Google Scholar 

  47. Wallander, J. L., & Koot, H. M. (2016). Quality of life in children: A critical examination of concepts, approaches, issues, and future directions. Clinical Psychology Review, 45, 131–143.

    Article  Google Scholar 

  48. Theunissen, N. C. M., et al. (1998). The proxy problem: Child report versus parent report in health-related quality of life research. Quality of Life Research, 7(5), 387–397.

    Article  CAS  Google Scholar 

  49. Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). How young can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5(1), 1.

    Article  Google Scholar 

  50. Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Parent proxy-report of their children’s health-related quality of life: An analysis of 13,878 parents’ reliability and validity across age subgroups using the PedsQL™ 4.0 Generic Core Scales. Health and Quality of Life Outcomes, 5(1), 1.

    Article  Google Scholar 

  51. Laaksonen, C., et al. (2007). Paediatric health-related quality of life instrument for primary school children: Cross-cultural validation. Journal of Advanced Nursing, 59(5), 542–550.

    Article  Google Scholar 

  52. Bitton, A., et al. (2014). Toward a better understanding of patient-reported outcomes in clinical practice. American Journal of Managed Care, 20(4), 281–283.

    PubMed  Google Scholar 

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Funding

Financial support was made possible through a student internship with Biogen international for the corresponding author during the Ph.D. period. This paper was funded through an internship for Shalvaree Vaidya at Biogen International. However, the internship was not contingent on the completion nor results of this review.

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Correspondence to Shalvaree Vaidya.

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The original version of this article was revised: Co-author name has been included and the e-mail address of the corresponding author has been updated.

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Vaidya, S., Boes, S. Measuring quality of life in children with spinal muscular atrophy: a systematic literature review. Qual Life Res 27, 3087–3094 (2018). https://doi.org/10.1007/s11136-018-1945-x

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