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Health-related Quality of Life in Children with Aerodigestive Disorders

Hart, Catherine K
http://orcid.org/0000-0003-0670-9937
http://rave.ohiolink.edu/etdc/view?acc_num=ucin151091845523319

Abstract Details

2017, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Objectives: 1. To compare the health-related quality of life (HRQOL) of children with complex aerodigestive disorders to that of children seen in general pediatric otolaryngology clinic. 2. To compare HRQOL of children with aerodigestive disorders with and without tracheostomy and/or gastrostomy tubes. Methods: Retrospective matched cohort study of children seen in a high-volume tertiary care aerodigestive center between June 1, 2013 and July 30, 2015 who completed the Pediatric Quality of Life Inventory version 4.0 (PedsQL). Controls were selected from a prospective database of children seen in general otolaryngology clinic. Scores were compared using two-sample t-tests. Within the aerodigestive cohort, scores were compared between those with/without a tracheostomy and gastrostomy tube. Results: Fifty-seven aerodigestive patients and 192 general otolaryngology patients were included in the study. There were no significant differences in demographic variables between groups. Aerodigestive patients had lower PedsQL scores than general otolaryngology patients: median total score 77.2 vs 88.0 (P=0.004), physical score 78.1 vs 90.6 (P=0.017), psychological score 75.0 vs 86.7 (P=0.003). Aerodigestive patients with and without tracheostomies had similar total and psychological scores, however children with tracheostomies had a lower median physical functioning score, 72.7 vs 85.9 (P=0.05). There were no significant differences between aerodigestive patients with and without gastrostomy tubes. Conclusions: Children with complex aerodigestive disorders had lower HRQOL when compared to children seen in general otolaryngology clinic. Aerodigestive patients with tracheostomies had lower physical functioning scores than those without tracheostomies but no difference in total or psychosocial scores. The presence of a gastrostomy tube did not significantly impact PedsQL scores.
Erin Haynes, Dr.P.H. (Committee Chair)
Evaline Alessandrini, M.D. (Committee Member)
Stacey Ishman (Committee Member)
Jareen Meinzen-Derr (Committee Member)
17 p.
Surgery
aerodigestive; quality of life; tracheostomy; gastrostomy tube

Recommended Citations

Citations

  • Hart, C. K. (2017). Health-related Quality of Life in Children with Aerodigestive Disorders [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin151091845523319

    APA Style (7th edition)

  • Hart, Catherine. Health-related Quality of Life in Children with Aerodigestive Disorders. 2017. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin151091845523319.

    MLA Style (8th edition)

  • Hart, Catherine. "Health-related Quality of Life in Children with Aerodigestive Disorders." Master's thesis, University of Cincinnati, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin151091845523319

    Chicago Manual of Style (17th edition)

ucin151091845523319
166
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This open access ETD is published by University of Cincinnati and OhioLINK.