Health-related quality of life in Danish children with hereditary angioedema

Anne Aabom, Dan Nguyen, Niels Fisker, Anette Bygum*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

have considerable impact on the health-related quality of life (HRQoL) in adult patients. Half the patients with C1-INH-HAE develop symptoms before the age of 10 years. However, the HRQoL in children with C1-INH-HAE is almost unexplored. Objective: To investigate HRQoL in Danish children with C1-INH-HAE, including possible correlations to disease severity and attack frequency. Methods: All Danish children ages 2-18 years with C1-INH-HAE were invited to complete questionnaires regarding HRQoL; 14 (93%) agreed. Child self-report forms were used for children ages ≥5 years. The instruments used were the PedsQL (Child Self-Report and Parent Proxy-Report forms); the Children's Dermatology Life Quality Index; a nonvalidated, diseasespecific quality-of-life questionnaire; and two visual analog scales that rated general health. Results: The HRQoL scores in our study were comparable with the normal scores for healthy children and better than the scores in the only other study dedicated to HRQoL in children. Children with recent attacks had lower scores, whereas HRQoL scores were not correlated to overall disease severity or age. Surprisingly, home therapy was associated with lower HRQoL; however, home therapy was also correlated to a higher overall severity score and more frequent attacks. There was a strong child-parent agreement in the PedsQL forms, but scores were independent of whether the child had a family history of C1-INH-HAE or sporadic C1-INH-HAE and whether the parent completing the Parent Proxy-Report form carried the disease. Conclusion: Overall, the children assessed on average had a normal HRQoL and better than those with other common skin disorders. However, according to our findings, health care providers should be especially attentive to HRQoL when children with C1-INH-HAE become symptomatic.

Original languageEnglish
JournalAllergy and Asthma Proceedings
Volume38
Issue number6
Pages (from-to)440-446
ISSN1088-5412
DOIs
Publication statusPublished - 1. Nov 2017

Keywords

  • Adolescent
  • Angioedemas, Hereditary/psychology
  • Child
  • Child, Preschool
  • Denmark
  • Female
  • Health Personnel/standards
  • Humans
  • Male
  • Parents/psychology
  • Quality of Life
  • Surveys and Questionnaires

Fingerprint

Dive into the research topics of 'Health-related quality of life in Danish children with hereditary angioedema'. Together they form a unique fingerprint.

Cite this