Patient-Reported Outcome Measures and Clinical Outcomes in Children with Foregut Anomalies

• Main Authors: Isabel I. Sreeram (Author), Chantal A. ten Kate (Author), Joost van Rosmalen (Author), Johannes M. Schnater (Author), Saskia J. Gischler (Author), René M. H. Wijnen (Author), Hanneke IJsselstijn (Author), André B. Rietman (Author)
• Format: Book
• Published: MDPI AG, 2021-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Increasing numbers of children and adults with chronic disease status highlight the need for a value-based healthcare system. Patient-reported outcome measures (PROMs) are essential to value-based healthcare, yet it remains unclear how they relate to clinical outcomes such as health and daily functioning. We aimed to assess the added value of self-reported PROMs for health status (HS) and quality of life (QoL) in the long-term follow-up of children with foregut anomalies. We evaluated data of PROMs for HS and/or QoL among eight-year-olds born with congenital diaphragmatic hernia (CDH), esophageal atresia (EA), or congenital lung malformations (CLM), collected within the infrastructure of a multidisciplinary, longitudinal follow-up program. Clinical outcomes were categorized into different outcome domains, and their relationships with self-reported HS and QoL were assessed through multivariable linear regression analyses. A total of 220 children completed HS and/or QoL self-reports. In children with CDH and EA, lower cognition was significantly associated with lower self-reported HS. Due to the low number of cases, multivariable linear regression analysis was not possible in children with CLM. HS, QoL, and clinical outcomes represent different aspects of a child's wellbeing and should be measured simultaneously to facilitate a more holistic approach to clinical decision making.

Item Description

10.3390/children8070587
2227-9067