1. Burden of Poor Health Conditions and Quality of Life in 656 Children with Primary Immunodeficiency
- Author
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Capucine Picard, Carolina Brito De Azevedo, Benedicte Neven, Vincent Barlogis, Alain Fischer, Isabelle Pellier, Virginie Gandemer, Maya Allouche, Nizar Mahlaoui, Marlène Pasquet, Pascal Auquier, Fanny Fouyssac, Gérard Michel, Nathalie Aladjidi, Caroline Thomas, Stéphane Blanche, Despina Moshous, Eric Jeziorski, Camille Vercasson, Françoise Mazingue, Pédiatrie et oncologie pédiatrique [Hôpital de la Timone - APHM], Aix Marseille Université (AMU)-Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Centre de Référence Déficits Immunitaires Héréditaires (CEREDIH), Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-CHU Necker - Enfants Malades [AP-HP], Service d'immuno-hématologie pédiatrique [CHU Necker], Assistance publique - Hôpitaux de Paris (AP-HP) (APHP), Centre Référence des Maladies Héréditaires du Métabolisme de l'Enfant et de l'Adulte [CHU Necker] (MaMEA Necker), CHU Necker - Enfants Malades [AP-HP], Hôpital de la Timone [CHU - APHM] (TIMONE), Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Imagine - Institut des maladies génétiques (IMAGINE - U1163), Centre National de la Recherche Scientifique (CNRS)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Hôpital Jeanne de Flandres, Université de Lille, Droit et Santé-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Université Paris Descartes - Paris 5 (UPD5), Collège de France (CDF), Collège de France (CdF), Université Sorbonne Paris Cité (USPC), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Chaire Médecine expérimentale (A. Fischer), Collège de France (CdF (institution)), and Collège de France - Chaire Médecine expérimentale (A. Fischer)
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,[SDV]Life Sciences [q-bio] ,health status ,transition to adulthood ,Affect (psychology) ,primary immunodeficiency ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Cost of Illness ,Surveys and Questionnaires ,Health care ,Medicine ,Vulnerable population ,Humans ,030212 general & internal medicine ,Registries ,Prospective Studies ,Prospective cohort study ,Child ,Preschool ,business.industry ,Immunologic Deficiency Syndromes ,medicine.disease ,3. Good health ,Child, Preschool ,030220 oncology & carcinogenesis ,Pediatrics, Perinatology and Child Health ,Cohort ,Primary immunodeficiency ,Quality of Life ,Female ,France ,business ,Cohort study ,Follow-Up Studies - Abstract
International audience; OBJECTIVE: To gain insight into how primary immunodeficiencies (PIDs) affect children's health status and quality of life. STUDY DESIGN: The French Reference Center for PIDs conducted a prospective multicenter cohort that enrolled participants who met all criteria: patients included in the French Reference Center for PIDs registry, children younger than18 years, and living in France. Participants were asked to complete both a health questionnaire and a health-related quality of life (HR-QoL) questionnaire. A severity score was assigned to each health condition: grade 1 (mild) to grade 4 (life-threatening). HR-QoL in children was compared with age- and sex-matched French norms. RESULTS: Among 1047 eligible children, 656 were included in the study, and 117 had undergone hematopoietic stem cell transplantation; 40% experienced at least one grade 4 condition, and 83% experienced at least one grade 3 or 4 condition. Compared with the French norms, children with PID scored significantly lower for most HR-QoL domains. Low HR-QoL scores were associated strongly with burden of poor conditions. CONCLUSIONS: Our results quantify the magnitude of conditions in children with PID and demonstrate that the deleterious health effects borne by patients already are evident in childhood. These results emphasize the need to closely monitor this vulnerable population and establish multidisciplinary healthcare teams from childhood. TRIAL REGISTRATION: ClinicalTrials.gov: NCT02868333 and EudraCT 2012-A0033-35.
- Published
- 2018
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