TY - JOUR
T1 - The Effect of Gastrostomy Placement on Health-Related Quality of Life in Children
AU - Franken, Josephine
AU - Stellato, Rebecca K.
AU - Tytgat, Stefaan H.A.J.
AU - van der Zee, David C.
AU - Mauritz, Femke A.
AU - Lindeboom, Maud Y.A.
N1 - Funding Information:
Grant support and other assistance: none
Publisher Copyright:
© 2019
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/11
Y1 - 2019/11
N2 - Background and purpose: A gastrostomy placement (GP) aims to improve nutritional status and health-related quality of life (HRQoL) in children who require long-term enteral tube feeding. We evaluated the effect of GP on HRQoL. Methods: A prospective, longitudinal cohort study was performed including patients referred for laparoscopic GP. Children and/or caregivers were asked to fill out the validated PedsQL™ questionnaire before and 3 months after surgery. The aim was to compare preoperative with postoperative HRQoL and to identify predictors of HRQoL. Results: Fifty patients were included with a median age of 3.4 years (interquartile range 1.4–5.6). After GP, total HRQoL did not significantly increase (p = 0.30). However, psychosocial health significantly increased: 55.8 (standard deviation ± 20.8) to 61.2 (± 19.6; p = 0.03) on a 100-point scale. This was mainly owing to an increase in social HRQoL: 58.2 (± 32.3) to 68.3 (± 27.9; p = 0.04). HRQoL both before and after GP was significantly lower in children with neurologic impairment (p < 0.0005). However, neurologic impairment did not influence the effect of surgery on HRQoL (p = 0.66). Low preoperative body mass index was a predictor for improvement in HRQoL after GP. Conclusions: After GP in children, psychosocial HRQoL improved significantly. This was mainly owing to an improvement in social HRQoL. Level of evidence: IV
AB - Background and purpose: A gastrostomy placement (GP) aims to improve nutritional status and health-related quality of life (HRQoL) in children who require long-term enteral tube feeding. We evaluated the effect of GP on HRQoL. Methods: A prospective, longitudinal cohort study was performed including patients referred for laparoscopic GP. Children and/or caregivers were asked to fill out the validated PedsQL™ questionnaire before and 3 months after surgery. The aim was to compare preoperative with postoperative HRQoL and to identify predictors of HRQoL. Results: Fifty patients were included with a median age of 3.4 years (interquartile range 1.4–5.6). After GP, total HRQoL did not significantly increase (p = 0.30). However, psychosocial health significantly increased: 55.8 (standard deviation ± 20.8) to 61.2 (± 19.6; p = 0.03) on a 100-point scale. This was mainly owing to an increase in social HRQoL: 58.2 (± 32.3) to 68.3 (± 27.9; p = 0.04). HRQoL both before and after GP was significantly lower in children with neurologic impairment (p < 0.0005). However, neurologic impairment did not influence the effect of surgery on HRQoL (p = 0.66). Low preoperative body mass index was a predictor for improvement in HRQoL after GP. Conclusions: After GP in children, psychosocial HRQoL improved significantly. This was mainly owing to an improvement in social HRQoL. Level of evidence: IV
KW - Gastrostomy placement
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85068758207&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2019.05.026
DO - 10.1016/j.jpedsurg.2019.05.026
M3 - Article
AN - SCOPUS:85068758207
SN - 0022-3468
VL - 54
SP - 2268
EP - 2273
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
IS - 11
ER -