Department of Pediatric Oncology, Hematology and Chemotherapy, Medical University of Silesia, Katowice.
Upper Silesia Children's Care Health Centre, Katowice.
Psychooncology. 2019 May;28(5):1088-1095. doi: 10.1002/pon.5061. Epub 2019 Apr 11.
Evaluation of children's quality of life (QoL) after finished brain tumour treatment and the association of children's diseases on quality of their parents' life.
The study group was consisted of 46 children after brain tumour treatment (aged 4, 5, to 29 years old). The control group was composed of 104 students of primary, secondary, and high schools. One hundred fifty (104 + 46) parents were included in the study. Standardised QoL questionnaires (PEDsQL-4.0, WHOQOL-BREF) were used. Survivors' QoL was assessed from patients' and their parents' point of view, also the association of children's diseases on quality of their parents' life was estimated.
QoL of children after brain tumour treatment was lower than in the control group according to the children (P < 0.001) and their parents (P < 0.001). The survivors worst rated their ability to social functioning (P < 0.0010) and physical functioning (P < 0.001) in comparison with self-assessment of healthy children. According to their parents, the functioning of children in all zones was worse than in the control group, mostly in social (P < 0.001) and physical sphere (P < 0.001), too. QoL of children with low-grade tumour was comparable with QoL of children with high-grade tumour). QoL of survivors' caregivers in study was higher than QoL of parents of control groups (P = 0.023).
The quality of patients' life after brain tumour treatment is lower in comparison with healthy children. QoL of the parents of survivor is higher than the QoL of healthy children parents. The assessment of QoL of children after brain tumour treatment should be an inherent element of health monitoring.
评估脑瘤治疗后儿童的生活质量(QoL),以及儿童疾病对其父母生活质量的影响。
研究组由 46 名脑瘤治疗后儿童(年龄 4、5 至 29 岁)组成。对照组由 104 名小学生、中学生和高中生组成。共纳入 150 名(104+46)名父母。使用标准化 QoL 问卷(PEDsQL-4.0、WHOQOL-BREF)。从患者及其父母的角度评估幸存者的 QoL,并评估儿童疾病对其父母生活质量的影响。
脑瘤治疗后儿童的 QoL 低于对照组儿童(P<0.001)和父母(P<0.001)。与健康儿童的自我评估相比,幸存者对其社会功能(P<0.0010)和身体功能(P<0.001)的评价最差。根据父母的评价,儿童在所有区域的功能均不如对照组,尤其是在社会(P<0.001)和身体(P<0.001)领域。低级别肿瘤患儿的 QoL 与高级别肿瘤患儿的 QoL 相当。研究中幸存者的照顾者的生活质量高于对照组患儿的父母(P=0.023)。
脑瘤治疗后患者的生活质量低于健康儿童。幸存者父母的生活质量高于健康儿童父母的生活质量。脑瘤治疗后儿童 QoL 的评估应成为健康监测的固有组成部分。