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接受嗜酸性粒细胞性食管炎治疗的儿科和青年患者生活质量结果的测量。

Measurement of Quality-of-Life Outcomes in Pediatric and Young Adult Patients Treated for Eosinophilic Esophagitis.

作者信息

Chen Charles B, Barry Jessica, Conjeevaram Selvakumar Praveen K, Hong Sandra, Mahajan Lori, Worley Sarah, Patel Sophia A

机构信息

Pediatric Gastroenterology, University of Missouri, Columbia, USA.

Pediatric Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic Foundation, Cleveland, USA.

出版信息

Cureus. 2022 Jan 27;14(1):e21675. doi: 10.7759/cureus.21675. eCollection 2022 Jan.

DOI:10.7759/cureus.21675
PMID:35237474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8882214/
Abstract

Eosinophilic esophagitis is a chronic, immune-mediated esophageal condition that may lead to impairment of quality of life in pediatric and young adult patients. We performed a prospective, cross-sectional study on 40 patients between the ages of 2-21 years with an established diagnosis of eosinophilic esophagitis. The study evaluated physical, emotional, social, and school functioning in patients undergoing treatment with proton pump inhibitors, dietary elimination, or swallowed corticosteroids. There were no statistically significant differences in total or domain-specific quality of life scores between proton pump inhibitors, dietary elimination, and swallowed corticosteroid therapy. Overall, total and domain-specific quality of life were well-preserved in patients with eosinophilic esophagitis, with the highest scores reported in social functioning. There were also no statistically significant associations between clinical, endoscopic, and histologic features and quality-of-life measures.

摘要

嗜酸性粒细胞性食管炎是一种慢性的、免疫介导的食管疾病,可能会导致儿童和年轻成年患者的生活质量受损。我们对40名年龄在2至21岁之间、已确诊为嗜酸性粒细胞性食管炎的患者进行了一项前瞻性横断面研究。该研究评估了接受质子泵抑制剂、饮食排除或吞咽皮质类固醇治疗的患者的身体、情绪、社交和学校功能。质子泵抑制剂、饮食排除和吞咽皮质类固醇治疗之间的总体或特定领域生活质量评分没有统计学上的显著差异。总体而言,嗜酸性粒细胞性食管炎患者的总体和特定领域生活质量得到了很好的保留,社交功能得分最高。临床、内镜和组织学特征与生活质量指标之间也没有统计学上的显著关联。

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本文引用的文献

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Anxiety and Depression in Eosinophilic Esophagitis: A Scoping Review and Recommendations for Future Research.嗜酸性食管炎中的焦虑与抑郁:一项范围综述及对未来研究的建议
J Asthma Allergy. 2019 Dec 9;12:389-399. doi: 10.2147/JAA.S193045. eCollection 2019.
2
Symptom Burden and Quality of Life Over Time in Pediatric Eosinophilic Esophagitis.儿童嗜酸性食管炎随时间推移的症状负担和生活质量。
J Pediatr Gastroenterol Nutr. 2019 Dec;69(6):682-689. doi: 10.1097/MPG.0000000000002479.
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Parental perception of anxiety in children with eosinophilic esophagitis in a tertiary care center.三级医疗中心中父母对嗜酸性食管炎患儿焦虑情况的认知。
Ann Allergy Asthma Immunol. 2017 Oct;119(4):382-383. doi: 10.1016/j.anai.2017.07.025. Epub 2017 Aug 31.
4
Health-Related Quality of Life and Costs Associated With Eosinophilic Esophagitis: A Systematic Review.健康相关生活质量与嗜酸性食管炎相关成本:系统评价。
Clin Gastroenterol Hepatol. 2018 Apr;16(4):495-503.e8. doi: 10.1016/j.cgh.2017.06.036. Epub 2017 Jun 24.
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Systematic review with meta-analysis: the incidence and prevalence of eosinophilic oesophagitis in children and adults in population-based studies.系统评价与荟萃分析:基于人群研究的儿童和成人嗜酸性粒细胞性食管炎的发病率和患病率
Aliment Pharmacol Ther. 2016 Jan;43(1):3-15. doi: 10.1111/apt.13441. Epub 2015 Oct 28.
6
Topical Review: Eosinophilic Esophagitis in Children: Implications for Health-Related Quality of Life and Potential Avenues for Future Research.专题综述:儿童嗜酸性粒细胞性食管炎:对健康相关生活质量的影响及未来研究的潜在方向
J Pediatr Psychol. 2015 Sep;40(8):727-32. doi: 10.1093/jpepsy/jsv032. Epub 2015 Apr 3.
7
Prospective, comparative effectiveness trial of cow's milk elimination and swallowed fluticasone for pediatric eosinophilic esophagitis.牛乳排除与吸入氟替卡松治疗小儿嗜酸性粒细胞性食管炎的前瞻性、比较有效性试验
Dis Esophagus. 2016 May;29(4):377-84. doi: 10.1111/dote.12339. Epub 2015 Feb 26.
8
Health-related quality of life over time in children with eosinophilic esophagitis and their families.嗜酸性粒细胞性食管炎患儿及其家庭随时间推移的健康相关生活质量
J Pediatr Gastroenterol Nutr. 2014 Sep;59(3):308-16. doi: 10.1097/MPG.0000000000000451.
9
Psychosocial dysfunction in children and adolescents with eosinophilic esophagitis.儿童和青少年嗜酸性食管炎的心理社会功能障碍。
J Pediatr Gastroenterol Nutr. 2013 Oct;57(4):500-5. doi: 10.1097/MPG.0b013e31829ce5ad.
10
Incidence and prevalence of eosinophilic esophagitis in children.儿童嗜酸性食管炎的发病率和患病率。
J Pediatr Gastroenterol Nutr. 2013 Jul;57(1):72-80. doi: 10.1097/MPG.0b013e318291fee2.