Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Calcif Tissue Int. 2024 Dec;115(6):828-846. doi: 10.1007/s00223-024-01205-4. Epub 2024 May 2.
Osteogenesis Imperfecta is a rare, hereditary bone condition with an incidence of 1/15,000-20,000. Symptoms include bone fragility, long bone deformity, scoliosis, hypermobility, alongside secondary features such as short stature, basilar invagination, pulmonary and cardiac complications, hearing loss, dentinogenesis imperfecta and malocclusion. Osteogenesis Imperfecta can have a large impact on the child and their family; this impact starts immediately after diagnosis. Fractures, pain, immobility, hospital admissions and the need for equipment and adaptations all influence the health-related quality of life of the individual and their family. This narrative review article aims to examine the impact the diagnosis and management of osteogenesis imperfecta has on the health-related quality of life of a child. It will touch on the effect this may have on the quality of life of their wider family and friends and identify strategies to optimise health-related quality of life in this population. Optimising health-related quality of life in children with Osteogenesis Imperfecta is often a complicated, multifaceted journey that involves the child, their extended family, school, extracurricular staff and numerous health professionals.
成骨不全症是一种罕见的遗传性骨病,发病率为 1/15000-20000。其症状包括骨骼脆弱、长骨畸形、脊柱侧凸、过度活动,以及身材矮小、颅底凹陷、肺部和心脏并发症、听力损失、牙本质发育不全和咬合不正等继发特征。成骨不全症会对儿童及其家庭产生重大影响;这种影响从诊断后立即开始。骨折、疼痛、活动受限、住院以及设备和适应措施的需求都影响着个体及其家庭的健康相关生活质量。本文综述旨在探讨成骨不全症的诊断和治疗对儿童健康相关生活质量的影响。文中还将讨论这对其更广泛的家庭和朋友的生活质量可能产生的影响,并确定优化该人群健康相关生活质量的策略。优化成骨不全症儿童的健康相关生活质量往往是一个复杂的、多方面的过程,涉及儿童、其大家庭、学校、课外活动人员和众多卫生专业人员。