Health-Related Quality of Life in Pediatric Acute Recurrent or Chronic Pancreatitis: Association with Biopsychosocial Risk Factors

See Wan Tham, Fuchenchu Wang, Cheryl E. Gariepy, Gretchen A. Cress, Maisam A. Abu-El-Haija, Melena D. Bellin, Kate M. Ellery, Douglas S. Fishman, Tanja Gonska, Melvin B. Heyman, Tom K. Lin, Asim Maqbool, Brian A. McFerron, Veronique D. Morinville, Jaimie D. Nathan, Chee Y. Ooi, Emily R. Perito, Sarah Jane Schwarzenberg, Zachary M. Sellers, Uzma ShahDavid M. Troendle, Michael Wilschanski, Yuhua Zheng, Ying Yuan, Mark E. Lowe, Aliye Uc, Tonya M. Palermo

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objectives:Abdominal pain, emergency department visits, and hospitalizations impact lives of children with acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP). Data on health-related quality of life (HRQOL) in this population, however, remains limited. We aimed to evaluate HRQOL in children with ARP or CP; and test biopsychosocial risk factors associated with low HRQOL.Methods:Data were acquired from the INternational Study Group of Pediatric Pancreatitis: In search for a cuRE registry. Baseline demographic and clinical questionnaires, the Child Health Questionnaire (measures HRQOL) and Child Behavior Checklist (measures emotional and behavioral functioning) were completed at enrollment.Results:The sample included 368 children (54.3% girls, mean age=12.7years, standard deviation [SD]=3.3); 65.2% had ARP and 34.8% with CP. Low physical HRQOL (M=38.5, SD=16.0) was demonstrated while psychosocial HRQOL (M=49.5, SD=10.2) was in the normative range. Multivariate regression analysis revealed that clinical levels of emotional and behavioral problems (B=-10.28, P<0.001), episodic and constant abdominal pain (B=04.66, P=0.03; B=-13.25, P<0.001) were associated with low physical HRQOL, after accounting for ARP/CP status, age, sex, exocrine, and endocrine disease (F [9, 271]=8.34, P<0.001). Borderline and clinical levels of emotional and behavioral problems (B=-10.18, P<0.001; B=-15.98, P<0.001), and constant pain (B=-4.46, P<0.001) were associated with low psychosocial HRQOL (F [9, 271]=17.18, P<0.001).Conclusions:Findings highlight the importance of assessing HRQOL and treating pain and psychosocial problems in this vulnerable group of children.

Original languageEnglish
Pages (from-to)636-642
Number of pages7
JournalJournal of pediatric gastroenterology and nutrition
Volume74
Issue number5
DOIs
StatePublished - May 1 2022

Keywords

  • children
  • emotional functioning
  • pain
  • pancreatitis
  • quality of life

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