The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life
Objective To assess the impact of rheumatic heart disease (RHD) on child-reported health-related quality of life (HRQOL) in the context of a Ugandan school-based echocardiographic screening program. Echocardiography-based screening has emerged as a tool for the early detection of RHD, but little is...
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| Veröffentlicht in: | The Journal of pediatrics 2016-08, Vol.175, p.123-129 |
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| container_title | The Journal of pediatrics |
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| creator | Bradley-Hewitt, Tyler, MD Dantin, Andrea, BS Ploutz, Michelle, MD Aliku, Twalib, MD Lwabi, Peter, MD Sable, Craig, MD Beaton, Andrea, MD |
| description | Objective To assess the impact of rheumatic heart disease (RHD) on child-reported health-related quality of life (HRQOL) in the context of a Ugandan school-based echocardiographic screening program. Echocardiography-based screening has emerged as a tool for the early detection of RHD, but little is known about its impact on those screened. Study design Participants included 358 children from Gulu and 28 children from Kampala Uganda. The Pediatric Quality of Life Inventory Version 4.0 was used to assess HRQOL in 4 groups of children: Gulu prescreen, Gulu postscreen, Gulu previously linked to care, and Kampala previously linked to care. Children in the pre- and postscreen groups were selected from a single school before and after screening occurred and matched by age and sex. Children previously linked to care were recruited from previous screening studies. Results When the echocardiogram was normal, there was no difference in HRQOL in the prescreen and postscreen groups. In the postscreen group, identification of latent RHD resulted in lower physical (75.3 vs 68.3, P = .03) and emotional (71.7 vs 63.4, P |
| doi_str_mv | 10.1016/j.jpeds.2016.04.087 |
| format | Article |
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Echocardiography-based screening has emerged as a tool for the early detection of RHD, but little is known about its impact on those screened. Study design Participants included 358 children from Gulu and 28 children from Kampala Uganda. The Pediatric Quality of Life Inventory Version 4.0 was used to assess HRQOL in 4 groups of children: Gulu prescreen, Gulu postscreen, Gulu previously linked to care, and Kampala previously linked to care. Children in the pre- and postscreen groups were selected from a single school before and after screening occurred and matched by age and sex. Children previously linked to care were recruited from previous screening studies. Results When the echocardiogram was normal, there was no difference in HRQOL in the prescreen and postscreen groups. In the postscreen group, identification of latent RHD resulted in lower physical (75.3 vs 68.3, P = .03) and emotional (71.7 vs 63.4, P < .01) HRQOL, despite a lack of symptoms. The Kampala group had longer linkage to care (42 months vs 6 months, P < .01) and demonstrated greater HRQOL scores compared with the Gulu-linked group (70.7 vs 77.8, P < .01) and the combined Gulu cohort (77.8 vs 69.4, P = .02). Conclusions Echocardiography-based screening for RHD does not diminish HRQOL in Ugandan children; rather, a diminished HRQOL score may be associated with being identified as RHD positive. Further investigation is needed to understand if longer linkage to care may ultimately normalize or improve HRQOL.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2016.04.087</identifier><identifier>PMID: 27268786</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Child ; Child, Preschool ; Early Diagnosis ; Echocardiography ; Female ; Follow-Up Studies ; Health Status Indicators ; health-related quality of life ; Humans ; Male ; Mass Screening - methods ; Patient Outcome Assessment ; Pediatrics ; Quality of Life ; rheumatic heart disease ; Rheumatic Heart Disease - diagnostic imaging ; Schools ; Self Report ; Uganda</subject><ispartof>The Journal of pediatrics, 2016-08, Vol.175, p.123-129</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-f98876027d3dad51cb33f5767c488bb83ec966175874589cd0b0004e8d7f54293</citedby><cites>FETCH-LOGICAL-c414t-f98876027d3dad51cb33f5767c488bb83ec966175874589cd0b0004e8d7f54293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347616301986$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27268786$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bradley-Hewitt, Tyler, MD</creatorcontrib><creatorcontrib>Dantin, Andrea, BS</creatorcontrib><creatorcontrib>Ploutz, Michelle, MD</creatorcontrib><creatorcontrib>Aliku, Twalib, MD</creatorcontrib><creatorcontrib>Lwabi, Peter, MD</creatorcontrib><creatorcontrib>Sable, Craig, MD</creatorcontrib><creatorcontrib>Beaton, Andrea, MD</creatorcontrib><title>The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To assess the impact of rheumatic heart disease (RHD) on child-reported health-related quality of life (HRQOL) in the context of a Ugandan school-based echocardiographic screening program. Echocardiography-based screening has emerged as a tool for the early detection of RHD, but little is known about its impact on those screened. Study design Participants included 358 children from Gulu and 28 children from Kampala Uganda. The Pediatric Quality of Life Inventory Version 4.0 was used to assess HRQOL in 4 groups of children: Gulu prescreen, Gulu postscreen, Gulu previously linked to care, and Kampala previously linked to care. Children in the pre- and postscreen groups were selected from a single school before and after screening occurred and matched by age and sex. Children previously linked to care were recruited from previous screening studies. Results When the echocardiogram was normal, there was no difference in HRQOL in the prescreen and postscreen groups. In the postscreen group, identification of latent RHD resulted in lower physical (75.3 vs 68.3, P = .03) and emotional (71.7 vs 63.4, P < .01) HRQOL, despite a lack of symptoms. The Kampala group had longer linkage to care (42 months vs 6 months, P < .01) and demonstrated greater HRQOL scores compared with the Gulu-linked group (70.7 vs 77.8, P < .01) and the combined Gulu cohort (77.8 vs 69.4, P = .02). Conclusions Echocardiography-based screening for RHD does not diminish HRQOL in Ugandan children; rather, a diminished HRQOL score may be associated with being identified as RHD positive. Further investigation is needed to understand if longer linkage to care may ultimately normalize or improve HRQOL.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Early Diagnosis</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Status Indicators</subject><subject>health-related quality of life</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Patient Outcome Assessment</subject><subject>Pediatrics</subject><subject>Quality of Life</subject><subject>rheumatic heart disease</subject><subject>Rheumatic Heart Disease - diagnostic imaging</subject><subject>Schools</subject><subject>Self Report</subject><subject>Uganda</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctu1TAQhi0EoofCEyAhL9kkjBPHdhYgoVJopSNxaVkbx570OOSGnSCdt8fhFBZsWI1m9P9z-YaQ5wxyBky86vJuRhfzIiU58ByUfEB2DGqZCVWWD8kOoCiykktxRp7E2AFAzQEek7NCFkJJJXbk2-0B6fUwG7vQqaWX9jBZE5yf7oKZD97SGxsQRz_e0XYK9MsB18EsqX6FJiz0nY9oItJppJ9SGceFfl5N75fj1m3vW3xKHrWmj_jsPp6Tr-8vby-usv3HD9cXb_eZ5YwvWVsrJQUU0pXOuIrZpizbSgppuVJNo0q0tRBMVkryStXWQZPO4aicbCte1OU5eXnqO4fpx4px0YOPFvvejDitUTPFQAlRACRpeZLaMMUYsNVz8IMJR81Ab2h1p3-j1RtaDVwntMn14n7A2gzo_nr-sEyC1ycBpjN_egw62kTEovMB7aLd5P8z4M0_ftv70VvTf8cjxm5aw5gIaqZjoUHfbN_dnstECaxOC_wCbfWe-Q</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Bradley-Hewitt, Tyler, MD</creator><creator>Dantin, Andrea, BS</creator><creator>Ploutz, Michelle, MD</creator><creator>Aliku, Twalib, MD</creator><creator>Lwabi, Peter, MD</creator><creator>Sable, Craig, MD</creator><creator>Beaton, Andrea, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life</title><author>Bradley-Hewitt, Tyler, MD ; Dantin, Andrea, BS ; Ploutz, Michelle, MD ; Aliku, Twalib, MD ; Lwabi, Peter, MD ; Sable, Craig, MD ; Beaton, Andrea, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-f98876027d3dad51cb33f5767c488bb83ec966175874589cd0b0004e8d7f54293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Early Diagnosis</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Status Indicators</topic><topic>health-related quality of life</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Patient Outcome Assessment</topic><topic>Pediatrics</topic><topic>Quality of Life</topic><topic>rheumatic heart disease</topic><topic>Rheumatic Heart Disease - diagnostic imaging</topic><topic>Schools</topic><topic>Self Report</topic><topic>Uganda</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bradley-Hewitt, Tyler, MD</creatorcontrib><creatorcontrib>Dantin, Andrea, BS</creatorcontrib><creatorcontrib>Ploutz, Michelle, MD</creatorcontrib><creatorcontrib>Aliku, Twalib, MD</creatorcontrib><creatorcontrib>Lwabi, Peter, MD</creatorcontrib><creatorcontrib>Sable, Craig, MD</creatorcontrib><creatorcontrib>Beaton, Andrea, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bradley-Hewitt, Tyler, MD</au><au>Dantin, Andrea, BS</au><au>Ploutz, Michelle, MD</au><au>Aliku, Twalib, MD</au><au>Lwabi, Peter, MD</au><au>Sable, Craig, MD</au><au>Beaton, Andrea, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>175</volume><spage>123</spage><epage>129</epage><pages>123-129</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To assess the impact of rheumatic heart disease (RHD) on child-reported health-related quality of life (HRQOL) in the context of a Ugandan school-based echocardiographic screening program. Echocardiography-based screening has emerged as a tool for the early detection of RHD, but little is known about its impact on those screened. Study design Participants included 358 children from Gulu and 28 children from Kampala Uganda. The Pediatric Quality of Life Inventory Version 4.0 was used to assess HRQOL in 4 groups of children: Gulu prescreen, Gulu postscreen, Gulu previously linked to care, and Kampala previously linked to care. Children in the pre- and postscreen groups were selected from a single school before and after screening occurred and matched by age and sex. Children previously linked to care were recruited from previous screening studies. Results When the echocardiogram was normal, there was no difference in HRQOL in the prescreen and postscreen groups. In the postscreen group, identification of latent RHD resulted in lower physical (75.3 vs 68.3, P = .03) and emotional (71.7 vs 63.4, P < .01) HRQOL, despite a lack of symptoms. The Kampala group had longer linkage to care (42 months vs 6 months, P < .01) and demonstrated greater HRQOL scores compared with the Gulu-linked group (70.7 vs 77.8, P < .01) and the combined Gulu cohort (77.8 vs 69.4, P = .02). Conclusions Echocardiography-based screening for RHD does not diminish HRQOL in Ugandan children; rather, a diminished HRQOL score may be associated with being identified as RHD positive. Further investigation is needed to understand if longer linkage to care may ultimately normalize or improve HRQOL.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27268786</pmid><doi>10.1016/j.jpeds.2016.04.087</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Child Child, Preschool Early Diagnosis Echocardiography Female Follow-Up Studies Health Status Indicators health-related quality of life Humans Male Mass Screening - methods Patient Outcome Assessment Pediatrics Quality of Life rheumatic heart disease Rheumatic Heart Disease - diagnostic imaging Schools Self Report Uganda |
| title | The Impact of Echocardiographic Screening for Rheumatic Heart Disease on Patient Quality of Life |
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