Maternal perspectives on children's health-related quality of life during the first year after pediatric hematopoietic stem cell transplant Journal Article
| Authors: | Parsons, S. K.; Shih, M. C.; Duhamel, K. N.; Ostroff, J.; Mayer, D. K.; Austin, J.; Martini, D. R.; Williams, S. E.; Mee, L.; Sexson, S.; Kaplan, S. H.; Redd, W. H.; Manne, S. |
| Article Title: | Maternal perspectives on children's health-related quality of life during the first year after pediatric hematopoietic stem cell transplant |
| Abstract: | Objective: To assess the longitudinal health-related quality of life (HRQL) of children receiving hematopoietic stem cell transplantation (HSCT). Methods: Mothers (N = 160) of HSCT recipients aged 5-20 at six US transplant centers completed the Child Health Ratings Inventories (CHRIs), the Disease Impairment Inventory (DSII)-HSCT module, and the Short Form (SF)-36 at baseline, 3, 6, and 12 months. Results: HRQL domain scores at baseline varied by recipient age and program site. Longitudinal data over the first year post-HSCT revealed lowest functioning at baseline and 3 months, with largest improvement in functioning between the 3 and 6-months assessments and continued improvement from 6 to 12 months. Recipients of unrelated donor transplants had steepest declines in functioning at 3 months and great HSCT-specific issues at 3 and 6 months. Among children who survived the first year, functioning at 12 months was similar across transplant types and surpassed baseline scores. Children who did not survive the first year exhibited deterioration in HRQL in the months before death and trajectories were strikingly different than for survivors. Conclusions: This study offers the first glimpse of the 12-month trajectory of HRQL following pediatric HSCT from mothers' perspectives. This study also highlights the importance of and approaches to addressing missing data in longitudinal research. © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. |
| Keywords: | adolescent; adult; child; controlled study; child, preschool; survival analysis; transplantation, homologous; major clinical study; outcome assessment; quality of life; hematopoietic stem cell transplantation; health status; death; longitudinal studies; models, statistical; hematopoietic cell; allogeneic hematopoietic stem cell transplantation; health-related quality of life; short form 36; graft vs host disease; cost of illness; mothers; transplantation, autologous; hospital management; activities of daily living; longitudinal study; opportunistic infections; deterioration; organ donor; septicemia; child health care; acute graft rejection; mother child relation; children's self-assessment; parent report |
| Journal Title: | Journal of Pediatric Psychology |
| Volume: | 31 |
| Issue: | 10 |
| ISSN: | 0146-8693 |
| Publisher: | Oxford University Press |
| Date Published: | 2006-11-01 |
| Start Page: | 1100 |
| End Page: | 1115 |
| Language: | English |
| DOI: | 10.1093/jpepsy/jsj078 |
| PUBMED: | 16150874 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 21" - "Export Date: 4 June 2012" - "CODEN: JPPSD" - "Source: Scopus" |
