Health-related quality of life determinants in Spanish children with eosinophilic esophagitis.
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García-Martínez de Bartolomé Ruth, Barrio-Torres Josefa, Sebastián-Viana Tomás, Vila-Miravet Víctor, La Orden-Izquierdo Enrique, Fernández-Fernández Sonia, Herrero-Álvarez Myriam, Soria-López Marta, Botija-Arcos Gonzalo, Rodríguez-Martínez Alejandro, Galicia-Poblet Gonzalo, García-Díaz Alejandro, Herreros-Sáenz Marta, Blasco-Alonso Javier, Rodrigo-García Gloria, Alonso-Pérez Natalia, de Valderrama-Rodríguez Ana Fernández, Oppenau-López Noel, Pérez-Moneo Begoña, Feo-Ortega Sara, Vecino-López Raquel, Donado-Palencia Paloma, Alberto-Alonso José Ramón, Revenga-Parra Margarita, Lorenzo-Garrido Helena, Carro-Rodríguez Miguel Ángel, Grande-Herrero Luis, Vicente-Santamaría Saioa, Balmaseda-Serrano Elena, Miranda-Cid María Carmen, Martín-González Jessica, García-Romero Ruth, García-Tirado Diana, Rizo-Pascual Jana, Alonso-López Pedro, Blanco-Rodríguez Miriam, Rendo-Vázquez Alicia, Millán-Jiménez Antonio, Castro-Millán Ana, Bastida-Ratera Eduard, Cilleruelo-Pascual M Luz
Аннотация
METHODS: Multicenter observational cross-sectional study. The Spanish version of the Pediatric Quality of Life Eosinophilic Esophagitis Module was filled out by EoE patients aged 8-18 and their parents. Demographic, psychosocial, and clinical variables were studied. Multiple linear regression was performed to identify related factors of HRQoL.
RESULTS: A total of 279 children and their parents participated (72.7% males). 39.1% received swallowed corticosteroids, 35.5% proton pump inhibitors and 16.8% diet. 1.1% received other treatments and 7.5% received no treatment. Poor compliance to treatment was observed in 11.5% and 6.5% of patients were referred to mental health. The Total Scale Scores were 72.71 ± 17.50 and 75.62 ± 16.73 for children and parents, respectively. "Communication" was the dimension with the highest scores (82.14 ± 21.65 and 81.59 ± 24.13) while "Food and Eating" (48.92 ± 32.94 and 62.85 ± 28.78), and "Food Feelings" (53.55 ± 29.96 and 53.95 ± 27.78) had the lower scores. Patients and parents under dietary treatment showed lower scores than those under pharmacological treatment, 65.77 ± 16.96 versus 74.28 ± 16.96, p = 0.001 and 68.33 ± 17.32 versus 77.24 ± 15.97, p = 0.001, respectively. Factors associated with worse HRQoL scores were symptom frequency, diet, food allergies, and the need for mental health assistance.
CONCLUSIONS: The HRQoL of children and their parents was "good." However, diet, frequency of symptoms, food allergies, and the need for mental health care were the factors that had a negative impact on HRQoL of children with EoE.