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Dingemann, C; Meyer, A; Kircher, G; Boemers, TM; Vaske, B; Till, H; Ure, BM.
Long-term health-related quality of life after complex and/or complicated esophageal atresia in adults and children registered in a German patient support group.
J Pediatr Surg. 2014; 49(4):631-638
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Autor/innen der Med Uni Graz:
Till Holger
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Abstract:
Health-related quality of life (HRQoL) after esophageal atresia (EA) repair is postulated to be good. However, little is known about the long-term results after repair of complex and/or complicated EA regarding HRQoL. We investigated long-term HRQoL after delayed anastomosis, esophageal replacement, major revisions, or multiple dilatations in patients registered in a support group. Patients registered in the German patient support group database (KEKS) were enrolled and allocated to subgroups according to surgical treatment and age. HRQoL was evaluated using validated questionnaires (GIQLI, WHO-5, KIDSCREEN27). Complete follow-up (mean 14.5 ± 9.8 years) was available for 90/92 patients. Patients were allocated to subgroups delayed anastomosis (n=28), esophageal replacement (n=27), major revisions (n=15), and multiple dilatations (n=20). Adult patients presented with impaired well-being according to WHO-score and gastrointestinal function (GIQLI). In contrast, HRQoL of children was comparable to controls in most KIDSCREEN27-dimensions. Delayed anastomosis was associated with most-favourable HRQoL. Regarding physical well-being, these children scored significantly better than controls [64.01 ± 10.40 vs. 52.36 ± 8.73;p=0.0011], children after replacement [51.40 ± 5.70;p=0.008], revisions [52.04 ± 6.97;p=0.026], and multiple dilatations [50.22 ± 9.67,p=0.04]. HRQoL after complex and/or complicated EA is excellent in children registered in a patient support group. In adults, disease-specific symptoms negatively affect HRQoL. Our data indicate that saving the esophagus may achieve the best HRQoL. Copyright © 2014 Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Age Factors -
Anastomosis, Surgical -
Case-Control Studies -
Child -
Child, Preschool -
Esophageal Atresia - complications
Esophageal Atresia - surgery
Esophagoplasty - methods
Female -
Follow-Up Studies -
Follow-Up Studies -
Humans -
Male -
Quality of Life -
Registries -
Reoperation -
Self-Help Groups -
Surveys and Questionnaires -
Treatment Outcome -

Find related publications in this database (Keywords)
Complicated esophageal atresia
Quality of life
Patient support group
Children
Questionnaires
Symptoms
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