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Gepubliceerd in: Quality of Life Research 9/2015

01-09-2015

PROMIS® pediatric self-report scales distinguish subgroups of children within and across six common pediatric chronic health conditions

Auteurs: Darren A. DeWalt, Heather E. Gross, Debbie S. Gipson, David T. Selewski, Esi Morgan DeWitt, Carlton D. Dampier, Pamela S. Hinds, I-Chan Huang, David Thissen, James W. Varni

Gepubliceerd in: Quality of Life Research | Uitgave 9/2015

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Abstract

Purpose

To conduct a comparative analysis of eight pediatric self-report scales for ages 8–17 years from the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS®) in six pediatric chronic health conditions, using indicators of disease severity.

Methods

Pediatric patients (N = 1454) with asthma, cancer, chronic kidney disease, obesity, rheumatic disease, and sickle cell disease completed items from the PROMIS pediatric mobility, upper extremity functioning, depressive symptoms, anxiety, anger, peer relationships, pain interference, and fatigue self-report scales. Comparisons within the six pediatric chronic health conditions were conducted by examining differences in groups based on the disease severity using markers of severity that were specific to characteristics of each disease. A comparison was also made across diseases between children who had been recently hospitalized and those who had not.

Results

In general, there were differences in self-reported health outcomes within each chronic health condition, with patients who had higher disease severity showing worse outcomes. Across health conditions, when children with recent hospitalizations were compared with those who had not been hospitalized in the past 6 months, we found significant differences in the expected directions for all PROMIS domains, except anger.

Conclusions

PROMIS measures discriminate between different clinically meaningful subgroups within several chronic illnesses. Further research is needed to determine the responsiveness of the PROMIS pediatric scales to change over time.
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Metagegevens
Titel
PROMIS® pediatric self-report scales distinguish subgroups of children within and across six common pediatric chronic health conditions
Auteurs
Darren A. DeWalt
Heather E. Gross
Debbie S. Gipson
David T. Selewski
Esi Morgan DeWitt
Carlton D. Dampier
Pamela S. Hinds
I-Chan Huang
David Thissen
James W. Varni
Publicatiedatum
01-09-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-0953-3

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