Long-term functional outcome and quality of life in patients with high imperforate anus

Journal of Pediatric Surgery
Mohamed S HashishDaniel H Teitelbaum

Abstract

Anorectal malformations (ARMs) are associated with a large number of functional sequale that may affect a child's long-term quality of life (QOL). The purposes of this study were to better quantify patient functional stooling outcome and to identify how these outcomes related to the QOL in patients with high imperforate anus. Forty-eight patients from 2 children's hospitals underwent scoring of stooling after 4 years of life. Scoring consisted of a 13-item questionnaire to assess long-term stooling habits (score range: 0-30, worst to best). These results were then correlated with a QOL survey as judged by a parent or guardian. Mean (SD) age at survey was 6.5 (1.6) years. Comparison of QOL and clinical scoring showed no signficant difference between the 2 institutions (P > .05). There was a direct correlation between the QOL and stooling score (Pearson r(2) = 0.827; beta coefficient = 24.7, P < .001). Interestingly, functional stooling scores worsened with increasing age (Pearson r(2) = 0.318, P = .02). Patients with associated congenital anomalies had a high rate of poor QOL (44% in poor range; P = .001). Stooling scores decreased significantly with increasing severity/complexity of the ARM (P = .001). A large number of childre...Continue Reading

References

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Mar 29, 2006·Journal of Pediatric Surgery·Dalia AminoffUNKNOWN AIMAR (Italian Parent's Association of Children Born with ARM)
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Oct 15, 2008·Journal of Pediatric Gastroenterology and Nutrition·Esther E HartmanDaniel C Aronson

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Citations

May 28, 2010·Pediatric Surgery International·Emrah SenelH Tugrul Tiryaki
May 31, 2014·Pediatric Surgery International·Jennifer J FreemanDaniel H Teitelbaum
Aug 23, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Marten J PoleyDick Tibboel
Feb 19, 2013·Journal of Pediatric Surgery·Marieke J WitvlietAlida F W van der Steeg
Jun 12, 2012·Clinics in Perinatology·Richard S Herman, Daniel H Teitelbaum
Oct 5, 2010·European Journal of Medical Genetics·Manu S RaamBenjamin D Solomon
May 27, 2015·The Journal of Pediatrics·Katja KovacicAlan H Silverman
Nov 12, 2013·Journal of Pediatric Surgery·Hendt P VersteeghIvo de Blaauw
May 5, 2018·Techniques in Coloproctology·Ron W ReederUNKNOWN Pediatric Colorectal and Pelvic Learning Consortium (PCPLC)

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