Quality of Life in Pediatric Patients with Avascular Necrosis of the Femoral Head
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2016, Vol 18, Issue 5
Abstract
[b]Background. [/b]The aim of the present study was to evaluate health-related quality of life in pediatric patients with avascular necrosis of the femoral head.[b]Material and methods.[/b] A comparative study was conducted involving 32 children and adolescents in “ONFH Group” (subjects with a diagnosis of ONFH) and 44 in “Comparison Group” (asymptomatic children), both aged between 8 and 18. Clinical and sociodemographic data were obtained along with PedsQL 4.0 questionnaires to evaluate the quality of life in the age-ranges studied.[b]Results. [/b]The two groups were similar as regards sociodemographic characteristics. Comparison of the quality of life total scores demonstrated significant differences between the ONFH group and the comparison group (58.86±16.54 versus 82.08±9.51), and this also occurred in all the domains analyzed. The predictors that showed correlation with the quality of life were: presence of necrosis, age, time of diagnosis, radiographic classification, Charnley score, educational level, previous surgeries, and previous infections.[b]Conclusion.[/b] Our data confirm the hypothesis that pediatric patients with ONFH demonstrate a lower quality of life than healthy children in all the domains evaluated, especially with regard to the physical aspect.
Authors and Affiliations
Luanne Lísle dos Santos Silva, Marilda Castelar, Marcos Almeida Matos
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