Comparison of Caregiver- and Child-Reported Quality of Life in Children With Sleep-Disordered Breathing

Authors

Phoebe Kuo Yu, Massachusetts Eye and Ear
Kaitlyn Cook, Harvard Pilgrim Health Care InstituteFollow
Jiayan Liu, Brigham and Women's Hospital
Raouf S. Amin, Cincinnati Children's Hospital Medical Center
Craig Derkay, Children's Hospital of The King's Daughters Health System
Lisa M. Elden, The Children's Hospital of Philadelphia
Susan L. Garetz, University of Michigan-Ann Arbor
Alisha S. George, The Children's Hospital of Philadelphia
Sally Ibrahim, University Hospitals Rainbow Babies & Children's Hospital
Stacey L. Ishman, University of Cincinnati
Erin M. Kirkham, University of Michigan-Ann Arbor
S. Kamal Naqvi, UT Southwestern Medical School
Jerilynn Radcliffe, The Children's Hospital of Philadelphia
Kristie R. Ross, University Hospitals Rainbow Babies & Children's Hospital
Gopi B. Shah, UT Southwestern Medical School
Ignacio E. Tapia, The Children's Hospital of Philadelphia
H. Gerry Taylor, Research Institute at Nationwide Childrens Hospital
David A. Zopf, University of Michigan-Ann Arbor
Susan Redline, Brigham and Women's Hospital
Cristina M. Baldassari, Children's Hospital of The King's Daughters Health System

Document Type

Article

Publication Date

2022

Publication Title

Otolaryngology–Head and Neck Surgery

Volume

168

Issue

1

Abstract

Objective. Caregivers frequently report poor quality of life(QOL) in children with sleep-disordered breathing (SDB).Our objective is to assess the correlation between care-giver- and child-reported QOL in children with mild SDBand identify factors associated with differences between caregiver and child report.

Study Design. Analysis of baseline data from a multi-institutional randomized trialSetting. Pediatric Adenotonsillectomy Trial for Snoring, where children with mild SDB (obstructive apnea-hypopnea index\3) were randomized to observation or adenotonsillectomy.

Methods. The Pediatric Quality of Life Inventory (Peds QL)assessed baseline global QOL in participating children 5 to12 years old and their caregivers. Caregiver and child scores were compared. Multivariable regression assessed whether clinical factors were associated with differences between caregiver and child report.

Results. Peds QL scores were available for 309 families (mean child age, 7.0 years). The mean caregiver-reported PedsQLscore was higher at 75.2 (indicating better QOL) than the mean child-reported score of 67.9 (P \ .001). The agreement between caregiver and child total Peds QL scores was poor, with intraclass correlation coefficients of 0.03 (95%CI, –0.09 to 0.15) for children 5 to 7 years old and 0.21(95% CI, 0.03-0.38) for children 8 to 12 years old. Higher child age and health literacy were associated with closer agreement between caregiver and child report.

Conclusion. Caregiver- and child-reported global QOL in children with SDB was weakly correlated, more so for young children. In pediatric SDB, child-perceived QOL may be poorer than that reported by caregivers. Further research is needed to assess whether similar trends exist for disease-specific QOL metrics.

Comments

Archived as published.

First Page

74

Last Page

81

Recommended Citation

Yu, Phoebe Kuo; Cook, Kaitlyn; Liu, Jiayan; Amin, Raouf S.; Derkay, Craig; Elden, Lisa M.; Garetz, Susan L.; George, Alisha S.; Ibrahim, Sally; Ishman, Stacey L.; Kirkham, Erin M.; Naqvi, S. Kamal; Radcliffe, Jerilynn; Ross, Kristie R.; Shah, Gopi B.; Tapia, Ignacio E.; Taylor, H. Gerry; Zopf, David A.; Redline, Susan; and Baldassari, Cristina M., "Comparison of Caregiver- and Child-Reported Quality of Life in Children With Sleep-Disordered Breathing" (2022). Statistical and Data Sciences: Faculty Publications, Smith College, Northampton, MA.
https://scholarworks.smith.edu/sds_facpubs/76

Digital Object Identifier (DOI)

10.1177/01945998221083288

Rights

© 2022 American Academy ofOtolaryngology–Head andNeck Surgery Foundation