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Factors influencing quality of life in children with urinary incontinence
Aniruddh V Deshpande1, Jonathan C Craig, Grahame H H Smith
1Department of Urology, Center for Kidney Research, Children's Hospital at Westmead, School of Public Health, Westmead, New South Wales, Australia. sushrudh@hotmail.com
Insights
Children with urinary incontinence experience lower quality of life, particularly older girls and non-white children. These factors, along with age, predict decreased well-being in pediatric incontinence patients.
Area of Science:
- Pediatric Urology
- Quality of Life Research
- Child Health Outcomes
Background:
- Urinary incontinence significantly impacts children's well-being.
- Disease-specific tools are crucial for accurately assessing quality of life in pediatric patients.
- Understanding factors affecting quality of life is essential for targeted interventions.
Purpose of the Study:
- To evaluate the quality of life in children with urinary incontinence using the Pediatric Incontinence Questionnaire.
- To identify demographic and clinical factors associated with reduced quality of life in this population.
Main Methods:
- The study involved 138 children (aged 6-16) with urinary incontinence at a tertiary pediatric hospital in Australia.
- Quality of life was measured using a self-administered Pediatric Incontinence Questionnaire.
- Patient age, gender, ethnicity, and symptom severity were analyzed as predictors of quality of life.
Main Results:
- Girls reported lower quality of life than boys (mean score 3.60 vs 3.31).
- Non-white children experienced a lower quality of life compared to white children (3.97 vs 3.35).
- Older age, non-white ethnicity, and female gender were independent predictors of decreased quality of life.
Conclusions:
- Older age, female gender, and non-white ethnicity are significantly associated with lower disease-specific quality of life in children with urinary incontinence.
- Healthcare providers should recognize the varied impact of urinary incontinence across different age groups and ethnicities.
- Awareness of these factors can guide more sensitive and effective clinical management.
Purpose:
We evaluated quality of life in children with urinary incontinence using a disease specific tool (Pediatric Incontinence Questionnaire) and determined factors that decrease quality of life in affected children.
Materials And Methods:
The Pediatric Incontinence Questionnaire was self-administered by children 6 to16 years old with urinary incontinence while attending outpatient clinics at a tertiary pediatric hospital in Australia between October 2009 and May 2010. A weighted summative quality of life score with a range of 1.75 to 7 (7 being lowest quality of life) was generated, and patient characteristics (age, gender, ethnicity, symptom severity) were evaluated as potential predictors.
Results:
Of 146 children invited to participate 138 consented (response rate 95%). About half of the participants (77) were boys, and mean patient age was 10 years. Girls had a lower quality of life than boys (mean score 3.60 vs 3.31, 95% CI 0.10-0.57, p=0.04), and nonwhite children had a lower quality of life than white children (3.97 vs 3.35, 95% CI 0.23-0.99, p<0.01). Older age (r=0.21, p=0.01) but not increasing symptom severity (r=0.15, p=0.09) or underlying chronic disease (difference 0.12, p=0.91) was correlated to decreased quality of life. Multivariate regression analysis demonstrated that older age, nonwhite ethnicity and female gender were independent predictors of decreased quality of life.
Conclusions:
Older age, female gender and nonwhite ethnicity are associated with a lower disease specific quality of life in children with urinary incontinence. Clinicians need to be aware of the differential effect of urinary incontinence in children of different ages and ethnic backgrounds.
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