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Published on: February 2, 2017
Evaluation of quality of life in children with precocious puberty
İlkay N Yılmazer1, Sema Nilay Abseyi2, Gizem Şenyazar2
1Department of Pediatric, Ankara University Faculty of Medicine, Ankara, Turkey.
Insights
Children with central precocious puberty (CPP) receiving treatment and those with premature thelarche (PT) without treatment showed no significant difference in quality of life compared to healthy peers. This suggests treatment for CPP does not negatively impact a child's quality of life.
Area of Science:
- Pediatric Endocrinology
- Quality of Life Research
- Child Psychology
Background:
- Central precocious puberty (CPP) and premature thelarche (PT) are conditions affecting childhood development.
- The impact of treatment on the quality of life (QoL) for children with CPP is not fully understood.
- Sociodemographic factors and treatment status may influence QoL in these pediatric populations.
Purpose of the Study:
- To investigate and compare the quality of life (QoL) in children with central precocious puberty (CPP) undergoing treatment.
- To assess and compare the QoL in children with premature thelarche (PT) managed without treatment.
- To compare the QoL of these patient groups with that of healthy children.
Main Methods:
- A case-control study design was employed.
- 193 children participated: 59 with CPP, 53 with PT, and 81 healthy controls.
- The Pediatric Quality of Life Inventory (PedsQL) and a sociodemographic questionnaire were utilized.
Main Results:
- No statistically significant differences in PedsQL scores (total, psychosocial, physical) were found between CPP, PT, and control groups (p > .05).
- Parental assessment scores for QoL were also similar across the three groups.
- Sociodemographic data did not differ significantly among the CPP, PT, and control groups.
Conclusions:
- Quality of life in children with CPP receiving treatment is comparable to those with PT and healthy children.
- Treatment initiation for CPP did not demonstrate a negative impact on the assessed quality of life.
- This study highlights that QoL is not significantly affected by CPP treatment or PT, contrary to some previous assumptions.
Objective:
This study aimed to investigate the quality of life of patients with central precocious puberty (CPP) who required treatment and premature thelarche (PT) followed up without treatment and to compare the groups with and without treatment among themselves and with healthy children.
Design, Patients And Measurement:
This study is designed as a case-control study. A total of 193 children including 59 children with CPP, 53 children with PT, 81 healthy children and their parents were included in the study. A questionnaire was applied to evaluate the sociodemographic characteristics that would affect the quality of life. The 'Pediatric Quality of Life Inventory (PedsQL)' was used to assess the quality of life.
Results:
The PedsQL total scale score was 78.10 ± 17.13, 79.35 ± 11.54 and 79.52 ± 14.65, the psychosocial health summary score was 78.86 ± 16.83, 79.40 ± 12.54 and 79.94 ± 14.94 and physical health summary score was 75.81 ± 20.69, 79.41 ± 15.04 and 78.25 ± 17.52 in CPP, PT and control groups, respectively; however, there was no statistical difference (p > .05). In the scale administered to the parents, scores were similar in the three groups. No difference was found between CPP, PT and control groups in terms of sociodemographic data in the study (p > .05).
Conclusion:
Unlike previous studies, in this study the effects of sociodemographic characteristics and whether treatment was initiated or not on quality of life were investigated. Although the scale scores of the CPP group were lower than the PT and control group, there was no statistically significant difference, indicating that quality of life was not negatively affected in the CPP group receiving treatment.
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