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Updated: Jun 13, 2025
Real-Time Void Spot Assay
Published on: February 10, 2023
Comparative analysis of health-related quality of life between children with bladder and bowel dysfunction versus
Hirokazu Ikeda1, Takahiro Ono2, Chisato Oyake2
1Department of Pediatrics, Showa University Yokohama Northern Hospital, Yokohama, Japan. ihirokazu@med.showa-u.ac.jp.
Insights
Children with bladder and bowel dysfunction (BBD) experience significantly lower health-related quality of life (HRQoL). Those with BBD and fecal incontinence (FI) require targeted emotional support for improved psychosocial well-being.
Area of Science:
- Pediatric Urology
- Child Psychology
- Quality of Life Research
Background:
- Lower urinary tract dysfunction (LUTD) and bladder and bowel dysfunction (BBD) are common in children.
- Assessing health-related quality of life (HRQoL) is crucial for understanding the holistic impact of these conditions.
Purpose of the Study:
- To compare HRQoL in children with BBD, LUTD alone, and healthy controls.
- To investigate the influence of self-report and parent-proxy reports on HRQoL assessment.
- To identify specific factors within BBD that affect HRQoL.
Main Methods:
- Retrospective review of clinical records for 252 children (78 BBD, 174 LUTD).
- Utilized dysfunctional voiding scoring system and Rome IV criteria for symptom assessment.
- Administered the Pediatric Quality of Life Inventory 4.0 (PedsQL) for HRQoL evaluation.
Main Results:
- Children with BBD reported significantly lower overall PedsQL scores and psychosocial health compared to controls.
- The BBD group showed reduced emotional functioning compared to the LUTD group.
- Children with BBD and fecal incontinence (FI) had significantly lower social functioning scores.
Conclusions:
- Children with BBD, particularly those with FI, face a higher risk of diminished psychosocial HRQoL.
- These children require specialized emotional support and targeted interventions.
- Effective treatment and follow-up are essential to enhance the HRQoL for children with BBD and FI.
Purpose:
This study aimed to compare health-related quality of life (HRQoL) between children with bladder and bowel dysfunction (BBD) and lower urinary tract dysfunction (LUTD) alone and healthy controls based on self-report forms and parent-proxy report forms.
Materials And Methods:
In this retrospective study, clinical records were reviewed. Children with LUTD, with or without bowel dysfunction, and healthy children were included in this study. The dysfunctional voiding scoring system and Rome IV Diagnostic Criteria were used to assess lower urinary tract symptoms. The Rome IV Diagnostic Criteria was also used to evaluate bowel symptoms. The Pediatric Quality of Life Inventory 4.0 (PedsQL) questionnaire was administered to investigate pediatric HRQoL.
Results:
Of the total 252 children (mean age, 7.3±2.1 years) who participated in this study, 78 were classified into the BBD group and 174 into the LUTD group. Compared with the control group, the BBD group had significantly lower total PedsQL scores (p<0.001) and psychosocial healthy summary scores (p<0.001). The BBD group had significantly lower emotional functioning scores than the LUTD group (p=0.023). Children with BBD who presented with fecal incontinence (FI) had a significantly lower social functioning score than those without FI (p=0.023).
Conclusions:
Children with BBD who present with FI are at higher risk of decreased psychosocial HRQoL, and they require special emotional support. These findings underscore the need for effective treatment and follow-up to improve the HRQoL of children with BBD who presented with FI.
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