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Quality of life among Indian paediatric patients suffering from constipation: An evaluative study
Alka Gupta Grewal1, Shashi Mauli Singh2, Nitish Kumar3
1Department of General Surgery, ESIC Medical College & Hospital, Ludhiana, Punjab, India.
Insights
Children with functional constipation experience significantly lower quality of life (QoL) and psychosocial well-being. Routine QoL assessments are crucial for comprehensive treatment planning in pediatric functional constipation.
Area of Science:
- Pediatric Gastroenterology
- Quality of Life Research
Background:
- Pediatric functional constipation is a prevalent gastrointestinal disorder.
- It substantially impacts children's health-related quality of life (HRQoL).
- Psychosocial and school-related effects are often overlooked in clinical practice.
Purpose of the Study:
- To evaluate HRQoL in children with functional constipation.
- To compare HRQoL between affected children and healthy controls.
- To identify factors influencing HRQoL in this population.
Main Methods:
- Cross-sectional, clinic-based study design.
- Utilized validated child and parent-reported tools for HRQoL assessment.
- Employed standard scoring and inferential statistics for group comparisons.
Main Results:
- Children with functional constipation demonstrated significantly lower total HRQoL and psychosocial scores compared to controls.
- Higher symptom burden scores were observed in constipated children.
- The lowest HRQoL was noted in children experiencing painful defecation and fecal incontinence.
Conclusions:
- Routine HRQoL assessment is vital alongside symptom evaluation for pediatric functional constipation.
- Comprehensive assessment aids in developing effective treatment plans.
- Monitoring HRQoL is important for tracking treatment response to behavioral and pharmacologic interventions.
Abstract:
Paediatric functional constipation is a common functional gastrointestinal disorder that significantly impairs health-related quality of life (HRQoL), yet its psychosocial and school-related impact remains under-recognized in routine clinical assessment. Therefore, it is of interest to evaluate the health-related quality of living (HRQoL) in children with functional constipation by using verified child and parent-reported tools and compared results to healthy controls that were age-matched. A cross-sectional, clinic-based sample was analyzed using standard scoring methods and inferential statistical data to compare groups along with severity and intensity gradients. Constipation- related children showed significant lower total HRQoL and psychosocial scores as well as greater symptom burden scores than controls and had the lowest HRQoL being observed in those who suffer from frequent painful defecation as well as fecal incontinence. Thus, we show the importance of routine HRQoL assessments in conjunction with symptom evaluation to provide a comprehensive treatment plan and monitor the response to behavioral and pharmacologic treatments.
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