Health-Related Quality of Life Assessed in Children with Adenoid Hypertrophy

Abstract

Introduction: The quality of life issue began to be earnestly studied in the second half of the 20th century. It had originally been used as a criterion for measuring levels of human development in the USA and Western Europe. At first, only objective parameters were assessed, such as material goods; however, later, subjective and non-material parameters were added, such as health, freedom, and happiness. Over time, more and more attention has been paid to the subjective parameters regarding any quality of life assessment. Adenoids are physiological clusters of lymphoid tissue included in Waldeyer’s ring, which play an important role in shaping and directing the child’s local and systemic lines of defence. Adenoid hypertrophy occurs due to a variety of factors, such as recurring or chronic infections of the upper respiratory tract. Study aim: To assess health status in children with adenoid system hypertrophy compared with a group of healthy children. Materials and methods: The study group consisted of children suffering from adenoid hypertrophy, this being the most common chronic disease of the upper respiratory tract. The control group was composed of children attending nursery school (kindergarten), primary school, middle school, and high school. The study was performed by using the Child Health Questionnaire—Parent Form 50 CHQ-PF-50 (CHQ-PF50), which is a general purpose research tool based on psychometric testing when assessing physical and mental well-being in children aged 5 to 18 years. Results: There were 101 filled out questionnaires for the test group (54 girls and 47 boys), mean age 8.62 years (ranging 5–17), whilst 102 questionnaires for the controls (50 girls and 52 boys), mean age 10.58 years (ranging 5–18). Insignificant differences were found between social functioning resulting from behaviour or emotional state (REB), pain and discomfort (BP), and family cohesion (FC). Conclusions: Children suffering from adenoid hypertrophy demonstrate the largest decreases in wellbeing in the following areas: behaviour, general perception of health, and mental health.

Adolescents and Resilience: Factors Contributing to Health-Related Quality of Life during the COVID-19 Pandemic

“…The PedsQL, is a generic measure that addresses health profiles across four domains and is not specifically tailored to stressful events such as the COVID-19 pandemic. It has been noted before that specific HRQoL instruments (e.g., with elements appropriate to this particular situation) are more sensitive in detecting deviations occurring over time [ 5 ].…”

“…Quality of life (QoL) is an essential outcome measure for both general and mental health. The research literature recognizes the vital importance of QoL measures in addressing adolescents’ health [ 3 , 4 , 5 ]. Stressful events such as war or pandemics can cause QoL disruptions.…”

Reliability and Validity of the Polish Version of the Esophageal-Atresia-Quality-of-Life Questionnaires to Assess Condition-Specific Quality of Life in Children and Adolescents Born with Esophageal Atresia

“…The development of a condition-specific QOL questionnaire for children with EA could contribute to a better understanding of the patient's life situation, provide healthcare facilities with a more accurate and reliable tool for patient evaluation and in the long-term help improve patient care. Together with a generic QOL questionnaire, such a questionnaire is likely to allow for a comprehensive assessment of the patient's condition [16][17][18]. In recent years, a set of age-specific condition-specific QOL questionnaires for children and adolescents with EA were developed and these have shown sound psychometric performance in Sweden, Germany and Turkey [3,19,20].…”

The Correlation Between Otitis Media With Effusion and Adenoid Hypertrophy Among Pediatric ‎Patients: A Systematic Review‎

“…This investigation demonstrated that no major variations existed across social activity, pain, discomfort, or family cohesion [11]. Peak reductions in well-being were identified within AH cases, mainly affecting behavior, general health concepts, and mental health [11].…”

“…In a separate study shortlisted in this review, children (eight to 12 years of age; 54 girls; 47 boys; mean age was 8.62 years) compiled the Child Health Questionnaire-Parent Form 50 (CHQ-PF50) [11]. This investigation demonstrated that no major variations existed across social activity, pain, discomfort, or family cohesion [11]. Peak reductions in well-being were identified within AH cases, mainly affecting behavior, general health concepts, and mental health [11].…”