PROMIS® pediatric self-report scales distinguish subgroups of children within and across six common pediatric chronic health conditions

Springer Science and Business Media LLC - Tập 24 - Trang 2195-2208 - 2015
Darren A. DeWalt1, Heather E. Gross2, Debbie S. Gipson3, David T. Selewski3, Esi Morgan DeWitt4, Carlton D. Dampier5,6, Pamela S. Hinds7, I-Chan Huang8, David Thissen9, James W. Varni10,11
1Division of General Medicine and Clinical Epidemiology, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, USA
2Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, USA
3Department of Pediatrics and Communicable Diseases, C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, USA
4Division of Rheumatology, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, USA
5Department of Pediatrics, Emory University, Atlanta USA
6AFLAC Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, USA
7Children's National Medical Center, George Washington University, Washington, USA
8Department of Epidemiology And Cancer Control, St. Jude Children’s Research Hospital, Memphis, USA
9Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, USA.
10Department of Pediatrics, College of Medicine, Texas A&M University, College Station, USA
11Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, USA

Tóm tắt

To conduct a comparative analysis of eight pediatric self-report scales for ages 8–17 years from the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS®) in six pediatric chronic health conditions, using indicators of disease severity. Pediatric patients (N = 1454) with asthma, cancer, chronic kidney disease, obesity, rheumatic disease, and sickle cell disease completed items from the PROMIS pediatric mobility, upper extremity functioning, depressive symptoms, anxiety, anger, peer relationships, pain interference, and fatigue self-report scales. Comparisons within the six pediatric chronic health conditions were conducted by examining differences in groups based on the disease severity using markers of severity that were specific to characteristics of each disease. A comparison was also made across diseases between children who had been recently hospitalized and those who had not. In general, there were differences in self-reported health outcomes within each chronic health condition, with patients who had higher disease severity showing worse outcomes. Across health conditions, when children with recent hospitalizations were compared with those who had not been hospitalized in the past 6 months, we found significant differences in the expected directions for all PROMIS domains, except anger. PROMIS measures discriminate between different clinically meaningful subgroups within several chronic illnesses. Further research is needed to determine the responsiveness of the PROMIS pediatric scales to change over time.

Tài liệu tham khảo

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