Quality of life assessment in esophageal atresia patients: a systematic review focusing on long-gap esophageal atresia

Sharman P. Tan Tanny, Assia Comella, John M. Hutson, Taher I. Omari, Warwick J. Teague, Sebastian K. King

    Research output: Contribution to journalReview article

    5 Citations (Scopus)

    Abstract

    Background: Children born with esophageal atresia (EA) have inherent abnormalities in esophageal motility which may impact upon patient and family Quality of Life (QoL). Currently, paucity of data exists for long-term outcomes of long-gap EA. We aimed to: (1) summarize QoL tools reported in the literature, focusing upon studies involving long-gap EA patients, and (2) compare QoL for long-gap versus non-long-gap EA patients. Method: We performed a systematic review of Cochrane Register of Controlled Trials, PubMed, EMBASE, and Ovid databases (January 1980–May 2018) in accordance with the PRISMA protocol. Result: Six studies were identified (536 patients total), and 419/536 (78%) patients completed QoL assessment. Response rates ranged from 29% to 100%. Median study size was 86 (range 8–159). Esophageal atresia type was described in 477 patients, and 74/477 (16%) were long-gap. Common assessment tools were Gastrointestinal Quality of Life Index and 36-Item Short-Form Health Survey. Compared with healthy individuals, long-gap EA patients suffered more gastrointestinal symptoms. There were no significant differences in QoL outcomes between long-gap and non-long-gap EA patients. Conclusion: Current literature suggests no significant difference in QoL outcomes between long-gap and non-long-gap EA patients. However, due to questionnaire variability and range of response rates, the data should be interpreted with care. Level of Evidence: Level II.

    Original languageEnglish
    Pages (from-to)2473-2478
    Number of pages6
    JournalJournal of Pediatric Surgery
    Volume54
    Issue number12
    DOIs
    Publication statusPublished - Dec 2019

    Keywords

    • Esophageal atresia
    • Long-gap
    • Quality of life
    • Systematic review

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